question: Q:An otherwise healthy 25-year-old primigravid woman at 31 weeks' gestation comes to the physician with a 2-day history of epigastric pain and nausea that is worse at night. Three years ago, she was diagnosed with a peptic ulcer and was treated with a proton pump inhibitor and antibiotics. Medications include folic acid and a multivitamin. Her pulse is 92/min and blood pressure is 139/90 mm Hg. Pelvic examination shows a uterus consistent in size with a 31-week gestation. Laboratory studies show:
  Hemoglobin 8.2 g/dL
  Platelet count 87,000/mm3
  Serum
  Total bilirubin 1.4 mg/dL
  Aspartate aminotransferase 75 U/L
  Lactate dehydrogenase 720 U/L
  Urine
  pH 6.1
  Protein 2+
  WBC negative
  Bacteria occasional
  Nitrites negative
  Which of the following best explains this patient's symptoms?"? 
  {'A': 'Bacterial invasion of the renal parenchyma', 'B': 'Break in gastric mucosal continuity', 'C': 'Acute inflammation of the pancreas', 'D': 'Inflammation of the gallbladder', 'E': 'Stretching of Glisson capsule'},