Review Question - QID 214975

A 34-year-old gravida 2 para 1 woman at 33 weeks of gestation presents to the emergency room with a 24-hour history of nausea, vomiting, and right upper quadrant pain. Her pain has not responded to antacids or acetaminophen and has progressively worsened over the past 24 hours. The vomiting started 3 hours ago and has been non-bloody. She has no chronic medical conditions, and her surgical history is notable for an anterior cruciate ligament repair in her 20s. Her temperature is 99.5°F (37.7°C), blood pressure is 150/80 mmHg, pulse is 97/min, and respirations are 13/min. Fetal heart rate monitoring shows a baseline of 160/min with minimal variability. Physical exam reveals tenderness upon epigastric palpation with no rebound or guarding. The uterus is nontender. Her urinalysis is normal. Laboratory results are as follows:
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