Review Question - QID 108855

A 42-year-old female presents to her primary care physician complaining of abdominal pain and nausea. She reports that her pain started approximately two hours ago after she ate a meal at a fast food restaurant. The pain is sharp and localized to the right upper quadrant. She has experienced similar pain several times in the past. Her past medical history is notable for obesity and hypertension. On examination, she demonstrates significant tenderness to palpation in the right upper quadrant. Murphy’s sign is negative. There is no rebound or guarding. A right upper quadrant ultrasound is shown in Figure A. Which of the following hormones is most responsible for this patient’s postprandial pain?