A patient with acute severe abdominal pain and vomiting is suspected of acute pancreatitis. Which enzyme level is most specific for diagnosis?

Correct option is B

Both amylase and lipase rise in pancreatitis, but lipase is more specific and remains elevated longer. Amylase may also rise in other abdominal conditions.
Explanation of options: (a) ✘ Amylase rises but lacks specificity (also ↑ in perforation, mumps). (b) ✔ Correct; lipase is more specific and sensitive for pancreatitis. (c) ✘ ALP indicates hepatobiliary obstruction, not pancreas. (d) ✘ LDH is nonspecific, not used for pancreatitis.