Solved

A 65-Year-Old Man Comes to the Office with Dysphagia

question 345

Multiple Choice

A 65-year-old man comes to the office with dysphagia. For the last 3 months, he has relied on protein shakes and juices for nourishment as he has had difficulty swallowing solid foods. He has also had a diminished appetite and an estimated weight loss of 9.1 kg (20 lb) . Medical history includes hyperlipidemia, emphysema, and previous episodes of pancreatitis. Family history includes lung cancer in his mother. The patient smoked a pack of cigarettes daily for 50 years but quit 2 years ago. He has been drinking a fifth (750 mL) of vodka weekly for the last decade. Vital signs are normal. BMI is 19.2 kg/m². Temporal wasting is present but physical examination is otherwise unremarkable. Upper endoscopy reveals a 4-cm mass in the middle third of the esophagus, and several biopsies are taken. Thoracic imaging reveals mediastinal lymphadenopathy. Histologic evaluation of the biopsy specimens will most likely show which of the following in this patient?

Understand the significance of brand partnerships and collaborations in expanding brand reach and recognition.

Understand the impact of cultural values on management and employee behavior.

Identify how cultural intelligence and sensitivity can improve leadership in global contexts.

Recognize the benefits of diversity and inclusion within organizations.

Definitions:

Feedback

A process in which information about the past or present influences the same phenomenon in the present or future.

Internal Communication

The exchange of information, ideas, and feedback within an organization among its members, aimed at improving efficiency, morale, and collaboration.

Noise

Unwanted or irrelevant information that obscures or interferes with the interpretation of data.

Business Conversations

Dialogues or discussions related to the activities, concerns, or operations of a business.