A 70-Year-Old Man Comes to the Office Due to Persistent

question 797

Multiple Choice

A 70-year-old man comes to the office due to persistent epigastric discomfort and nausea for the past several months.  He has also noticed black-colored stools on several occasions.  Medical history is notable for hypertension and osteoarthritis.  The patient emigrated from rural China 5 years ago to live with his daughter.  He does not use tobacco, alcohol, or illicit drugs.  Physical examination shows a thin male with pale mucous membranes, an enlarged left supraclavicular lymph node, and epigastric tenderness on deep palpation.  Stool testing for occult blood is positive.  Upper gastrointestinal endoscopy reveals a 3-cm ulceration at the gastric antrum, with a heaped-up irregular border.  Biopsy from the edge of the ulcer reveals glandular structures containing intestinal-like columnar cells.  Which of the following most likely predisposed this patient to his current condition?

• A)Chronic use of nonsteroidal anti-inflammatory drugs
• B)Excessive consumption of salt-preserved foods
• C)Frequent intake of high-temperature beverages
• D)Functional disruption of gastroesophageal junction
• E)Increased gastrin production from a pancreatic mass

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Definitions:

Target Firm

A company that is the focus of a takeover or acquisition attempt by another company.

Joint Venture

A business arrangement in which two or more parties agree to pool their resources for the purpose of accomplishing a specific task.

Co-Owned Entity

A business or property ownership arrangement where two or more parties hold a share or interest.

Going-Private Transactions

Financial strategies where a company's outstanding shares are bought out to remove it from public stock exchanges, turning it into a privately held entity.