A 53-Year-Old Man Comes to the Emergency Department Due to Severe

question 177

Multiple Choice

A 53-year-old man comes to the emergency department due to severe heartburn and difficulty swallowing for the last few weeks.  He has had mild to moderate heartburn for several years and has tried weight loss, elevating the head of his bed while sleeping, and several months of proton pump inhibitor therapy.  Other medical problems include hypertension and hypothyroidism.  Temperature is 36.7 C (98.1 F) , blood pressure is 130/80 mm Hg, pulse is 78/min, and respirations are 16/min.  BMI is 25 kg/m².  Physical examination is unremarkable.  An upper gastrointestinal endoscopy is performed, and esophageal biopsy shows columnar epithelium with interspersed goblet cells.  A similar adaptive response can be seen in which of the following scenarios?

• A)Bronchial epithelial cells in a chronic cigarette smoker
• B)Epidermal cells in a patient with psoriasis
• C)Melanocytes in a large, irregular mole
• D)Myocardial cells in a patient with aortic stenosis
• E)Skeletal myocytes after prolonged immobility

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Definitions:

Dpi

Dpi stands for dots per inch, a measurement of print resolution that indicates how many dots of ink or toner a printer or copier can produce within a linear inch, affecting image quality.

Ports

Virtual access points for networking that allows different applications on the same computer to share information and communicate internally or externally.

Flash Memory

A type of non-volatile storage that can be electronically erased and reprogrammed, used in USB drives, memory cards, and SSDs.

Flash Drive

A portable storage device using flash memory, commonly used for the transfer and storage of digital files.