A 40-Year-Old Man Comes to the Office Due to Recurrent

question 143

Multiple Choice

A 40-year-old man comes to the office due to recurrent epigastric abdominal pain, nausea, and watery diarrhea for the past several months.  The patient has had similar burning pain previously and was treated for peptic ulcer disease.  He has been taking over-the-counter antacids but with no significant symptom relief.  The patient does not use tobacco, alcohol, or illicit drugs.  Vital signs are within normal limits.  Abdominal examination shows mild epigastric tenderness and increased bowel sounds.  Testing for stool occult blood is positive, and laboratory studies show microcytic hypochromic anemia.  Serum gastrin level is markedly elevated.  Upper gastrointestinal endoscopy reveals prominent gastric folds and multiple ulcers in the duodenum and proximal jejunum.  Given these findings, this patient should be assessed for a personal or family history of which of the following conditions?

• A)Cerebellar hemangioblastomas
• B)Mucosal neuromas
• C)Plexiform neurofibromas
• D)Recurrent nephrolithiasis
• E)Thyroid malignancy

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Definitions:

Daniel Kahneman

A renowned psychologist and economist known for his work in the field of behavioral economics, particularly his research on decision-making and risk-taking.

Neoclassical Economics

An economic theory that focuses on how supply and demand balance to allocate resources efficiently in markets.

Behavioral Economics

A field of study that analyzes how psychological, cognitive, emotional, cultural, and social factors affect economic decision-making processes.

Rational Decisions

Choices made by individuals or entities based on logical assessment and comparison of the costs and benefits associated with different alternatives.