A 65-Year-Old Man Is Found to Have Iron Deficiency Anemia

question 392

Multiple Choice

A 65-year-old man is found to have iron deficiency anemia.  He has had no cough, abdominal pain, melena, or change in bowel habits but reports anorexia and a 5-kg (11-lb) weight loss in the past 2 months.  Cardiopulmonary and abdominal examinations are unremarkable.  Rectal examination shows guaiac-positive brown stool.  A 3-cm mass is found on colonoscopy.  Biopsy shows pleomorphic cells with large, dark nuclei forming irregular, crowded glands, some of which contain mucus.  Imaging studies reveal multiple mass lesions in the liver and lungs.  This patient's neoplasm most likely originated from which of the following locations?

• A)Adrenal gland
• B)Ascending colon
• C)Lungs
• D)Prostate
• E)Rectosigmoid colon

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Definitions:

Common Culture

Shared beliefs, practices, norms, values, and symbols among a group of people that foster a sense of identity and unity.

Postmodernism

Is characterized by an eclectic mixing of cultural elements and the erosion of consensus.

Transmit

To send or convey something from one person, place, or thing to another, commonly used in the context of communication, diseases, or information sharing.

Subculture

A cultural group within a larger culture, often having beliefs or interests at variance with those of the larger culture.