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A 59-Year-Old Man Is Evaluated in the Clinic for Recent

question 17

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A 59-year-old man is evaluated in the clinic for recent unintentional weight loss.  He says, "My pants are fitting a lot looser than usual."  The patient also has epigastric discomfort after meals with occasional nausea.  He reports that food is not as appetizing as it used to be.  He has no known medical conditions and takes no medications.  The patient's father has a history of peptic ulcer disease.  Upper endoscopy shows a lesion in the stomach that is biopsied; a histologic section is shown below: A 59-year-old man is evaluated in the clinic for recent unintentional weight loss.  He says,  My pants are fitting a lot looser than usual.   The patient also has epigastric discomfort after meals with occasional nausea.  He reports that food is not as appetizing as it used to be.  He has no known medical conditions and takes no medications.  The patient's father has a history of peptic ulcer disease.  Upper endoscopy shows a lesion in the stomach that is biopsied; a histologic section is shown below:   This patient's lesion is most likely to demonstrate which of the following gross findings? A) Deep ulceration and vessel erosion B) Infiltrative growth within the stomach wall C) Progressive mucosal atrophy D) Rapid intraluminal expansion E) Rugal thickening with acid hypersecretion This patient's lesion is most likely to demonstrate which of the following gross findings?


Definitions:

Consumer Surplus

The disparity between the ideal total expenditure consumers are willing to make on a good or service and the real expenditure.

Producer Surplus

The distinction in financial terms between what producers expect to receive for a product or service and the actual revenue attained.

Producer Surplus

The difference between the amount producers are willing to sell a good for and the actual market price they receive, reflecting the benefit to producers from selling at a higher price.

Tax

A fundamental fiscal obligation or alternative sort of levy placed upon a taxpayer by a government power, promoting government funding and assorted investments in public infrastructure.

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