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

---

Definitions:

Bioscience Approach

A method of studying biological processes and organisms through rigorous scientific inquiry and experimentation.

Biomedical Mindset

An approach to health and illness focusing on biological factors, often at the expense of psychological or social dimensions.

Biomedicine

A branch of medical science that applies biological and physiological principles to clinical practice, often focusing on the diagnosis and treatment of diseases.

Indigenous Health Systems

Traditional healing practices and beliefs utilized by indigenous communities, often based on holistic and ancestral knowledge.