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

Analyze Freud's perspectives on hypnotism and dream interpretation.

Identify altered states of consciousness, including meditation and the impact of drug use.

Recognize the effects of drug use on mental and physical health.

Distinguish between different sleep disorders and their manifestations.

---

Definitions:

Customers Served

A metric indicating the number of customers who have purchased or used a company's products or services.

Flexible Budget Performance Report

A financial report that compares actual results to a budget that is adjusted based on the actual level of output, providing a more accurate assessment of performance.

Customers Served

The number of customers who purchase or consume goods or services from a business or service provider within a specific period.

Flexible Budget

A budget that adjusts or flexes with changes in volume or activity, allowing for better control and planning.