A 43-Year-Old Man Comes to the Office with a Several-Month

question 152

Multiple Choice

A 43-year-old man comes to the office with a several-month history of fatigue, rash, flushing, and abdominal cramps.  His rash is worse with rubbing or scratching, and he has diffuse itching after hot showers.  The patient is frequently dizzy and light-headed after prolonged standing and had an episode of syncope while working in the hot sun.  He used to be healthy and physically active but has had to reduce his normal activity.  The patient does not use tobacco, alcohol, or illicit drugs.  Vital signs are normal.  Skin examination shows a maculopapular rash.  Skin biopsy shows large clusters of mast cells that are positive for KIT (CD 117) .  Which of the following additional findings are most likely present in this patient?

• A)Bacterial colonization of the stomach
• B)Gastric atrophy
• C)Gastric hypersecretion
• D)Gastric hypomotility
• E)Pancreatic endocrine tumor
• F)Pernicious anemia

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Definitions:

Social Problems

Issues within a society that disrupt the functioning of communities and the lives of individuals, often requiring collective solutions.

Limited Theory of Mind

A cognitive condition where an individual has difficulties understanding that others have their own thoughts, feelings, and perspectives different from one's own.

Antisocial Personality Disorder

A psychological condition characterized by a long-term pattern of disregard for, or violation of, the rights of others, often seen in individuals who display aggressive or manipulative behaviors.

Narcissistic Personality Disorder

A mental disorder characterized by a long-term pattern of exaggerated self-importance, need for admiration, and a lack of empathy.