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Week 2

 

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Quiz 2 Context:

A 39-year-old otherwise healthy man presents for a second opinion on chest discomfort. He relates a history of retrosternal discomfort, typically at night or in the early morning. He also complains of a persistent, nonproductive cough. In the past he has had heartburn or regurgitation with some meals. A recent electrocardiogram (EKG), chest X-ray, and stress test were completely normal. The patient wishes to avoid chronic medications unless a definite, treatable abnormality is discovered. An upper endoscopy is performed and shown above.

This EGD is most consistent with which of the following?

  1. Erosive esophagitis
  2. Gastric ulcer
  3. Mass lesion suspicious for carcinoma
  4. Normal healthy tissue
  5. Esophageal varices

 

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Center for Continuing Education | 9500 Euclid Avenue, KK31, Cleveland, OH 44195