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Which of the following is the strongest predisposing risk factor for this patient’s condition? A 52-year old man comes to the physician because of a 3-month history of epigastric abdominal pain; he also has had an unintentional 6.8-kg (15-lb) weight loss during this period. He has osteoarthritis treated with naproxen as needed. He immigrated to the USA from Japan 6 months ago. He eats mostly traditional Japanese food prepared by his wife. He has smoked 2 packs of cigarettes daily for 30 years and drinks three to four glasses of wine daily. He is 170 cm (5ft 7in) tall and now weighs 82kg (180 lb), BMI is 28 kg/m2. Physical examination shows epigastric tenderness. Upper gastrointestinal endoscopy shows a 4-cm ulcer in the stomach. Examination of a biopsy specimen of the lesion confirms adenocarcinoma.



A. Alcohol use
B. Diet
C. Ethnicity
D. Naproxen use
E. Tobacco use

This question is part of NBME 13 Section 2 (50 questions)
Asked by Chachelly, Last updated: Apr 04, 2020

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2 Answers

H. callum

Extrovert, Psyched all the time.

H. callum, Content Writer, BA, Birmingham, Albama

Answered May 10, 2019

Whenever someone comes into the hospital claiming of abdominal pains, then this is something serious because it could be a severe condition. However, there are issues in the abdomen that could be caused by the daily activities that might not be the healthiest choices for ourselves. For example, abdominal pain could be caused by a poor diet, tobacco use, alcohol use, or even our ethnicity could play a part in health issues.

In this case, the middle-aged man has a history of this type of pain. He also has other health issues. He smokes and eats Japanese food. The smoking is, of course, terrible as well as the drinking issue. He doesn’t drink too much, but it is more than what is required. However, the most contributing factor would be the diet.

 

Chachelly

Chachelly

Answered Oct 23, 2017

Diet
 

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