GERD, peptic ulcers, gastritis, and stomach cancer Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 77-year-old man presents to the primary care physician with a several month history of epigastric abdominal pain, weight loss, fatigue, and early satiety. The patient's medical history is notable for a 20-pack-year smoking history, recurrent peptic ulcer disease, coronary artery disease, and hypertension. The patient’s H. pylori stool antigen assay is positive. The patient undergoes endoscopy with biopsy and the following image is obtained:

Reproduced from: Wikipedia

Which of the following is most likely to be observed on histologic analysis?

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Mucinous cells floating in an abundant extracellular mucin pool

Irregular tubular structures and dysplasia projecting through the muscularis mucosa

Foamy macrophages in lamina propria

Large gastric folds with elongated pits and cystically dilated gastric glands

Prominent rugal folds and hypertrophic parietal cells