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16781 Medicine

A 30-year-old man presents to the emergency department for assessment of new symptoms of hematuria. The physical examination is normal except for an elevated blood pressure of 164/94 mm Hg. An ultrasound of the kidneys reveals multiple renal cysts in both kidneys. His father had a similar condition. Which of the following is not associated with this syndrome?

Aliver cysts
Bintracranial aneurysms
Cautosomal dominant inheritance
Drheumatoid arthritis (RA)
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16785 Medicine

A 64-year-old man presents with symptoms of difficulty swallowing and weight loss of 10 lb. He has no prior history of heartburn, stomach ulcers, or difficulty swallowing. He smokes one pack a day for the past 45 years and drinks approximately 5 oz of alcohol a day. He is thin appearing, there are no oral lesions, and the remaining examination is normal. Esophagoscopy reveals a midesophageal narrowing with ragged ulcerating, and biopsies are taken. Which of the following is the most likely diagnosis?

Aadenocarcinoma of esophagus
Besophageal web
Cachalasia
Dsquamous cell carcinoma of esophagus
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