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7110 Medicine

A 62-year-old man presents to the emergency department with a 1-day history of dark tarry stools and light-headedness. He also reports a 1-month history of intermittent abdominal discomfort and poor appetite. For the pain he takes ibuprofen on an as needed basis.On physical examination, the blood pressure is 102/75mm Hg, heart rate is 110/min, and the abdomen is soft and nontender. He undergoes urgent upper endoscopy that finds an ulcerating lesion in his stomach and biopsies confirm gastric cancer. Which of the following is a risk factor for carcinoma of the stomach?

AHelicobacter pylori infection
Bhigh socioeconomic status
Chigh-protein diet
Dhigh alcohol consumption
Medicine
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