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12786 Pathology

Physical examination of a 45 year old man who looks much older than his stated age demonstrates thin arms and legs, a swollen abdomen, red tongue, dry, thin, and slightly yellow skin, gynecomastia, testicular atrophy, multiple spider angiomas, tremor, yellow discoloration of sclera, and sho term memory loss. Which of the following conditions is most strongly suggested by these findings?

ABronchogenic carcinoma
BColon carcinoma
CCongestive hea failure
DHepatic cirrhosis
Pathology
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12789 Pathology

A 55-year-old woman has been steadily gaining weight for the past 30 years. She underwent cholecystectomy for cholelithiasis 5 years ago. She does not smoke. She is now 164 cm (5 ft 4 in) tall and weighs 126 kg (BMI 47). On physical examination, she has a decreased range of motion with pain on movement of the knees. Laboratory studies show a serum glucose level of 176 mg/dL. This patient is at greatest risk of developing which of the following neoplasms?

AColonic adenocarcinoma
BEndometrial carcinoma
CHepatocellular carcinoma
DPulmonary adenocarcinoma
Pathology
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