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13294 Pathology

A 54-year-old man with a long history of indigestion after meals and “heaburn” presents with upper abdominal pain. He was treated with proton-pump inhibitors for gastroesophageal reflux 3 years . An endoscopic biopsy of the lower esophagus shows glandular metaplasia. The patient described is at increased risk of developing which of the following diseases of the esophagus?

AAchalasia
BAdenocarcinoma
CCandidiasis
DPlummer-Vinson syndrome
Pathology
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13302 Pathology

A 32 year old female presents with pelvic pain, low back pain, and a sensation of “pulling” or “stretching” in her groin. Bimanual examination reveals a firm mass in the right adnexa. An ultrasound examination reveals the presence of fluid in the abdominal cavity and the right thoracic cavity. Which of the following conditions is most strongly suggested by this patient’s presentation?

AEctopic pregnancy
BEndometrial implant
COvarian fibroma
DPelvic inflammatory disease
Pathology
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