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28875 Pathology

A 40-year-old woman with a history of hyperparathyroidism presents with a 2-month history of burning epigastric pain. The pain can be relieved with antacids or food. The patient also repos a recent history of tarry stools. She denies taking aspirin or NSAIDs. Laboratory studies show a microcytic, hypochromic anemia . Gastroscopy reveals a bleeding mucosal defect in the antrum. Which of the following best characterizes the pathogenesis of epigastric pain in this patient?

ADecreased Calcium resorption by renal tubules
BDecreased serum levels of PTH
CGastric nonresponsiveness to PTH
DIncreased secretion of Gastrin
Pathology
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