GERD and Peptic Ulcer Disease USMLE Step 1 Practice Question
A 48-year-old man with a 10-year history of heartburn presents with epigastric pain (8/10) worsening postprandially and when supine. Vitals: BP 128/82, HR 88, RR 16, Temp 37.2°C, SpO2 98%. He denies dysphagia. Upper endoscopy reveals salmon-colored mucosa in the distal esophagus extending 3 cm above the gastroesophageal junction. Biopsy demonstrates intestinal-type goblet cells. Which diagnosis best explains these findings?
Answer choices
- AEosinophilic esophagitis
- BBarrett esophagusCorrect answer
- CMallory-Weiss syndrome
- DAchalasia
- EEsophageal squamous cell carcinoma
- FEsophageal adenocarcinoma
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