GERD and Peptic Ulcer Disease USMLE Step 1 Practice Question
A 39-year-old man with untreated HIV (CD4 count 45 cells/μL) presents with odynophagia and retrosternal chest pain for 2 weeks. He denies antacid use. Vital signs show BP 118/76, HR 102, RR 18, Temp 37.8°C, SpO2 98% on room air. Upper endoscopy reveals white plaque-like lesions throughout the esophagus that can be scraped off, with no evidence of ulceration. Which of the following is the most likely diagnosis?
Answer choices
- ACandida esophagitisCorrect answer
- BHSV esophagitis
- CPill esophagitis
- DEosinophilic esophagitis
- ECMV esophagitis
- FAchalasia
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