GERD and Peptic Ulcer Disease USMLE Step 1 Practice Question
A 29-year-old woman presents with hematemesis following repeated forceful vomiting during acute viral gastroenteritis. Vital signs: BP 118/76 mmHg, HR 92 bpm, RR 18/min, temp 37.8°C, SpO2 98% on room air. Laboratory studies show hemoglobin 11.2 g/dL. She denies chest pain and has no subcutaneous emphysema on examination. She takes no medications. Endoscopy is most likely to demonstrate which of the following findings?
Answer choices
- ANecrotizing inflammation of the stomach wall
- BLongitudinal mucosal lacerations near the gastroesophageal junctionCorrect answer
- CDilated submucosal veins in the lower esophagus
- DMetaplastic columnar epithelium with goblet cells
- ETransmural rupture of the distal esophagus
- FCircular mucosal ulcerations in the antrum with surrounding erythema
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