#june2020mccqe1
A 45-year-old African American man is taken to the emergency department because he is vomiting fresh blood. His temperature is 37 C (98.6 F), blood pressure is 65/30 mm Hg, pulse is 120/min, and respirations are 24/min. The patient is stabilized, then taken for emergency endoscopy. The source of bleeding is a tortuous vein near the gastroesophageal junction. The bleeding is successfully stopped by banding of the vessel. Which of the following is the most likely underlying condition predisposing this patient for this complication?
(A) Alcoholism
(B) Alpha1-antitrypsin deficiency
(C) Hemochromatosis
(D) Hepatitis A infection
(E) Hepatitis B infection
A 45-year-old African American man is taken to the emergency department because he is vomiting fresh blood. His temperature is 37 C (98.6 F), blood pressure is 65/30 mm Hg, pulse is 120/min, and respirations are 24/min. The patient is stabilized, then taken for emergency endoscopy. The source of bleeding is a tortuous vein near the gastroesophageal junction. The bleeding is successfully stopped by banding of the vessel. Which of the following is the most likely underlying condition predisposing this patient for this complication?
(A) Alcoholism
(B) Alpha1-antitrypsin deficiency
(C) Hemochromatosis
(D) Hepatitis A infection
(E) Hepatitis B infection
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