#june2020mccqe1
A 45-year-old woman consults a physician because of chronic fatigue. A review of systems reveals long-standing stomach problems characterized by slow digestion and delayed emptying of her stomach. A complete blood count demonstrates a moderately severe megaloblastic anemia. Serum vitamin B12 level is 85 pg/mL; serum folate is 3 ng/mL; and serum iron is 105 mg/dL. Autoantibodies to intrinsic factor are detected in the serum. A biopsy of the stomach is most likely to show which of the following?
(A) Acute erosive gastritis
(B) Gastric atrophy
(C) Linitis plastica
(D) Menetrier disease
(E) Peptic ulcer
A 45-year-old woman consults a physician because of chronic fatigue. A review of systems reveals long-standing stomach problems characterized by slow digestion and delayed emptying of her stomach. A complete blood count demonstrates a moderately severe megaloblastic anemia. Serum vitamin B12 level is 85 pg/mL; serum folate is 3 ng/mL; and serum iron is 105 mg/dL. Autoantibodies to intrinsic factor are detected in the serum. A biopsy of the stomach is most likely to show which of the following?
(A) Acute erosive gastritis
(B) Gastric atrophy
(C) Linitis plastica
(D) Menetrier disease
(E) Peptic ulcer
