USMLE GIT MODULE Flashcards
1
Q
A 55-year-old man presents to the clinic with a 3-month history of epigastric pain and nausea. He further complains of fatigue and a tingling sensation in his toes and lips. He denies diarrhea and constipation. He has a history of autoimmune thyroiditis. Upper endoscopy reveals a chronic inflammatory process affecting the fundus and body of the stomach.
Which of the following is the most likely etiology of this patient’s disease?
A
Antibodies to gliadin
9%
Gastrin-secreting tumors
12%
Infection with Helicobacter pylori
19%
Infection with Tropheryma whipplei
7%
Self-reactive CD4+ T cells
