Question

question 5 (mandatory) (1 point)
a 49 - year - old male patient presents with fatigue, pallor, and general weakness. physical exam reveals upper abdominal pain associated with burping, bloating, and acid reflux. lab work reveals factor deficiency anemia. which of the following is the most likely cause of this anemia?
a) large bowel adenocarcinoma
b) peptic ulcer
c) kidney disease
d) acute pancreatitis
e) multiple myeloma

Explanation:

Peptic ulcer can cause chronic blood loss leading to anemia. Symptoms like upper abdominal pain, burping, bloating, and acid reflux are common in peptic ulcer. Large bowel adenocarcinoma usually presents with lower gastrointestinal symptoms (e.g., changes in bowel habits, rectal bleeding). Kidney disease - related anemia is due to decreased erythropoietin production and usually has other renal - related manifestations (e.g., altered urine output, edema). Acute pancreatitis presents with severe epigastric pain radiating to the back, nausea, vomiting. Multiple myeloma causes bone pain, hypercalcemia, renal impairment, and abnormal plasma cell proliferation rather than the described gastrointestinal symptoms.

Answer:

B. Peptic ulcer