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Dyspepsia and upper GI bleeding
A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.
A 30-year-old woman vomited repeatedly after drinking heavily, then brought up a small amount of fresh blood. She is stable and her hemoglobin is normal. What is the most likely cause?
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The answer is B: Mallory-Weiss tear.
A small hematemesis after forceful retching is typical of a Mallory-Weiss tear at the gastroesophageal junction, which usually stops on its own. Boerhaave syndrome is a full-thickness rupture with chest pain, shock and mediastinal air, and varices need portal hypertension.
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This question comes from Week 3 of MCC Vault: Gastrointestinal and liver. That week has 124 more exam-style questions like it, 5 short lessons and 154 flashcards. The course starts free with Week 1 and reaches this topic in week 3, as part of a five-month plan with full mock exams along the way.
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