Review Question - QID 213534

A 56-year-old Caucasian woman presents to the clinic for complaints of abdominal pain for the past 3 months. The pain is intermittent 7/10, dull in quality, and concentrated in the epigastric region. She endorses a 5-lb. weight loss over the past several months but denies fever, headaches, nausea, vomiting, hematochezia, diarrhea, or constipation. She is a long-time smoker with a 13 pack-year history. She is a vegetarian and takes the appropriate vitamins. Her past medical history is significant for GERD and hypertension. An upper endoscopy study is performed and its findings in the stomach are shown in Figure A. Which of the following attributes increases this patient’s risk for developing her current condition?