You are answering a USMLE-style medical question. Question: A 61-year-old man presents to his primary care provider complaining of abdominal pain and constipation. He reports a 4-day history of steady right lower quadrant pain. He has had one small bowel movement in 4 days. Normally he has a bowel movement once a day. His medical history is notable for poorly controlled hypertension and hyperlipidemia. He takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. He has a 40 pack-year smoking history and drinks 3-4 beers per day. His diet consists primarily of fast food. His temperature is 101.8°F (38.8°C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the patient’s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses. This patient’s condition is most strongly associated with which of the following disorders? Options: A) Alpha-1-antitrypsin deficiency B) Autosomal recessive polycystic kidney disorder C) Ehlers-Danlos syndrome D) Goodpasture syndrome Reply with ONLY the letter of the correct answer (A, B, C, or D). No explanation.

C
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