4 - Oropharyngeal & Esophagel Disease

Question 1

Oropharyngeal disease is characterized by

Answer 1

Dysphagia

Question 2

Esophageal disease is characterized by

Answer 2

Regurgitation

Question 3

Gagging alone is not a sign of

Answer 3

Dysphagia

Question 4

Oral Dysphagia is

Answer 4

Difficulty with bolus formation

Question 5

Oral Dysphagia mainly consequence of loss

Answer 5

Of tongue function

Question 6

Pharyngeal Dysphagia

Answer 6

Impaired initiation of involuntary parade of food through oropharynx

Question 7

Examples of acquired functional disorder of pharyngeal Dysphagia

Answer 7

Neuropathies, myopathies, junctionopathies

Question 8

What is the more common type of pharyngeal Dysphagia

Answer 8

Acquired functional disorder

Question 9

Esophageal Dysphagia

Answer 9

Difficulty passing a bolus through the esophageal body

Question 10

Gastroesophageal Dysphagia

Answer 10

Impaired passage of bolus through the lower esophageal sphincter

Question 11

Which is there a delayed food ejection timing, oropharyngeal or esophageal Dysphagia

Answer 11

Timing of food ejected

Question 12

How do you diagnose Dysphagia

Answer 12

Videofluroscopic swallow study

Question 13

Achalasia

Answer 13

Failure of cricopharyneal muscle to open during swallowing

Question 14

Asynchrony cricopharyngeal Dysphagia

Answer 14

In coordination between pharyngeal contraction and pharyngeal esophageal sphincter relaxation

Question 15

Signalment for cricopharyngeal Dysphagia

Answer 15

Young, toy breeds, mini weenies, golden R

Question 16

Clinical signs of cricopharyngeal Dysphagia

Answer 16

Repeated swelling attempts, coughing, regurgitation immediately after

Question 17

Diagnose cicropharyngeal Dysphagia

Answer 17

Fluoroscopic swallow study

Question 18

Fluoroscopic swallow study shows what

Answer 18

Failure of upper esophageal sphincter to relax normally with reflux of contrast material

Question 19

Treatment for cricopharyngeal Dysphagia

Answer 19

Botulism o in injection, bilateral myectomy

Question 20

Esophageal body in dogs

Answer 20

Striated muscle

Question 21

Esophageal body in cats

Answer 21

Cranial - striated, distal 1/3 smooth muscle

Question 22

What innervates the esophagus

Answer 22

Vagus nerve

Question 23

Prokinetics have no effect on

Answer 23

Esophageal striated muscle

Question 24

Esophagus function

Answer 24

Transports ingested liquids and solids to stomach

Question 25

Megaesophagus

Answer 25

Generalized los of motor function to the esophagus

Question 26

With megaesophagus, food and fluid accumulate where

Answer 26

In the esophagus

Question 27

Congenital megaesophagus manifest in

Answer 27

Puppies at time of weaning

Question 28

Megaesophagus is most often

Answer 28

Primary - idiopathic

Question 29

What is the mots common form of megaesophagus in dogs

Answer 29

Acquired Primary

Question 30

Examples of Megaesophagus Aquired Secondary

Answer 30

Myasthenia gravis, lead toxicity, addisions disease, hypothyroidism, thymoma

Question 31

How do you diagnose megaesophagus

Answer 31

Thoracic radiographs

Question 32

How do you treat megaesophagus

Answer 32

Medical management

Question 33

Medical management of megaesophagus

Answer 33

Upright feeding, liquid or semi liquid gruel , antibiotic , sildenafil

Question 34

What is contradicted in megaesophagus medical management

Answer 34

Prokinetics as they tighten the LES

Question 35

Esophagitis

Answer 35

Inflammation of the esophagus

Question 36

Etiology of esophagitis

Answer 36

Ingestion of caustic agents, chronic vomiting, foreign bodies, reflux esophagitis

Question 37

Clinical signs of esophagitis

Answer 37

Anorexia, ptyalism, regurgitation, odynophagia, right loss

Question 38

Definitive diagnosis of esophagitis

Answer 38

Endoscopy + biopsy

Question 39

Esophagitis treatment

Answer 39

Remove underlying cause, small frequent feedings, neutralization or inhibition of gastric acid secretion , diffusion barrier drugs

Question 40

Inhibition of gastric acid secretion examples

Answer 40

H2 receptor antagonist, proton pump inhibitors

Question 41

Diffusion barrier drugs

Answer 41

Scralfate

Question 42

If you have a concern of gastroesophageal reflux with esophagitis, what should you consider

Answer 42

Prokinetics to increase tone of lower esophageal sphincter

Question 43

Possible complications for esophagitis

Answer 43

Esophageal strictures

Question 44

Intraluminal esophageal obstruction

Answer 44

Foreign bodies

Question 45

Intramural esophageal obstruction

Answer 45

Esophageal stricture, neoplasia

Question 46

Periesophageal esophageal obstruction

Answer 46

Space occupying mass, persistent right Aortic arch

Question 47

Common entrapment sites of esophageal foreign bodies

Answer 47

Thoracic inlet, heart base, diaphragmatic hiatus

Question 48

Potiental complications with foreign body

Answer 48

Perforation , aspiration pneumonia, stricture formation , segmental hypomotility

Question 49

Causes of esophageal structures

Answer 49

Severe esophagitis, esophageal foreign bodies, reflux esophagitis, meds

Question 50

Esophageal strictures are typically within

Answer 50

1 - 3weeks of esophageal damage

Question 51

How can you diagnose esophageal strictures

Answer 51

Positive contrast radiography and endoscopic visuazlition

Question 52

How can you treat esophageal strictures

Answer 52

Balloon dilation or medical management

Question 53

How do you diagnose persistent right aortic arch

Answer 53

Thoracic radio graphs, CT

Question 54

How can you treat persisten right aortic arch

Answer 54

Surgical resection of ligamentum arteriosus