Dysphagia

Question 0

Peristalsis elicited in a response to swallow

Answer 0

Primary peristalsis

Question 1

Bolus entry to this ____ initiates pharyngeal swallow response

Answer 1

HypoPharynx

Question 2

Peristalsis involving esophageal distention

Answer 2

Secondary peristalsis

Question 3

Nonperistaltic disordered esophageal contractions to occur spontaneously during fluoroscopic observation

Answer 3

Tertiary peristalsis

Question 4

Innervation of oral cavity

Answer 4

5 and 7

Question 5

Tongue innervation? Pharyngel?

Answer 5

12

9 and 10

Question 6

Innvervation to the musculature acting on the ues

Answer 6

5,7 12

Question 7

Neurotransmitters of inhibitory neurons are?

Answer 7

VIP and NO

Question 8

LES relaxation occurs at onset of?

Answer 8

Deglutitive inhibition

Question 9

Normal transport of bolus depends on? 4 ito

Answer 9

Size of lumen
Peristaltic integrity
Caliber of lumen
Deglutitive inhibition of sphincs

Question 10

Commonly presents w absent peristalsis and weakened LES leading to peptic stricture formn

Answer 10

Scleroderma

Question 11

Radiotherapy in neck and head may lead to?

Answer 11

Cervical esophageal stenosis

Question 12

2 phases occuring in oro pharyngeal dysphagia?

Answer 12

Oral

Pharyngeal

Question 13

Typically encountered in elderly patients; with regurgitation of particulates, food debris, aspiration, halitosis

Answer 13

Zenkers diverticulum

Question 14

Where divericulum usually develops? Specific.

Answer 14

Killian’s dehisence

Question 15

Esophagus devided into 2 whats it called?

Answer 15

Cervical and thoracic

Question 16

Solid food dysphagia becomes common when lumen is narrowed to?

Answer 16

Lt 13mm

Question 17

Most common causes of structural dysphagia?

Answer 17

Schatzki
Eosinophilic esophagitis
Peptic strictures

Question 18

Absent perostalsis and failure of LES relaxation is feature of?

Answer 18

Achalasia

Question 19

Les is normal, but with disordered motility of esophagus?

Answer 19

Diffuse esophageal spasm

Question 20

Suggests esophageal in origin?

Answer 20

Dysphagia that lovalizes in chest

Question 21

Hallmarks of te fistula?

Answer 21

Nasal regurgitation

Tracheobronchial aspiration

Question 22

Hoarseness bfore dysphagia?

Dysphagia before hoarseness?0

Answer 22

Laryngeal lesion

Malignancy that affects recurrent laryngeal nerve

Question 23

Dysphagia that is progressive to months suggests

Answer 23

Neoplasia

Question 24

Episodic dysphagia to solids only, unchanged over years

Answer 24

Schatzki

Eosinophilic

Question 25

Heartburn preceding dysphagia

Answer 25

Peptic stricure

Less common: esop adenoCa

Question 26

With accompanying odynophagia?

Answer 26

Infectious or pill induced esophagitis

Question 27

Changes in skin suggests?

Answer 27

Pemphigoid bullosa

Question 28

Single most useful test for esop dysphagia

Answer 28

Endoscopy