Dysphagia (Quiz)

Question 1

two types of dysphagia

Answer 1

• oropharyngeal

- esophageal

Question 2

another name for oropharyngeal dysphagia

Answer 2

• transfer

Question 3

another name for esophageal dysphagia

Answer 3

• transport

Question 4

obstructive dysphagia caused by __________ disorder

problems with what kind of food

Answer 4

• mechanical

- solid food only

Question 5

motility dysphagia caused by ___________ disorder

problems with what kind of food

Answer 5

• neuromuscular

- solid or liquid food

Question 6

which dysphagia includes difficulty initiating swallows including coughing, choking, and nasal regurgitation

Answer 6

• oropharyngeal

Question 7

which dysphagia is where food stops or “stick” after swallowed

Answer 7

• esophageal

Question 8

what’s the diagnosis of esophageal dysphagia with solid food only with intermittent problems mostly choking on bread/steak

Answer 8

• lower esophageal ring

- “schatzki ring”

Question 9

what’s the diagnosis of esophageal dysphagia with solid food only that progresses with symptoms of chronic heartburn

Answer 9

• peptic stricture

Question 10

what’s the diagnosis of esophageal dysphagia with solid food only that progresses in symptoms that presents at advanced age and with weight loss

Answer 10

• carcinoma

Question 11

what kind of lesion does carcinoma form

Answer 11

• apple core lesion

Question 12

what’s the diagnosis of esophageal dysphagia with solid or liquid food that is intermittent and presents with chest pain

Answer 12

• diffuse esophageal spasm

Question 13

what is pathomneumonic for diffuse esophageal spasm

Answer 13

• corkscrew esophagus

Question 14

what’s the diagnosis of esophageal dysphagia with solid or liquid food that is progressive and associated with chronic heartburn

Answer 14

• scleroderma

Question 15

what’s the diagnosis of esophageal dysphagia with solid or liquid food that is progressive and associated with bland regurgitation and weight loss

Answer 15

• achalasia

Question 16

lower esophageal sphincter in scleroderma

Answer 16

• weak

Question 17

lower esophageal sphincter in achalasia

Answer 17

• incomplete relaxation of LES during swallow

Question 18

is there gastrointestinal reflux in scleroderma

Answer 18

• yes

Question 19

is there gastrointestinal reflux in achalasia

Answer 19

• no

Question 20

what’s the diagnosis of esophageal dysphagia with solid or liquid food that is progressive

Answer 20

• eosinophilic esophagitis

Question 21

what is pathomneumonic for iron deficiency + esophageal webs

Answer 21

• plummer-vinson syndrome

Question 22

modalities of diagnostic testing for dysphagia

Answer 22

• upper endoscopy
• barium swallow esophagram
• esophageal manometry

Question 23

which modality of diagnostic testing for dysphagia is usually the first test

Answer 23

• upper endoscopy

Question 24

which modality of diagnostic testing for dysphagia evaluates for inflammatory and structural lesions

Answer 24

• upper endoscopy

Question 25

which modality of diagnostic testing for dysphagia is a good structural and functional tests that shows motility and reflux

Answer 25

• barium swallow

Question 26

which modality of diagnostic testing for dysphagia is diagnostic and therapeutic

how it is therapeutic

Answer 26

• upper endoscopy

- biopsy or dilate strictures

Question 27

which modality of diagnostic testing for dysphagia is a functional test only that is the most accurate assessment of motility

Answer 27

• esophageal manometry