High-Yield Concepts in Esophageal Disorders (Gastrointestinal Diseases)

Question 1

Classic symptoms of GERD

Answer 1

Water brash and substernal heartburn

Question 2

Most common cause of Esophageal Chest Pain

Answer 2

Gastroesophageal reflux

Question 3

Most sensitive test for diagnosis of GERD

Answer 3

24-hour ambulatory pH monitoring

Question 4

Globus Hystericus

Answer 4

Perception of a lump or fullness in the throat that is felt irrespective of swallowing

Question 5

Characteristic symptom of Infectious Esophagitis

Answer 5

Odynophagia

Question 6

Common cause of Steakhouse Syndrome

Answer 6

Schatzki ring in the lower esophagus (meat usually instigates intermittent food impaction

Question 7

Bird’s beak appearance

Answer 7

Radiographic sign in achalasia

Question 8

Corkscrew or rosary bead esophagus

Answer 8

Seen radiographically in diffuse esophageal spasm (DES) or spastic achalasia

Question 9

Esophageal Manometry

Answer 9

Detects impaired LES relaxation and absent peristalsis in achalasia

Question 10

Best test for evaluation of the proximal GIT

Answer 10

Endoscopy/esophagogastroduodenoscopy (EGD)

Question 11

Cobblestone appearance of esophagus

Answer 11

Crohn’s disease (on endoscopy or barium radiography)

Question 12

Gold standard for confirmation of Barrett’s Esophagus

Answer 12

Endoscopic biopsy

Question 13

Esophageal Cancer: Typical presentation

Answer 13

Progressive solid food dysphagia and weight loss

Question 14

Esophageal Cancer: Squamous Cell CA

Answer 14

Middle third of the esophagus, associated with smoking

Question 15

Esophageal Cancer: Adenocarcinoma

Answer 15

Distal third of the esophagus, associated with GERD & Barrett’s Esophagus (metaplasia from squamous to columnar epithelium)