McGowan DSA

Question 1

oropharyngeal dysphagia

Answer 1

trouble initiating swallowing

Question 2

Esophageal dysphagia

Answer 2

mechanical obstruction or motility disorder

Question 3

of the mechanical obstructions, which is age related?

Answer 3

esophageal cancer

eosinophilic esophagitis (young)

Question 4

mechanical obstruction disorders?

Answer 4

Schatzki ring
Peptic stricture
Esophageal cancer
Eosinophilic Esophagitis

(PEES)

Question 5

Motility Disorders?

Answer 5

Achalasia
Diffuse esophageal spasm
Scleroderma
Ineffective esophageal motility

SAID

Question 6

Achalasia:

is it progressive?

what type of disorder is it?

Answer 6

Yes

Motility

Question 7

What are the two signs for trypanosome Cruz?

cause?

Answer 7

Chagoma (swelling)

Romanis Sign (unilateral swelling)

Chagas Disease / secondary achalasia

Question 8

main culprit for peptic ulcer disease?

Answer 8

H Pylori

Question 9

What toxin is seen in patient that gives them an increased risk for ulcers?

Answer 9

Cag-A Toxin

Question 10

what do you do with patients for H Pylori that you could forget?

Answer 10

have them stop their PPI 14 days before doing fecal and breath tests or high chance of a false negative test.

Question 11

What is an EGD?

Answer 11

Esophagogastroduodenoscopy

evaluating persistent heartburn

Question 12

Barium swallow good for what

Answer 12

Zenkers

Achalasia

Esophageal ring

Question 13

gold standard for achalasia?

Answer 13

manometry

Question 14

when you have air below the diaphragm but the diaphragm isn’t destroyed, what’s the problem

Answer 14

gastric ulcer can perforate, all the air in the stomach and contents go out.

Question 15

HIDA scan?

Answer 15

nuclear scan

isotopes taken up by biliary tree, the gallbladder will not show up. that would mean cholecystitis