Week 2 - review session Flashcards
Your patient is known to have a Schatzki ring. Would you anticipate that he’d have difficulty swallowing liquids and solids or just solids?
a. solids only
b. liquids and solids
a. solids only
If a patient complains of dysphagia with liquids as well as solid food, which type of esophageal condition does this suggest?
a. mechanical obstruction
b. esophageal dysmotility
b. esophageal dysmotility
What is the test of choice for evaluating dysphagia due to mechanical obstruction?
a. EGD
b. manometry
c. CT scan
d. ultrasound
a. EGD
Which of the following is NOT due to mechanical obstruction in the esophagus?
a. esophageal spasm
b. diverticulum
c. stricture
d. esophageal web
a. esophageal spasm
Which of the following is the most likely diagnosis if a patient reports intermittent chest pain and difficulty swallowing solids and liquids?
a. esophageal webs
b. esophageal spasm
c. esophageal stricture
b. esophageal spasm
In addition to EGD and manometry, which of the following tests could be used to test for esophageal spasm?
a. ultrasound
b. barium swallow
b. barium swallow
Think “Corkscrew esophagus”
Which condition presents with triad of dysphagia, halitosis, and aspiration?
a. Zenker’s diverticulum
b. Schatzki ring
a. Zenker’s diverticulum
What does hematemesis mean?
a. vomiting blood
b. coughing blood
a. vomiting blood
What does hemoptysis mean?
a. vomiting blood
b. coughing blood
b. coughing blood
Which of the following causes hematemesis?
a. esophageal web
b. Mallory-weiss tear
c. esophageal spasm
b. Mallory-weiss tear
Both mallory-weiss tears and esophageal varices can cause hematemesis. Which condition is considered life-threatening?
a. Mallory-weiss tear
b. esophageal varices
b. esophageal varices
A 60-year-old female with history of alcoholism reports vomiting up a cups worth of blood this am and complains of stomach pain and dizziness. What is your recommendation for management?
a. refer to PCP
b. refer to ED
b. refer to ED
What does odynophagia mean?
a. pain with swallowing
b. difficulty swallowing
a. pain with swallowing
What does dysphagia mean?
a. pain with swallowing
b. difficulty swallowing
b. difficulty swallowing
Which of the following conditions classically
presents with odynophagia?
a. GERD
b. eosinophilic esophagitis
c. Zenker’s diverticulum
b. eosinophilic esophagitis
Which of the following is NOT known to cause infectious esophagitis?
a. Candida
b. Herpes simplex virus
c. Flu virus
d. CMV
c. Flu virus
A middle aged women is found to have esophageal webs causing dysphagia and iron- deficiency anemia. What syndrome does this suggest?
a. Plummer – Vinson syndrome
b. Zenker’s diverticulum
a. Plummer – Vinson syndrome
True or False. In most patients with GERD,
esophageal reflux is due to excessive lower
esophageal sphincter relaxation.
a. True
b. False
a. True
True or False. Abdominal obesity is a risk factor for GERD and overweight/obese patients with GERD should be counseled to lose weight.
a. True
b. False
a. True
Which of the following is NOT a risk factor for
GERD?
a. body position
b. smoking
c. heart disease
d. certain medications
c. heart disease
Smoking may increase LES relaxation, less saliva, etc.
