Week 2 - review session

Question 1

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

Answer 1

a. solids only

Question 2

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

Answer 2

b. esophageal dysmotility

Question 3

What is the test of choice for evaluating dysphagia due to mechanical obstruction?

a. EGD
b. manometry
c. CT scan
d. ultrasound

Answer 3

a. EGD

Question 4

Which of the following is NOT due to mechanical obstruction in the esophagus?

a. esophageal spasm
b. diverticulum
c. stricture
d. esophageal web

Answer 4

a. esophageal spasm

Question 5

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

Answer 5

b. esophageal spasm

Question 6

In addition to EGD and manometry, which of the following tests could be used to test for esophageal spasm?

a. ultrasound
b. barium swallow

Answer 6

b. barium swallow

Think “Corkscrew esophagus”

Question 7

Which condition presents with triad of dysphagia, halitosis, and aspiration?

a. Zenker’s diverticulum
b. Schatzki ring

Answer 7

a. Zenker’s diverticulum

Question 8

What does hematemesis mean?

a. vomiting blood
b. coughing blood

Answer 8

a. vomiting blood

Question 9

What does hemoptysis mean?

a. vomiting blood
b. coughing blood

Answer 9

b. coughing blood

Question 10

Which of the following causes hematemesis?

a. esophageal web
b. Mallory-weiss tear
c. esophageal spasm

Answer 10

b. Mallory-weiss tear

Question 11

Both mallory-weiss tears and esophageal varices can cause hematemesis. Which condition is considered life-threatening?

a. Mallory-weiss tear
b. esophageal varices

Answer 11

b. esophageal varices

Question 12

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

Answer 12

b. refer to ED

Question 13

What does odynophagia mean?

a. pain with swallowing
b. difficulty swallowing

Answer 13

a. pain with swallowing

Question 14

What does dysphagia mean?

a. pain with swallowing
b. difficulty swallowing

Answer 14

b. difficulty swallowing

Question 15

Which of the following conditions classically
presents with odynophagia?

a. GERD
b. eosinophilic esophagitis
c. Zenker’s diverticulum

Answer 15

b. eosinophilic esophagitis

Question 16

Which of the following is NOT known to cause infectious esophagitis?

a. Candida
b. Herpes simplex virus
c. Flu virus
d. CMV

Answer 16

c. Flu virus

Question 17

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

Answer 17

a. Plummer – Vinson syndrome

Question 18

True or False. In most patients with GERD,
esophageal reflux is due to excessive lower
esophageal sphincter relaxation.

a. True
b. False

Answer 18

a. True

Question 19

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

Answer 19

a. True

Question 20

Which of the following is NOT a risk factor for
GERD?

a. body position
b. smoking
c. heart disease
d. certain medications

Answer 20

c. heart disease

Smoking may increase LES relaxation, less saliva, etc.