Card 30 / 33: For each patient with dysphagia, select the most likely esophageal motility findings:69 year old man with progressive dysphagia to solids and liquids. A barium study reveals a dilated esophagus with a “bird’s beak” appearance to the very distal esophagus.
A)
Low baseline lower esophageal sphincter (LES) pressure
B)
Normal peristalsis in the esophageal body
C)
Simultaneous high amplitude contractions of the esophageal body
D)
Frequent transient LES relaxations
E)
Low upper esophageal sphincter pressure
F)
Elevated upper esophageal sphincter pressure
G.)
Lack of LES relaxation with swallowing
H.)
Normal LES relaxation with swallowing
Answer:
G.) Lack of LES relaxation with swallowing
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Gastrointestinal Pathophysiology Exam 2006
Author:
Dr.Tamsin KnoxProfessor
Tufts University School of Medicine
USA
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