Card 31 / 33: For each patient with dysphagia, select the most likely esophageal motility findings:75 year old woman with severe chest pain which has prompted two emergency room visits. Cardiac testing is unrevealing.
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:
C) Simultaneous high amplitude contractions of the esophageal body
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Gastrointestinal Pathophysiology Exam 2006
Author:
Dr.Tamsin KnoxProfessor
Tufts University School of Medicine
USA
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