Card 25 / 30: For each patient with dysphagia, select the most likely esophageal motility abnormalities. Her physical exam is remarkable for skin changes and sclerodactly.A 55 year old woman with progressive dysphagia to solids and liquids. She has severe heartburn.
A) Low LES (lower esophageal sphincter) pressure, low amplitude esophageal body contractions
B) Lack of LES relaxation with swallow, low amplitude esophageal body contractions
C) High UES (upper esophageal sphincter) pressure
D) Simultaneous high amplitude esophageal body contractions
E) Low UES pressure
F) High LES pressure, high amplitude esophageal body contractions
G.) Low LES pressure, high amplitude esophageal body contractions
H.) Transient LES relaxations, low amplitude esophageal body contractions

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