Card 24 / 30: For each patient with dysphagia, select the most likely esophageal motility abnormalities.A 66 year old man with progressive dysphagia to solids and liquids associated with nocturnal coughing and respiratory problems. An air-fluid level is seen in the esophagus on chest x-ray.
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
Answer:
B) Lack of LES relaxation with swallow, low amplitude esophageal body contractions
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Gastrointestinal Pathophysiology Exam 2005
Author:
Dr.Laurence BailenProfessor
Tufts University School of Medicine
USA
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