69 year old man with progressive dysphagia For each patient select

Question 29 / 30:

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

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Gastrointestinal Pathophysiology Exam 2006

Author:

Dr.Tamsin KnoxProfessor

Tufts University School of Medicine

USA

Access: Public Instant Grading

Attribution: Laurence Scott Bailen, Tamsin Knox, Paul Abourjaily, Fredric D. Gordon,Marshall Kaplan,Andrew G. Plaut. PPY 222 Gastrointestinal Pathophysiology, Spring 2007. (Tufts University OpenCourseWare), http://ocw.tufts.edu/Course/47 (Accessed 3 May, 2014). License: Creative Commons BY-NC-SA

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