A 55 year old woman with progressive dysphagia For each patient select

Question 24 / 27:

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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Gastrointestinal Pathophysiology Exam 2005

Author:

Dr.Laurence BailenProfessor

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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