Try this quiz on causes of dysphagia!
Reviewed by: awaiting review
Approach to the patient with dysphagia
Stem 1, question 1 of 5
Hyacinth, a 66 year old female, presents to her GP with 4 month history of difficulty swallowing.Which of the following is NOT a risk factor for gastro-oesophageal reflux disease (GORD)?
Stem 1, question 2 of 5
The GP performs some blood tests with the following report: Iron deficiency anaemia. No other abnormalities detectedWhat is the most likely cause of Hyacinth's dysphagia?
Gastro-oesophageal reflux disease
Stem 1, question 3 of 5
5 years later Hyacinth returns with dysphagia. Her PMH includes an MI 3 years ago and she takes aspirin, atorvastatin, furosemide and amlodipine. Examination reveals displaced apex beat and pitting oedema to mid calf.What anatomical relation of the oesophagus is the cause of Hyacinth's dysphagia?
Stem 1, question 4 of 5GORD can be treated with a proton pump inhibitor. Which of the following is a proton pump inhibitor (PPI)?
Stem 1, question 5 of 5What is a complication of Gastro-oesophageal reflux?
Stem 2, question 1 of 3
Benedict, a 54 year old male, presents with a 6 month history of heartburn, regurgitation and dysphagia unrelated to food. He has intermittent dysphagia to both solids and liquids. He describes a "gurgling" sound in his chestWhat is the most likely diagnosis?
Stem 2, question 2 of 3
Benedict is referred for further investigationsWhat is the most likely investigation result for Benedict?
Positive Acetylcholine receptor antibody assay
Upper GI endoscopy with mucosa obscured by retained salvia with frothy appearance
Thin protections off anterior surface of post cricoid oesophagus seen on endoscopy
Low lower oesophageal sphincter pressure on manometry
Mediastinal mass seen on CT chest
Stem 2, question 3 of 3What causes achalasia?
Functional and structural abnormalities of small blood vessels, fibrosis of skin and internal organs and production of auto-antibodies
Symptoms or complications resulting from the reflux of gastric contents into the oesophagus or beyond into the oral cavity or lung
An abnormal narrowing of the oesophageal lumen
A chronic autoimmune disorder of the post synaptic membrane at the neuromuscular junction in skeletal muscle
Loss of oesophageal peristalsis and failure of the lower oesophageal sphincter to relax in response to swallowing
Daphne presents to her GP with dysphagia, muscle weakness and ptosis. She reports the symptoms worsen throughout the dayWhich of the following drugs will treat her condition?
Eloise is diagnosed with scleroderma following episodes of dysphagiaWhich of the following is NOT a treatment option for scleroderma related dysphagia?