Question 271 · LEK · Dysphagia
A 34-year-old patient complains of nausea and pressure-like sensation behind the sternum, especially after solid meals. The symptoms occur intermittently for 3 years, mainly in summer and autumn. He underwent the standard treatment for gastroesophageal reflux disease but without any improvement. He was diagnosed with asthma in the childhood. The gastroscopy revealed no macroscopic lesions and biopsy of the esophageal mucosa was performed. Which of the following is the most probable cause of the symptoms?
- A. esophagitis in the course of gastroesophageal reflux disease.
- B. esophageal cancer.
- C. eosinophilic esophagitis.
- D. esophageal achalasia.
- E. diffuse esophageal spasm.
Hint
Note the young age, atopy, seasonal pattern, failure of reflux therapy and a normal-looking oesophagus that still needed biopsies.
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Internal medicine
- Indicate the medication which should not be used in the first-line treatment of hypertension:
- A 45-year-old female with type 2 diabetes visited her family doctor to obtain prescriptions to continue her anti-hypertensive therapy. Occasionally…
- The typical symptoms of systemic scleroderma do not include:
- A first-degree atrioventricular block could be recognized on ECG on the basis of:
- Indicate the site of auscultation of the aortic valve:
- Which of the following medications should not be used in monotherapy to start the treatment of recent deep venous thrombosis?