Dysphagia: Difficulty in Swallowing

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Questions and Answers

What is the main characteristic of dysphagia?

  • Difficulty in swallowing (correct)
  • Inflammation of the oesophagus
  • Pain during swallowing
  • Food sticking in the throat

Which of the following is a symptom of dysphagia?

  • Bloating after eating
  • Nausea and vomiting
  • Food sticking in the throat/chest during or after swallowing (correct)
  • Pain in the chest

What is the most common type of tumour that causes dysphagia?

  • Adenocarcinoma
  • Squamous cell carcinoma (correct)
  • Sarcoma
  • Lymphoma

Which of the following is a complication of oesophageal tumours?

<p>Tracheo-oesophageal fistulation (C)</p> Signup and view all the answers

What is the cause of dysphagia in atypical achalasia?

<p>Loss of ganglia from intramural plexus (C)</p> Signup and view all the answers

What is the characteristic of a web that causes dysphagia?

<p>A fibrous stricture at the upper end of the oesophagus (A)</p> Signup and view all the answers

What is the primary cause of respiratory problems in relation to retained oesophageal contents?

<p>Regurgitation (D)</p> Signup and view all the answers

What is the name of the muscle that is affected in Scleroderma, leading to dysphagia?

<p>Inferior pharyngeal constrictor - Cricopharyngeus (D)</p> Signup and view all the answers

What is the term for the sensation of a lump in the throat, often worse when swallowing saliva?

<p>Globus hystericus (C)</p> Signup and view all the answers

What is the type of muscle that coats the inner layer of the oesophagus?

<p>Circular muscle (A)</p> Signup and view all the answers

What is the name of the weak point in the oesophagus where a pharyngeal pouch can form?

<p>Killian’s dehiscence (B)</p> Signup and view all the answers

What is the primary reason for oesophagitis?

<p>Inflammation due to reflux from the stomach (B)</p> Signup and view all the answers

What is the type of epithelium that lines the mucosal layer of the oesophagus?

<p>Stratified Squamous Non Keratinising Epithelium (C)</p> Signup and view all the answers

What is the name of the disease characterized by the loss of ganglia from the intramural plexus?

<p>Achalasia (A)</p> Signup and view all the answers

What is the term for the passage of pale bulky stools that contain fat?

<p>Steatorrhoea (D)</p> Signup and view all the answers

What is the nerve that innervates the motor and sensory nerves in the oesophageal plexus?

<p>Vagus nerve (X) (D)</p> Signup and view all the answers

What is the primary dysfunction in achalasia of the cardia?

<p>The cardiac sphincter fails to relax during swallowing (D)</p> Signup and view all the answers

What is the eventual result of the failure of peristalsis in achalasia of the cardia?

<p>Progressive dilation of the oesophagus (B)</p> Signup and view all the answers

What is the term for spasm due to a variety of causes, resulting in attacks of dysphagia and pain?

<p>Oesophageal spasm (B)</p> Signup and view all the answers

What is the potential result of an oesophageal spasm in relation to the oesophagus?

<p>A corkscrew oesophagus (D)</p> Signup and view all the answers

What does an oesophageal web consist of?

<p>Glossitis, iron deficiency anaemia, dysphagia, and koilonychia (B)</p> Signup and view all the answers

Why is it important to identify oesophageal webs?

<p>Because they are premalignant (D)</p> Signup and view all the answers

What is the common aetiology of peptic and gastric ulcers?

<p>Mucosal inflammation due to acid and pepsin destruction of lining mucosa (A)</p> Signup and view all the answers

What 2 things must be considered as dentists with peptic ulcers?

<p>Avoid NSAID use and steroids may complicate things (D)</p> Signup and view all the answers

What is the difference between an acute and chronic duodenal ulcer?

<p>Chronic ulcers penetrate submucosa and muscular wall (A)</p> Signup and view all the answers

What are 2 investigations used to diagnose peptic ulcers?

<p>Endoscopy and barium meal (C)</p> Signup and view all the answers

What is a complication of chronic inflammation in the stomach?

<p>iron deficiency (A)</p> Signup and view all the answers

What is a risk factor for carcinoma of the oesophagus?

<p>All of the above (D)</p> Signup and view all the answers

What is a symptom of carcinoma of the oesophagus?

<p>Dysphagia (D)</p> Signup and view all the answers

How does carcinoma of the oesophagus spread to the liver?

<p>Through the lymph nodes (D)</p> Signup and view all the answers

What is the majority type of carcinoma present in oesophagus carcinoma?

<p>Squamous cell Carcinoma (D)</p> Signup and view all the answers

What is pyloric stenosis?

<p>Projectile vomiting in children (A)</p> Signup and view all the answers

What is haematemesis?

<p>Vomiting of blood (B)</p> Signup and view all the answers

What is a congenital cause of haematemesis?

<p>Haemophilia (B)</p> Signup and view all the answers

What is a neoplastic cause of haematemesis?

<p>Oesophageal SCC (D)</p> Signup and view all the answers

What is a local spread effect of carcinoma of the oesophagus?

<p>Fistulae to the trachea (A)</p> Signup and view all the answers

What type of muscles are the superior, middle, and inferior muscles of the oesophagus?

<p>Constrictor muscles (C)</p> Signup and view all the answers

How many constrictor muscles make up the oesophagus?

<p>Three (D)</p> Signup and view all the answers

What are the three constrictor muscles of the oesophagus?

<p>Superior, middle, and inferior (B)</p> Signup and view all the answers

What is the function of the constrictor muscles in the oesophagus?

<p>To constrict the oesophagus (A)</p> Signup and view all the answers

Where are the constrictor muscles located in the oesophagus?

<p>Throughout the oesophagus (B)</p> Signup and view all the answers

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