Gastroesophageal Reflux Disease (GERD) Overview
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Questions and Answers

What is the primary treatment for GERD?

  • Esophagogastroduodenoscopy
  • H2-receptor antagonists (correct)
  • Barium esophagram
  • Esophagogastric fundoplication

Which of the following is NOT a typical symptom of GERD?

  • Dysphagia
  • Belching (correct)
  • Halitosis
  • Regurgitation

Which condition can develop as a complication of chronic reflux in GERD?

  • Gastric ulcers
  • Renal stones
  • Diaphragmatic hernia
  • Barrett esophagus (correct)

Which esophageal motility disorder is characterized by premature and uncoordinated nonpropagative esophageal peristalsis?

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

What is a defining characteristic of hypercontractile esophagus (jackhammer esophagus)?

<p>At least 20% of swallows have a distal contractile integral (DCI) &gt; 8000 mm Hg/sec/cm (C)</p> Signup and view all the answers

Which type of esophageal motility disorder is associated with hypertensive and propagative esophageal contractions?

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

What is the most common cause of esophageal perforation according to the text?

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

Which clinical feature is included in Mackler's triad for esophageal perforation?

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

What is the gold standard confirmatory test for esophageal perforation?

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

Which of the following is a common risk factor for Boerhaave's syndrome?

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

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