Do not hit the Enter key or the quiz will be submitted incomplete. After answering the questions, click on the Submit button to have the quiz graded and to receive your score. An explanation of the answers will also be provided. A 45 year old woman with no significant past medical history presents with a three month history of worsening dysphagia, heartburn, and chest pain.
Physical exam reveals a thin woman with a normal oropharynx and abdominal exam.
She has been treated by her primary care physician with antireflux medications for 8 weeks, which has provided no relief. Begin proton pump inhibitor with follow-up in three months 2. Esophageal manometry as well as esophagogastroscopy was performed. Don't Know 3. Achalasia is a rare dismotility disorder of the esophagus thought to be due to the loss or destruction of ganglion cells in the myenteric plexus.