Esophageal Disorders (PEARLS) Smarty PANCE (Latest 2023 / 2024) Actual Questions and Answers 100% Correct

Esophageal Disorders (PEARLS) Smarty PANCE (Latest 2023 / 2024) Actual Questions and Answers 100% Correct 1. What is esophagitis? Answer: Esophagitis is simply inflammation that may damage tissues of the esophagus. It usually causes dysphagia or difficulty in swallowing,odynophagia or painful swallowing, and retrosternal chest pain. 2. What are the two types of esophagitis? Answer: Infectious and non-infectious 3. How is esophagitis diagnosed? Answer: The usual workup includes an upper endoscopy with a biopsy. And in case of retrosternal chest pain, an electrocardiogramshould always be done in order to rule out cardiac ischemia. 4. What is the most common cause of esophagitis? Answer: The most common causeis gastroesophageal reflux disease or GERD, and in that situation, it's called refluxesophagitis. 5. What is the treatment of reflux esophagitis? Answer: Treatment of reflux esophagitisstarts with proton pump inhibitors or PPIs such as omeprazole for 8 weeks. If symptoms disappear, then the dose of PPI is gradually decreased. If PPIs are needed for more than 6 months, then it's replaced by histamine 2 receptor agonists or H2RAs. If the symptoms recur, then the lowest dose of the medication that last controlled the symptoms is restarted. 6. How should patients with severe erosive esophagitis be managed? Answer: For individuals with severe erosive esophagitis, a repeat upper endoscopy should be done after 8 weeks of treatment to make sure that it's healing and to rule out malignancy 7. Pt with asthma symptoms and GERD not responsive to antacids. Answer: - Eosinophilic esophagitis - Pt with Asthma symptoms and GERD not responsive to antacids. Allergic, eosinophilic infiltration of the esophageal epithelium. 8. How is eosinophilic esophagitis treated? Answer: Eosinophilic esophagitis is treatedby removing foods that incite allergic response, topical steroids via inhaler 9. An endoscopy for presumed esophagitis shows multiple shallow ulcers.What is the most likely diagnosis? Answer: Herpes simplex virus