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Exam (elaborations)
Fmge (Foreign Medical Graduate 
Examination) Practice Exam With 100 Questions. The 
Questions Are Designed To Match The High-Yield 
Topics For Fmge: Medicine, Surgery, Obstetrics & 
Gynecology, Pediatrics, Orthopedics, Ophthalmology, 
Ent, Pharmacol
NewQuestion 1 
A 45-year-old man from a rural area presents with progressive dysphagia, first to 
solids then to liquids, weight loss, and regurgitation of undigested food. Barium 
swallow shows a “bird-beak” appearance. What is the most likely diagnosis? 
A) Achalasia cardia 
B) Carcinoma esophagus 
C) Plummer–Vinson syndrome 
D) Diffuse esophageal spasm 
E) Peptic stricture 
Rationale: Bird-beak appearance is classic for achalasia cardia due to failure of 
LES relaxation and absen...