MRCP UK EXAMINATIONS

CLINICAL ENCOUNTERS

DYSPHAGIA

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Choose the most likely cause of acute dysphagia from the list given below
A
Esophageal cancer
B
Foreign body ingestion
C
Laryngopharyngeal reflux
D
Laryngeal cancer
Explanation: 

Detailed explanation-1: -Most adults and older children can give a history of foreign body ingestion and time of onset. The most common symptoms are foreign body sensation or difficulty swallowing (dysphagia). Symptoms typically develop in minutes to hours. Foreign bodies in the upper esophagus are more accurately localized by the patient.

Detailed explanation-2: -In practice, choking attacks and coughing are the most prevalent clinical symptoms (6). The presence of sudden choking followed by severe coughing in a child while eating food or playing is a specific and very important indication of the probability of foreign-body aspiration.

There is 1 question to complete.