A 42-year-old man presents with intermittent dysphagia to solids and liquids and regurgitation of food. He has lost 4 pounds in 2 months. His physical exam is normal. A barium swallow reveals a dilated esophageal body,
with the distal esophagus terminating in a narrow end. Which one of the following options is the most appropriate long-term therapy?
A. Isosorbide dinitrate
B. Metoclopramide
C. Dilation with balloon
D. Nifedipine
E. Dilation with rubber tube (bougie)
Answer
Tags:
MCQ, Pharmacology, Achalasia
Category:
Gastroenterology MCQs
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