Dysphagia

Select a statement that best describes dysphagia

• Dysphagia is a symptom characterised by difficult swallowing

• Dysphagia is a symptom characterised by painful swallowing

• Dysphagia is a sign characterised by pooling of saliva

• Dysphagia is a sign characterised by tenderness at the throat upon swallowing

Choose the most likely cause of acute dysphagia from the list given below

• Esophageal cancer

• Foreign body ingestion

• Laryngopharyngeal reflux

• Laryngeal cancer

Symptoms below suggests supraesophageal cause of dysphagia EXCEPT

• Regurgitation

• Aspiration

• Dysphonia

• Rapid weight loss

Symptoms below are red flag symptoms in dysphagia EXCEPT

• Complete dysphagia

• Rapid weight loss

• Aspiration

• Dysarthria

Clinical features of tongue cancer include below EXCEPT

• Dysarthria

• Neck swelling

• Dysphagia

• Tinnitus

A 3 year-old boy complains of high grade fever associated with severe odynophagia and drooling of saliva. The mother is worried that the child is having trouble breathing. What is the most likely diagnosis?

• Acute epiglottis

• Laryngopharyngeal reflux

• Laryngeal cancer

• Esophageal cancer

A 3 year-old boy presented to the maxillofacial clinic complaining of high grade fever associated with severe odynophagia and drooling of saliva. The mother is worried that the child is having trouble breathing. What is the next step in management of this boy?

• Examination of the oral cavity

• Flexible nasopharyngeal laryngoscope

• Urgent CT scan

• Urgent referral to the casualty

Relevant examination in patients with dysphagia is described below EXCEPT

• Hydration status

• Examination of the cranial nerve

• Ear examination

• Nutritional status

A 58-year-old diabetic suffered from a massive cerebrovascular accident 2 months ago, following which he developed swallowing incoordination. Choose the best investigation to investigate his problem.

• Barium swallow

• Esophago-gastro-duodenoscopy

• Chest x-ray

• Video fluoroscopy for swallowing

Select as many oesophageal causes of dysphagia from the list below

• Achalasia

• Distal Esophageal Spasm

• Gastro-esophageal Reflux Disease

• Pharyngeal pouch