#march2020usmle2ck
A 48-year-old woman presents to the clinic for a complaint of difficult swallowing solid food for the last 2 months. After seconds of swallowing, she feels the food getting stuck at the suprasternal notch. She has no history of food or acid regurgitation. She has not lost weight. She does not smoke or drink alcohol. Her medical, surgical and family histories are unremarkable. Her physical examination and laboratory investigations are normal.
What is the best next step of management?
A- Barium swallow
B- CT body screening
C- Esophageal manometry
D- Trial of proton pump inhibitor
E- Upper endoscopy
A 48-year-old woman presents to the clinic for a complaint of difficult swallowing solid food for the last 2 months. After seconds of swallowing, she feels the food getting stuck at the suprasternal notch. She has no history of food or acid regurgitation. She has not lost weight. She does not smoke or drink alcohol. Her medical, surgical and family histories are unremarkable. Her physical examination and laboratory investigations are normal.
What is the best next step of management?
A- Barium swallow
B- CT body screening
C- Esophageal manometry
D- Trial of proton pump inhibitor
E- Upper endoscopy
