#july2020mccqe1
A 57-year-old man presents with a one-year history of increasing difficulty in swallowing. He is found on manometric and contrast studies to have the characteristic picture of oesophageal achalasia. He is otherwise in good health and is not on any medications. Which one of the following treatments would give him the best longterm relief of his dysphagia?
(A) Laparoscopic cardiomyotomy
(B) Pneumatic dilatation of the cardia
(C) Botulinus toxin (Botox®) injection into the cardia
(D) Regular use of a calcium channel-blocker
(E) Longterm use of a smooth muscle relaxant
A 57-year-old man presents with a one-year history of increasing difficulty in swallowing. He is found on manometric and contrast studies to have the characteristic picture of oesophageal achalasia. He is otherwise in good health and is not on any medications. Which one of the following treatments would give him the best longterm relief of his dysphagia?
(A) Laparoscopic cardiomyotomy
(B) Pneumatic dilatation of the cardia
(C) Botulinus toxin (Botox®) injection into the cardia
(D) Regular use of a calcium channel-blocker
(E) Longterm use of a smooth muscle relaxant
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