GERD and Peptic Ulcer Disease USMLE Step 1 Practice Question
A 62-year-old man with a 3-year history of GERD managed with omeprazole presents with progressive dysphagia to solids, regurgitation of undigested food, and halitosis. Vital signs show BP 138/82, HR 88, RR 16, temp 37.2°C. Physical examination reveals a soft, compressible left neck mass; swallowing improves when he applies manual pressure to it. Chest X-ray shows no aspiration pneumonia. Which of the following is the most likely diagnosis?
Answer choices
- ADiffuse esophageal spasm
- BBoerhaave syndrome
- CEsophageal adenocarcinoma
- DAchalasia
- EZenker diverticulumCorrect answer
- FPharyngeal pouch from cricopharyngeal achalasia
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