GERD and Peptic Ulcer Disease USMLE Step 1 Practice Question
A 14-year-old boy with asthma and atopic eczema presents with progressive solid food dysphagia and two episodes of food impaction requiring endoscopic removal. Vital signs: BP 118/76, HR 82, RR 16, Temp 37°C, SpO2 98%. Endoscopy reveals concentric esophageal rings and linear furrows. Esophageal biopsy shows ≥15 eosinophils per high-power field. He denies heartburn or regurgitation. He takes no acid-suppressive medications. Which diagnosis is most likely?
Answer choices
- AEosinophilic esophagitisCorrect answer
- BGERD
- CAchalasia
- DBarrett esophagus
- EEsophageal candidiasis
- FCrohn disease with esophageal involvement
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