Amedco - Quiz

Slide Set Update: Eosinophilic Esophagitis Diagnosis and Management


A   - Gastroesophageal reflux disease (GERD)
B   - Celiac disease
C   - Crohn’s disease
D   - Graft-versus-host disease

A   - Clinical symptoms that may include dysphagia, vomiting, abdominal pain, or heartburn
B   - Esophageal eosinophilia with > 15 eosinophils on at least 1 biopsy
C   - Normal biopsies of the gastric antrum and duodenum
D   - A patient with 75 esophageal eosinophils/hpf that completely resolve with the use of a PPI (proton pump inhibitor)
E   - Eosinophilic esophagitis is a clinic-pathologic diagnosis

A   - True
B   - False

A   - Vomiting
B   - Abdominal pain
C   - Dysphagia
D   - Primary complaints vary depending on the patient’s age

A   - Vomiting
B   - Abdominal pain
C   - Dysphagia
D   - Heartburn

A   - Esophageal erosions and a large number of neutrophils on biopsy
B   - Increased basal cell hyperplasia
C   - Esophageal white plaques (microabscesses)
D   - Visually normal esophagus with 40 eosinophilis per hpf on biopsy
E   - Esophageal rings (trachealization of the esophagus)

A   - 1-2
B   - 3-4
C   - 6+

A   - Esophageal dilation
B   - PPI therapy alone
C   - Dietary therapy
D   - Corticosteroids

A   - Short-term use resolves esophageal eosinophilia which continues even when steroids are discontinued
B   - Systemic corticosteroids may be used for long-term therapy
C   - Topical corticosteroids are effective in inducing EoE remission and for maintenance therapy
D   - Neither systemic or topical corticosteroids should be used for EoE maintenance

A   - A targeted diet that eliminated foods based on allergy skin testing improve clinical and histological responses by 95% in all patients
B   - Complete and strict dietary elimination by using an exclusive diet of an amino acid–based formula reduces the number of esophageal eosinophils by greater than 95% in all patients
C   - The use of allergy testing identifies causative foods greater than 90% of the time
D   - An empiric diet that eliminates all of the major food allergens is not as effective as using allergy testing
E   - None of the above