The Daily PANCE and PANRE Question 34

The results of a barium esophagram reveal esophageal webbing in a woman with long-standing iron deficiency anemia. Her diagnosis is:

  1. Barrett's esophagus
  2. achalasia
  3. Plummer-Vinson syndrome
  4. Dressler's syndrome
  5. Ogilvie's syndrome

Answer: C

Plummer-Vinson syndrome

Plummer-Vinson is something to know for those who want a 100% on the exam. There is no need to memorize this. More importantly, webbing in the distal esophagus with no other symptoms but dysphagia would be a Schatzki's ring (much more common). Barrett's causes GERD symptoms and dysplasia of the esophageal mucosa. Achalasia is a primary neurologic problem of the esophagus causing dysphagia.

Know Your Content Blueprint

Diseases of the esophagus are covered in the NCCPA™ GI and Nutrition Content Blueprint (10%)

Review the PANCE/PANRE diseases of the esophagus which covers esophagitis, motility disorders, Mallory Weiss tears, esophageal neoplasms, esophageal strictures, and esophageal varices: Diseases of the Esophagus (PEARLS)

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