07-05-2007, 02:31 PM
45 year old man has a 6 month histroy of burning pain that begins in the epigastric area and ascends into the chest. episodes occur most frequent after lare meals and at night. examination shows moderately severe inflammation in the distal 3 cm of the esophagus. which of the following cause of the condition?
A. difuuse spasm of esophageal musculatrue
B. failure of LES to relax after swallow
C.H pylori
D. hypersecertion of acid
E. inappropriate relaxation of the LES
A. difuuse spasm of esophageal musculatrue
B. failure of LES to relax after swallow
C.H pylori
D. hypersecertion of acid
E. inappropriate relaxation of the LES