Internal-Medicine

Questions: 92–97 289
Figure 14–4.
swallow x-ray is shown in Fig. 14–6. Which of
the following is the most appropriate next step
in management?
(A)
(B)
(C)
(D)
(E)
endoscopic dilatation
myotomy
balloon dilatation of lower esophageal
sphincter
surgical excision
vigorous antireflux therapy with surgery
if medical management fails
Figure 14–5.
97. A 69-year-old woman is feeling fatigued. Blood
work reveals hemoglobin of 9.0 g/dL (14 g/dL
1 year earlier). She has no other symptoms. Her
blood film is shown in Fig. 14–7. Which of the
following is the most appropriate next diagnostic
test?
96. A 75-year-old man complains of chronic dysphagia
to fluids and solids. On occasion, he
regurgitates food he has eaten 1 or 2 days
before. Last year, he was hospitalized for pneumonia,
but he is otherwise well. His barium
(A)
(B)
(C)
(D)
(E)
serum B 12
level
hemoglobin electrophoresis
colonoscopy
bone marrow aspiration
sickle cell preparation