Oesophagus: eosinophilic oesophagitis: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Oesophagus: eosinophilic oesophagitis

Sample item

A 22-year-old atopic man has recurrent food bolus impaction. Endoscopy shows concentric rings and longitudinal furrows, and biopsies show more than 15 eosinophils per high-power field. What is the first-line therapy?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Proton pump inhibitor or swallowed topical corticosteroid with dietary elimination

Eosinophilic oesophagitis is an allergic inflammation presenting with dysphagia and food impaction in young atopic men. Treatment includes proton pump inhibitors, topical swallowed steroids such as fluticasone or budesonide, and elimination diets. Dilatation is cautious as the oesophagus is fragile.

Option by option

  • A. Antituberculous drugs

    Infection is not the cause.

  • B. Proton pump inhibitor or swallowed topical corticosteroid with dietary elimination (correct)

    Correct. Acid suppression, topical steroids and diet are first line.

  • C. Pneumatic dilatation first

    Dilatation is reserved for strictures and carries a perforation risk.

  • D. Oesophagectomy

    Surgery is not indicated.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is B, Proton pump inhibitor or swallowed topical corticosteroid with dietary elimination. Eosinophilic oesophagitis is an allergic inflammation presenting with dysphagia and food impaction in young atopic men.

Why is "Antituberculous drugs" not the answer?

Infection is not the cause.

Why is "Pneumatic dilatation first" not the answer?

Dilatation is reserved for strictures and carries a perforation risk.

Why is "Oesophagectomy" not the answer?

Surgery is not indicated.

What concept does this question test?

It tests Oesophagus: eosinophilic oesophagitis in ENT. Treatment includes proton pump inhibitors, topical swallowed steroids such as fluticasone or budesonide, and elimination diets. Dilatation is cautious as the oesophagus is fragile.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Oesophagus: eosinophilic oesophagitis?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.