Which of the following signs and symptoms most clearly suggests the need for endoscopy to rule out esophageal cancer?
A) Heartburn after an individual consumes high-fat meals
B) Dysphagia in an individual with no history of neurologic disease
C) A new onset of gastroesophageal reflux in a previously healthy individual
D) Recurrent episodes of gastritis that do not respond to changes in diet
Ans: B
Feedback:
Dysphagia is by far the most frequent complaint of persons with esophageal cancer. It is apparent first with ingestion of bulky food, later with soft food, and finally with liquids. Heartburn, reflux, and gastritis are not health problems that are closely associated with the development of esophageal cancer.
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