Slide Set Update: Eosinophilic Esophagitis Diagnosis and Management
 
1 - Which one of the following diagnoses has the most similar clinical symptoms to esophageal eosinophilia?
A   - Gastroesophageal reflux disease (GERD)
B   - Celiac disease
C   - Crohn’s disease
D   - Graft-versus-host disease
2 - The definition of “Eosinophilic Esophagitis” includes all or the following EXCEPT:
A   - Clinical symptoms that may include dysphagia, vomiting, abdominal pain, or heartburn
B   - Esophageal eosinophilia with > 15 eosinophils on at least 1 biopsy
C   - Normal biopsies of the gastric antrum and duodenum
D   - A patient with 75 esophageal eosinophils/hpf that completely resolve with the use of a PPI (proton pump inhibitor)
E   - Eosinophilic esophagitis is a clinic-pathologic diagnosis
3 - Proton pump inhibitor responsive esophageal eosinophilia (PPIREE) is considered to be “distinct” from eosinophilic esophagitis (EoE).
A   - True
B   - False
4 - The most prevalent primary complaint at referral in all pediatric patients with EoE is:
A   - Vomiting
B   - Abdominal pain
C   - Dysphagia
D   - Primary complaints vary depending on the patient’s age
5 - Adolescent pediatric patients more commonly present with the following symptom
A   - Vomiting
B   - Abdominal pain
C   - Dysphagia
D   - Heartburn
6 - Endoscopy and esophageal biopsies from patients with eosinophilic esophagitis may demonstrate ALL of the following EXCEPT:
A   - Esophageal erosions and a large number of neutrophils on biopsy
B   - Increased basal cell hyperplasia
C   - Esophageal white plaques (microabscesses)
D   - Visually normal esophagus with 40 eosinophilis per hpf on biopsy
E   - Esophageal rings (trachealization of the esophagus)
7 - According to a study of 30 pediatric patients with EoE, how many biopsies need to be obtained to ensure a diagnosis of EoE with a sensitivity of 97%?
A   - 1-2
B   - 3-4
C   - 6+
8 - Treatment for patients diagnosed with EoE may include all of the following EXCEPT:
A   - Esophageal dilation
B   - PPI therapy alone
C   - Dietary therapy
D   - Corticosteroids
9 - Which of the following is true concerning the use of corticosteroids in EoE?
A   - Short-term use resolves esophageal eosinophilia which continues even when steroids are discontinued
B   - Systemic corticosteroids may be used for long-term therapy
C   - Topical corticosteroids are effective in inducing EoE remission and for maintenance therapy
D   - Neither systemic or topical corticosteroids should be used for EoE maintenance
10 - Which of the following is true about dietary therapy for EoE?
A   - A targeted diet that eliminated foods based on allergy skin testing improve clinical and histological responses by 95% in all patients
B   - Complete and strict dietary elimination by using an exclusive diet of an amino acid–based formula reduces the number of esophageal eosinophils by greater than 95% in all patients
C   - The use of allergy testing identifies causative foods greater than 90% of the time
D   - An empiric diet that eliminates all of the major food allergens is not as effective as using allergy testing