All of the following are factors that predispose a patient to the development of gastroesophageal reflux EXCEPT:
A hiatal hernia.
B pregnancy
C scleroderma.
D an incompetent esophageal sphincter
E pernicious anemia.
Answer: E
Pernicious anemia has no correlation with GERD. It is an autoimmune destruction of the gastric parietal cells that make intrinsic factor. Signs & symptoms are not present until B12 levels are very low (and include peripheral neuropathies & ataxia)
Note: * This is part of the Daily PANCE and PANRE in your inbox email series: 60 days of PANCE and PANRE Questions and Answers delivered directly to your inbox. It is a great and fun way to learn! If you haven't already, you can sign up for FREE by clicking Here.