All of the following are factors that predispose a patient to the development of gastroesophageal reflux EXCEPT:
- hiatal hernia
- pregnancy
- scleroderma
- an incompetent esophageal sphincter
- pernicious anemia
Answer: E
Pernicious anemia
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)
Gastroesophageal reflux is covered in the NCCPA Content Blueprint GI and Nutrition (10%)
Learn more about gastroesophageal reflux and take the lesson quiz at Smarty PANCE Gastroesophageal reflux disease
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