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Please review for correct answer… I believe it is esophageal carcinoma

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Question 21 W. is a 49-year-old man who presents for evaluation. He has a long history of alcohol
and tobacco use, with a 65-year pack history and an admitted 14-drink-per—week alcohol
habit. He is getting worried because he can no longer swallow his bourbon. He is not a
good historian but he does admit to a 1+ year history of bloating, heartburn, and
progressive difficulty swallowing food. He didn’t worry too much about his symptoms
until he stopped being able to swallow bourbon. He thinks he has lost approximately 15
lbs in the last year. He denies any blood in his stool and has not had any vomiting. The
AGACNP knows that the most likely diagnosis is: A.Zenker’s diverticulum B. Achalasia C. Esophageal carcinoma D.Hiatal hernia

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An 85 yo male went for check up. He is experiencing lower extremity edema and weight gain for 6 months. He has

hx of ischemic CAD, EF 45% for 10 years. He has poor follow up and stopped taking medications. An echo was done and found EF 25%. With natural history of CH, what mechanism is contributing to progression of his heart failure?

a.    Extracellular matrix disruption via matrix metalloproteinase

b.    Decrease serum levels of norepinephrine

c.    Increased sarcoplasmin reticulum calcium reuptake

d.    Falling levels of arginine vasopressin

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