This question was created from NURS6560-Midterm

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