Okay, do we have a QR code for our group? There it is. Great. Okay. Perfect. So, feel free to go ahead and start the knowledge challenge, and we'll kind of peruse the room and see when it appears that everybody's done, and then we'll walk through the answers. Okay, so we're going to step through the answers to our knowledge challenge. Okay, question number one was, which food group is associated with the highest risk of esophageal eosinophilia? Is it A, dairy, B, beef, C, eggs, or D, soy? Dairy. All right, you guys picked that up, dairy. That's the one food elimination diet if you were going to do it. Pathology question, what level of eosinophilia in esophagus is required to diagnose EOE? Is it greater than 5, greater than 10, greater than 15, or greater than 25 per high power field? C. C. Correct. Okay, an esophageal biopsy with very high levels of eosinophils is always EOE or acid reflux disease. Is that true or false? False. There are some other things that we learned about that's in the differential. All of the following are associated with a higher risk of EOE except A, residence in a warmer client, B, male sex, C, history of atopy, or D, early life exposure to antibiotics. A, cooler climates associated with a higher risk. What percentage of patients presenting with a food impaction have EOE? Is it 10 to 20, 20 to 30, 50 to 60, or 90 to 100 percent? C is correct. Okay, all of the following are associated with esophageal eosinophilia except A, celiac disease, B, inflammatory bowel disease, C, gastroesophageal reflux, D, pill-induced esophagitis, or E, peptic ulcer disease. B and E? E as in Edward? E as in Edward is the correct answer. Eosinophilic esophagitis is associated with all of the following signs and symptoms except dysphagia, chest pain, heartburn, failure to thrive, weight loss, or GI bleeding. E as in Edward? GI bleeding. Very good. Okay, which of the following is the earliest compound released in the stimulation of esophageal eosinophilic inflammation following allergen exposure? Ooh, we got an immunology question here for you. Wow, I can't believe you guys all got that. TSLP. Okay, Dr. Gonsalves did a nice job emphasizing that. Which of the following is not part of the three Ds of EOE treatment? Diet, dilation, drugs, or dysphagia? D as in dysphagia is not part of the treatment of EOE. Okay, which of the following is an acceptable first-line therapy for EOE? H2 blockers, proton pump inhibitors, anti-TNF agents, or 5-aminosalicylates? B as in boy, proton pump inhibitors. Which of the following is an FDA-approved therapy for EOE? Proton pump inhibitors, oral budesonide suspension, fluticasone inhaler, or none of the above? Anybody gets this wrong, they're... D as in David. What is the most common adverse event after endoscopic dilation? Is it A, chest pain, B, bleeding, C, perforation, or D, food impaction? A, very common, up to 10% of patients. You got to warn them before we do it. And it's scary for patients, by the way, afterwards, even when you warn them. They're sure that they've got a hole in their esophagus when they got that pain. Which of the following is true regarding EOE treatment? A, control of inflammation reduces the need for endoscopic dilation. B, maintenance of topical steroids should be avoided. C, H2 blockers improve esophageal eosinophilia. And D, allergy testing guided dietary restriction is more effective than six-food elimination diet. Which one of those is true? A, control of the inflammation. All the others are not true. And which of the foods should be avoided in a two-food elimination diet in adults with EOE? Is it dairy and wheat, B, soy and shellfish, C, nuts and tree nuts, D, eggs and fish? A, that is the two-food elimination diet, two highest risk foods. Which of the following regarding EOE is true? A, once eosinophilia is controlled, relapse is rare after medications are discontinued. B, fibrostenotic strictures are more common when diagnosis is delayed. C, adolescents are more likely than adults to have strictures. And D, symptom resolution is a reliable indicator of improved eosinophilic inflammation. Which one is true? B, as in boy, fibrostenotic strictures are more common when diagnosis is delayed. Okay, that's the end of the 15-question knowledge challenge.

eosinophilic esophagitis

knowledge challenge

multiple-choice questions

esophageal eosinophilia

EOE treatment options