🏥 USMLE Exam Prep

A 45-year-old male presents with a 6-month history of progressive dysphagia to both solids and liquids, non-cardiac chest pain, and regurgitation of undigested food. Barium swallow demonstrates esophageal dilation with a "bird's beak" appearance at the distal esophagus. What is the most likely diagnosis?

A Esophageal stricture
B Achalasia
C Diffuse esophageal spasm
D Zenker's diverticulum

✓ Correct Answer: Option B

The classic triad of dysphagia to both solids and liquids, non-cardiac chest pain, regurgitation, and the "bird's beak" appearance on barium swallow are highly characteristic of achalasia, a primary esophageal motility disorder.

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