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ENT General f4421e1f

Which of the following is the gold standard test for Laryngopharyngeal Reflux?

A
24 hour double probe pH monitoring
B
Esophageal biopsy
C
Abnormal esophageal radiography (BariumSwallow)
D
Esophageal motility studies
High-Yield Explanation
Currently, the Gold standard test for Laryngopharyngeal Reflux is 24 hour double probe pH monitoring. An arbitrary threshold of pH=4 is used to diagnose reflux whether at the esophageal probe (5 cm above the lower esophageal sphincter) for gastroesophageal reflux or at the pharyngeal probe (2 cm above the upper esophageal sphincter) for laryngopharyngeal reflux (LPR).

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