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THE ESOPHAGUS: ESOPHAGEAL CANCER. ACHALASTIA. ESOPHAGEAL DIVERTICULA. CAUSTIC INJURIES

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The Esophagus- Surgical Diseases 4th Year- PMU

Question 1 of 22

1

If you want flashcards go to
https://quizlet.com/_6rs6rk

Select one of the following:

  • True
  • False

Explanation

Question 2 of 22

1

The most common esophageal diverticulum found today is

Select one of the following:

  • Zenker’s diverticulum

  • Hartman’s diverticulum

  • Rovsing’s dverticulum

  • Kocher’s diverticulum

Explanation

Question 3 of 22

1

Zenker’s diverticulum occurs in which part of the esophagus?

Select one of the following:

  • subdiaphragmatic

  • intraabdominal

  • pharyngoesophageal

  • parabronchial

Explanation

Question 4 of 22

1

Method of choice for diagnosing esophageal diverticula is

Select one of the following:

  • Plain X-ray

  • MRI

  • Contrast esophagography

  • CT scan

  • Upper endoscopy

Explanation

Question 5 of 22

1

The treatment of Zenker’s diverticulum consists of

Select one of the following:

  • endoscopic thermal coagulation

  • broad spectrum antibiotics

  • surgical or endoscopic repair

  • esophagectomy

Explanation

Question 6 of 22

1

Achalasia is characterized with

Select one of the following:

  • hypertension of the LES

  • failure of the LES to relax

  • compromised esophageal peristaltic

  • abnormal dilation of the esophagus at late stage

  • all of the above

Explanation

Question 7 of 22

1

Which parasitic disease is related to achalasia?

Select one of the following:

  • Hydatid cyst disease

  • Chagas disease

  • Enterobiosis

  • Ascariasis

Explanation

Question 8 of 22

1

The major symptom of achalasia is

Select one of the following:

  • dysphagia of liquids

  • odynophagia

  • abdominal pain

  • heartburn

Explanation

Question 9 of 22

1

The gold standard test for diagnosis of achalasia is

Select one of the following:

  • Plain X-ray

  • CT scan

  • Manometry

  • Endoscopic US

  • MRI

Explanation

Question 10 of 22

1

“Bird’s beak” is a typical X-ray feature of

Select one of the following:

  • Barret’s esophagus

  • GERD

  • Achalasia

  • Zenker’s diverticulum

  • Esophageal cancer

Explanation

Question 11 of 22

1

The treatment of achalasia consists of

Select one of the following:

  • nitroglycerin, nitrates and calcium channel blockers

  • bougie dilation

  • injections of botulinum toxin (Botox)

  • surgical esophagomyotomy

  • all of the above

Explanation

Question 12 of 22

1

Heller myotomy is a surgical method of treatment of

Select one of the following:

  • Esophageal cancer

  • Zenker's diverticulum

  • Pulmonary abscess

  • Achalasia

  • Pyloric stenosis

Explanation

Question 13 of 22

1

Barret’s esophagus is characterized with

Select one of the following:

  • replacement of the stratified squamous epithelium with intestinal columnar epithelium

  • replacement of the stratified squamous epithelium with transitional epithelium

  • replacement of the intestinal columnar epithelium with stratified squamous epithelium

  • squamous cell cancer in situ

Explanation

Question 14 of 22

1

Barret’s esophagus is a risk factor for developing

Select one of the following:

  • Squamous cell carcinoma of the esophagus

  • Achalasia

  • GERD

  • Adenocarcinoma of the esophagus

Explanation

Question 15 of 22

1

The alkali ingestion is the most dangerous caustic injury of the esophagus because of

Select one of the following:

  • liquefactive necrosis with deep penetration in the tissues

  • severe bleeding

  • immediate rupture

  • coagulative necrosis forming an eschar that limits tissue penetration

Explanation

Question 16 of 22

1

The most popular anti-reflux operation for GERD is called

Select one of the following:

  • Whipple Operation

  • Billroth II

  • Nissen fundoplication

  • Ivor Lewis procedure

Explanation

Question 17 of 22

1

Which of the following is the most commonly observed histologic type of cancer in the upper and the middle part of the esophagus?

Select one of the following:

  • adenocarcinoma

  • squamous cell carcinoma

  • neuro endocrine tumors

  • small cell carcinoma

Explanation

Question 18 of 22

1

Symptoms such as dysphagia for solids, weight loss arid regurgitation in most of the cases are associated with

Select one of the following:

  • Stomach cancer

  • Barret’s esopghagus

  • Advanced esophageal cancer

  • Zenker’s diverticulum

  • GERD

Explanation

Question 19 of 22

1

Method of choice for diagnosis of esophageal cancer is

Select one of the following:

  • Esophagography

  • Endoscopy with biopsy

  • CT scan

  • MRI

Explanation

Question 20 of 22

1

The most critical component of esophageal cancer staging that gives accurate information for T and N status of the tumor is

Select one of the following:

  • Upper endoscopy

  • CT scan

  • Esophagography

  • Endoscopic ultrasound

Explanation

Question 21 of 22

1

Ivor Lewis procedure used for surgical treatment of esophageal cancer is described as

Select one of the following:

  • thoracoabdominal esophagectomy

  • transhiatal esophagectomy

  • en-block (three incision) esophagectomy

  • endoscopic mucosal resection

Explanation

Question 22 of 22

1

Which of the following is a surgical method of treatment of esophageal cancer?

Select one of the following:

  • Ivor Lewis procedure

  • Transhiatal esophagectomy

  • En-block esophagectomy

  • Esophagectomy with right colonic transposition

  • All of the above

Explanation

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