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The Esophagus- Surgical Diseases 4th Year- PMU

Description

THE ESOPHAGUS: ESOPHAGEAL CANCER. ACHALASTIA. ESOPHAGEAL DIVERTICULA. CAUSTIC INJURIES
Med Student
Quiz by Med Student , updated more than 1 year ago
Med Student
Created by Med Student about 5 years ago
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Resource summary

Question 1

Question
If you want flashcards go to https://quizlet.com/_6rs6rk
Answer
  • True
  • False

Question 2

Question
The most common esophageal diverticulum found today is
Answer
  • Zenker’s diverticulum
  • Hartman’s diverticulum
  • Rovsing’s dverticulum
  • Kocher’s diverticulum

Question 3

Question
Zenker’s diverticulum occurs in which part of the esophagus?
Answer
  • subdiaphragmatic
  • intraabdominal
  • pharyngoesophageal
  • parabronchial

Question 4

Question
Method of choice for diagnosing esophageal diverticula is
Answer
  • Plain X-ray
  • MRI
  • Contrast esophagography
  • CT scan
  • Upper endoscopy

Question 5

Question
The treatment of Zenker’s diverticulum consists of
Answer
  • endoscopic thermal coagulation
  • broad spectrum antibiotics
  • surgical or endoscopic repair
  • esophagectomy

Question 6

Question
Achalasia is characterized with
Answer
  • 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

Question 7

Question
Which parasitic disease is related to achalasia?
Answer
  • Hydatid cyst disease
  • Chagas disease
  • Enterobiosis
  • Ascariasis

Question 8

Question
The major symptom of achalasia is
Answer
  • dysphagia of liquids
  • odynophagia
  • abdominal pain
  • heartburn

Question 9

Question
The gold standard test for diagnosis of achalasia is
Answer
  • Plain X-ray
  • CT scan
  • Manometry
  • Endoscopic US
  • MRI

Question 10

Question
“Bird’s beak” is a typical X-ray feature of
Answer
  • Barret’s esophagus
  • GERD
  • Achalasia
  • Zenker’s diverticulum
  • Esophageal cancer

Question 11

Question
The treatment of achalasia consists of
Answer
  • nitroglycerin, nitrates and calcium channel blockers
  • bougie dilation
  • injections of botulinum toxin (Botox)
  • surgical esophagomyotomy
  • all of the above

Question 12

Question
Heller myotomy is a surgical method of treatment of
Answer
  • Esophageal cancer
  • Zenker's diverticulum
  • Pulmonary abscess
  • Achalasia
  • Pyloric stenosis

Question 13

Question
Barret’s esophagus is characterized with
Answer
  • 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

Question 14

Question
Barret’s esophagus is a risk factor for developing
Answer
  • Squamous cell carcinoma of the esophagus
  • Achalasia
  • GERD
  • Adenocarcinoma of the esophagus

Question 15

Question
The alkali ingestion is the most dangerous caustic injury of the esophagus because of
Answer
  • liquefactive necrosis with deep penetration in the tissues
  • severe bleeding
  • immediate rupture
  • coagulative necrosis forming an eschar that limits tissue penetration

Question 16

Question
The most popular anti-reflux operation for GERD is called
Answer
  • Whipple Operation
  • Billroth II
  • Nissen fundoplication
  • Ivor Lewis procedure

Question 17

Question
Which of the following is the most commonly observed histologic type of cancer in the upper and the middle part of the esophagus?
Answer
  • adenocarcinoma
  • squamous cell carcinoma
  • neuro endocrine tumors
  • small cell carcinoma

Question 18

Question
Symptoms such as dysphagia for solids, weight loss arid regurgitation in most of the cases are associated with
Answer
  • Stomach cancer
  • Barret’s esopghagus
  • Advanced esophageal cancer
  • Zenker’s diverticulum
  • GERD

Question 19

Question
Method of choice for diagnosis of esophageal cancer is
Answer
  • Esophagography
  • Endoscopy with biopsy
  • CT scan
  • MRI

Question 20

Question
The most critical component of esophageal cancer staging that gives accurate information for T and N status of the tumor is
Answer
  • Upper endoscopy
  • CT scan
  • Esophagography
  • Endoscopic ultrasound

Question 21

Question
Ivor Lewis procedure used for surgical treatment of esophageal cancer is described as
Answer
  • thoracoabdominal esophagectomy
  • transhiatal esophagectomy
  • en-block (three incision) esophagectomy
  • endoscopic mucosal resection

Question 22

Question
Which of the following is a surgical method of treatment of esophageal cancer?
Answer
  • Ivor Lewis procedure
  • Transhiatal esophagectomy
  • En-block esophagectomy
  • Esophagectomy with right colonic transposition
  • All of the above
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