Q ) False regarding Benign lesion of esophagus
a) Fibrovascular polyps are seen in mid and lower two third
b) Leiomyoma and Leiomyosarcoma have same distribution.
c)Leiomyoma enucleation is sufficient
d) Leiomyoma are the most common benign tumors of esophagus
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Q1) False about role of PET scan in Ca esophagus
a) Upstages disease in 15% cases
b) Used to assess response to pre op chemo radiation
c) Used for selecting patients for surgery after neoadjuvant chemo Rt
d) Assessment of response is seen after 2 weeks of pre op chemo RT
Q 35) Not a step in Gastric pull up mobilization?
a) Lesser sac entering
b) Posterior mobilization of the duodenum
c) dilatation of hiatus
d) ligation of lesser curve vessels
Answer 35
Stomach is the best esophageal substitute. It has a single anastomosis, consistent blood supply and is durable
Disadvantage is reflux in the long term.
Check the answer to the question on gastric pull up in the answer
Q ) False regarding Caustic injury to Esophagus
a) Gastric lavage not done as it increases the chances of more injury
b) Neutralising agents not given as it produces more injury than preventing it
c) Milk and albumin not given as it causes more damage
d) Activated charcoal not given as it doesn’t effectively absorb alkali
Check one more question on caustic injuries to esophagus here
In caustic injuries to the esophagus, early decisions have to be taken. The involvement of surgeon should be done early and patient should be placed under close monitoring.
Blind nasogastric and orogastric tubes should not be inserted and initially CT of chest and abdomen with contrast should be done to guide the subsequent procedures. Read on
Q) DES esophagus False in the management of this patient
a) Treatment is primarily medical management
b) Long myotomy necessary if surgery indicated
c) Dor's Fundoplication is recommended to prevent reflux
d) Endoscopic dilatation.
Answer Q 30
Q ) Esophageal perforation true is ? Q 31-40 Esophagus
a) Contrast esophagogram in upright position is better
b) Massive hematemesis is a presentation
c) Mid esophageal perforation causes right pneumothorax
d) In More than 80% cases crepitus is seen
