Esophagus

Esophagus perforation

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Q) A 45 year old man who has been drinking regularly for the past 15 years vomits after a large meal and complains of severe chest pain. Cardiac cause is ruled out and boerhavve's syndrome is suspected. Which of the following is not true about this condition

a) Gastrograffin tests will confirm the diagnosis

b) Perforation is most common in the left lower end

c) Exploration and full thickness suturing of perforation should be done

d) This condition has a high morbidity and mortality if not diagnosed at time

Answer for premium members  - Discussion on Boerhaave's syndrome

Barrett esophagus

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Q . Barrett's esophagus is a premalignant condition. Which of  the following statement is false regarding Barrett's esophagus

 a) Barrett's mucosa predisposes to Squamous cell carcinoma of esophagus

b) Risk of Cancer is 0.5% per year

c) Prevalence of Barrett's esophagus in general  population is  2-7%

d) Intestinal type of mucosa  with goblet cells is the most  common histopathological finding

Answer for Premium members

Caustic injuries to esophagus

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Caustic Esophageal Injury Reconstruction MCQ | mcqsurgery.com
Q) A 28-year-old man with a history of accidental caustic ingestion in childhood presents with long-standing progressive dysphagia. He has undergone multiple endoscopic dilatations with only temporary relief. Contrast study shows a long-segment esophageal stricture. He is being planned for definitive surgical reconstruction. Which of the following statements regarding reconstruction after caustic esophageal injury is NOT true?
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Conduits of Esophagus

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Q) What is true regarding gastric conduits to be used as esophagus replacement?

a) The right gastric and gastro epiploic arteries can be safely divided to bring stomach to the neck

b) For malignant diseases stomach is the most reliable conduit

c) Stomach has the least incidence of developing reflux esophagitis

d) For benign esophageal strictures stomach is the conduit of choice

Esophageal hiatus hernia

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Type III Hiatal Hernia MCQ for NEET SS | mcqsurgery.com

What is a Type III esophageal (hiatal) hernia?

Correct Answer

c) Combination of sliding and paraesophageal hernia

Explanation

Hiatal hernias are classified based on the position of the gastroesophageal junction and stomach. Type I involves upward displacement of the GEJ into the thorax. Type II has a normally positioned GEJ with part of the stomach herniating alongside the esophagus. Type III is a mixed hernia where both the GEJ and stomach herniate into the thoracic cavity. Option (d) is more consistent with a giant paraesophageal hernia (Type IV).

Teaching Points

  • Type I is the most common and associated with GERD
  • Type III is a mixed hernia involving GEJ and stomach
  • Type II and III have higher risk of volvulus and strangulation
  • Large hernias with most of the stomach in chest are Type IV
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EUS criteria of malignant lymph node

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Q) One of the following is not a criteria of malignancy in lymph node on EUS

a) Size more than 1 cm

b) Prominent intranodal vasculature

c) Sharp well defined  borders

d) Hypoechoic