Esophageal disorders

Question 1

Caused by backflow of gastric acid and contents into the esophagus

Answer 1

GERD

Question 2

Barrier incompetence

Answer 2

Anti-cholinergics
B-adrenergics
Aminophylline
Nitrates
Calcium channel blockers

Question 3

CMV infxn tx

Answer 3

Gancyclovir

Question 4

Most common esophageal diverticulum

Answer 4

Zenker’s diverticulum

Question 5

Diverticulum in posterior hypopharyngeal wall

Answer 5

Zenker’s diverticulum

Question 6

Bird’s beak

Answer 6

Achalasia

Question 7

Esophageal body loses peristaltic contractions

Answer 7

Achalasia

Question 8

LES does not relax

Answer 8

Achalasia

Question 9

Loss of intramural neurons

Answer 9

Achalasia

Question 10

Metaplasia

Answer 10

Barretts esophagus

Question 11

Viral

Answer 11

HSV
VZV
CMV

Question 12

Immunocompromised

Answer 12

Candida

Question 13

Eosinophilic invasion

Answer 13

Eotaxin-3

Question 14

Drug-induced cardiomyopathy

Answer 14

Doxurubicin

Question 15

Hemorrhagic cystitis

Answer 15

Cyclophosphamide

Question 16

Nephrotoxicity
Ototoxicity
Perioheral neuropathy

Answer 16

Cisplatin

Question 17

Corrosive that is more dangerous because of deeper penetration

Answer 17

Alkali

Question 18

Pill-induced esophagitis

Answer 18

NSAIDs
KCL
FeSO4
Tetracyclines

Question 19

Most common site of zenker’s diverticulum and perforation

Answer 19

Killian’s triangle

Question 20

Hypopharyngeal webs
Iron deficiency anemia
Atrophic Glossitis

Answer 20

Plummer-vinson syndrome

Question 21

Ring in Lower esophageal ring

Answer 21

Schatzki ring

Question 22

Spontaneous rupture from forceful retching

Answer 22

Boerhaave’s syndrome

Question 23

Linear mucosal tear near GEJ assoc with retching or vomiting and alcoholics

Answer 23

Mallory-weiss syndrome

Question 24

Most common site of Mallory-weiss tear

Answer 24

GEJ

Question 25

Portal HPN

Answer 25

Esophageal varices

Question 26

Pre-sinusoidal obstruction

Answer 26

Schistosomiasis

Question 27

Post-sinusoidal obstruction

Answer 27

Budd-chiari syndrome

Question 28

Hepatic vein thrombosis

Ascitis

Answer 28

Budd-chiari syndrome

Question 29

Best method for dx and active bleeding tear

Answer 29

Endoscopy

Question 30

H.pylori

Answer 30

Peptic ulcer disease

Question 31

Urease producing organism

Answer 31

H.pylori

Question 32

Block prostaglandin synthesis, impairing mucosal defense and repair

Answer 32

NSAIDs

Question 33

Most common cause of UGIB

Answer 33

PUD

Question 34

PUD causes

Answer 34

H.pylori

NSAIDs

Question 35

Burning epigastric pain exacerbated by fasting improved with meals

Answer 35

PUD

Question 36

Unclean food
Unclean water
Poor education
Exposure
Sanitation
Economic status

Answer 36

Risk factors of PUD

Question 37

Associated with malignancy

Answer 37

Gastric ulcer

Question 38

Pain precipitated by intake of food

Answer 38

Gastric ulcer

Question 39

Pain occurs 1.5 H after meal, relieved by antacids or food

Answer 39

Duodenal ulcer

Question 40

Pain wakes patient at night 12mn- 3am

Answer 40

Duodenal ulcer

Question 41

Punched out defect

Answer 41

Duodenal ulcer

Question 42

Heaped up margins

Answer 42

Gastric ulcer

Question 43

Portion of duodenal ulcer located

Answer 43

First portion of duodenum

Question 44

Located w/n 3cm of pylorus

Answer 44

Duodenal ulcer

Question 45

Ranitidine

Famotidine

Answer 45

H2 receptor antagonist

Question 46

Recommended tx for PUD

Answer 46

PPI
Omeprazole
Esomeprazole

Question 47

Cryoprotective agents

Answer 47

Sucralfate

Bismuth citrate

Question 48

Bismuth side effect

Answer 48

Black colored stool

Question 49

Misoprostol

Answer 49

PGE-1

Question 50

Combination therapy

H.pylori eradication

Answer 50

PPI
AMOXICILLIN
CLARITHROMYCIN