Esophagus

Question 1

Symptoms in Johnson-DeMeester scoring system

Answer 1

1 heart burn 2 regurgitation 3 dysphasia

Question 2

Complication of GERD

Answer 2

• Reflux esophagi’s * sliding hiatus hernia * stricture * shortening * Barret * carcinoma

Question 3

Grade 3 of esophagi’s by endoscope

Answer 3

Erosion with circumferential loss of epithelium [ cobblestone ]

Question 4

Grade 2 of esophagi’s by endoscope

Answer 4

Linear erosion, lined with granulation bleeds on touch

Question 5

When symptoms of GERD are certain but endoscopy is normal, we use

Answer 5

24-hour pH monitoring

Question 6

In manometer, we suspect GERDwhen LOS p→

Answer 6

<6mmhg

Question 7

Cardio-esophagycel junction lies

Answer 7

Lt to Th vertebra 11

Question 8

Site at which esophagus’s circular Ms → oblique stomach Ms

Answer 8

Collar of helvetius

Question 9

Three physiological constrictions of esophagi’s

Answer 9

① cricopharyngeal ② aortic & bronchial ③ diaphragm sphincter.

Question 10

Arterial supply of lower esophagas

Answer 10

Bronchial + left gastric A

Question 11

Arterial supply of upper thoracic esophagi’s

Answer 11

Inf thyroid A

Question 12

Lymphatic drainage of upper esophagi’s

Answer 12

Left + right supraclavicular nodes

Question 13

Treatment of small benign esophagent tumor

Answer 13

Enucleation

Question 14

Factors for squamous cell carcinoma

Answer 14

① tylosis ② lye stricture ③ achalasia @ plummer-vinson ⑤ short esophagi’s ⑥ esophagitis

Question 15

Factors for Aden carcinoma

Answer 15

① Barret ② obesity ③ reflux estophitis ④ low socioeconomic ⑤ helicobacter pylori