Esophagus, Stomach

Question 0

Recommended anti reflux procedure

Answer 0

Nissen fundoplocation

Question 1

3 areas of narrowing

Answer 1

Cricopharyngrus, left mainstem bronchus, diaphragmstic hiatus

Question 2

Most common diaphragmatic hernia invovles?

Answer 2

Upward dislocation of the cardia to the thorax; aka sliding/type I

Question 3

Diaphragmatic hernia: upward dislocation of the fundus

Answer 3

II

Question 4

Combined herniation of cardia and fundus

Answer 4

Mixed/ type 3

Question 5

Additional organ herniates aside from stomach

Answer 5

Type IV

Question 6

Cheat pain, retching, inability to vomit, inability to pass NGT

Answer 6

Borchardt’s triad

Question 7

Zenker’s diverticulum

Answer 7

Pharyngoesophageal

Question 8

Diverticula that contains mucosa and submucosa

Answer 8

False

Question 9

Results from high pressure generated in the hypopharynx

Answer 9

zenker’s diverticula

Question 10

Area of potential weakness situated behind the esophagus at the level of te cricopharyngeus muscle

Answer 10

Killian’s triangle

Question 11

Dx for diverticula

Answer 11

Barium swallow

Question 12

Tx for zenker

Answer 12

2 cm or less- pharyngomyotomy;
>2cms- diverticulectomy
Diverticulopexy

Question 13

Diverticula located 5cms above and below the level of the carina

Answer 13

Mid thoracic

Question 14

Heller’s myotomy is used for

Answer 14

Achalaska

Question 15

Most common primary esophageal disorder

Answer 15

Nutcracker esophagus

Question 16

Spontanoeus rupture of esophagus; hx of resisting vomiting

Answer 16

Boerhave’s syndrome

Question 17

Ivor lewis procedure is for

Answer 17

Esophageal carcinoma

Question 18

Oringer ‘s trans hiatal technique is for

Answer 18

Esphophageal carcinoma

Question 19

Akiyama technique is fir

Answer 19

Esohageal carcinoma(left thoracoabdiminal approach)

Question 20

Submucosal ring in lower esophagus

Answer 20

Schatzki’s ring

Question 21

Dysphagia atrophic oral mucosa, spoon shaped fingers with brittle nails, chronic anemia

Answer 21

Plummer vinson syndrome

Question 22

Mucosal tears located at the GE junction

Answer 22

Mallory weis tear

Question 23

Gives criminal nerve of Grassi

Answer 23

Right vagal trunk

Question 24

Preferred for confirming cure in PUD

Answer 24

Urea breath test

Question 25

Most common gastric ulcer type

Answer 25

I: antral lesser curvature

Question 26

NSAID induced gastric ulcer type

Answer 26

V

Question 27

Type of gastric ulcer associated with acid hypersecretion

Answer 27

II and III(type I plus duodenal ulcer; pre pyloric ulcer)

Question 28

Aka graham's procedure

Answer 28

Omental patching

Question 29

Gastroduodenostomy

Answer 29

Bilroth I

Question 30

Gastrojejunostomy

Answer 30

Billroth II

Question 31

Drainage procedure in peptic ulcer

Answer 31

Heineke Mikulicz pyloroplasty

Question 32

Medical management for early dumping

Answer 32

Octreotide

Question 33

Medical management for late dumping

Answer 33

Alpha glucosidase inhibitor

Question 34

Surgical management for dumping

Answer 34

Roux en Y anastamosis

Question 35

ZES involves uncontrolled secretion kf

Answer 35

Gastrib

Question 36

Confrmatory test for ZES

Answer 36

Secretin stimulaion tets

Question 37

Most common malignant neoplasm of stomach

Answer 37

Adenocarcinoma

Question 38

Gold standard in diagnosing gastic carcinoma

Answer 38

Upper endoscopy + biopsy

Question 39

Mgmt for gastric adenocarcinoma

Answer 39

Resection of all tumor(R0) with 5cms grossly negative margins (radical subtotal gastrectomy)

Question 40

Most common site for primary gastric GI lymphoma

Answer 40

Gastric lymphoma

Question 41

Mgmt for gastric lymphoma

Answer 41

Chemo; radical subtotoal gastrectomy for tumor complications

Question 42

GIST tumor marker

Answer 42

C KIT

Question 43

Mgmt for GIST

Answer 43

Wedge resection with negative margins; imatinib for unresectable

Question 44

Arise from gastric ECL cells

Answer 44

Gastric carcinoid

Question 45

Most common type of gastric carcinoid

Answer 45

I

Question 46

Mgmt for gastric carcinoid

Answer 46

Small: EMR(endoscopic mucosal resection); larger: radical subtotal gastrectomy

Question 47

Also called Menetrier's disease

Answer 47

Hypertrophic gastropathy

Question 48

Associated with protein losing enteropathy and hypochlorydia

Answer 48

Menetrier's disease

Question 49

Aka watermelon stomach

Answer 49

Gastric antral vascular ectasia

Question 50

Dilated mucosal blood vessel in distal stomach

Answer 50

watermelon stomach

Question 51

Cogenital AV malformation; unusually large tortuos submucosal artery

Answer 51

Dieulafoy'a lesion

Question 52

Mgmt for dieulafoy

Answer 52

Endoscopic hemostasis, angiographic embolization, oversew or resection