Investigation Of Choice

Question 1

1) Zenker diverticulum
2) Esophageal web
3) Schatzki ring
4) Boerhaave syndrome

Answer 1

1)Barium swallow
2)Barium swallow
3)Barium swallow
4)For leak- Barium swallow with IOHEXOL
For inflammation and pneumomediastinum-CECT

Question 2

1) Mallory weis tear
2) TEF
3) Achalasia cardia
4) GERD

Answer 2

1) endoscopy
2) A-D- X-RAY FOR COILING OF RYLES TUBE
E(H)- TRACHEOBRONCHOSCOPY
3) gold standard manometry
IOC barium swallow
4) gold standard 24 hour pH monitoring
IOC endoscopy

Question 3

Esophageal cancer

Answer 3

(Chromo)Endoscopy and biopsy f/b
PET CT f/b
EUS

For M stage FDG PET

Question 4

1) Congenital hypertrophic pyloric stenosis
2) Menetrier disease
3) Gastric volvulus
4) Gastric ulcer
5) Watermelon stomach
6) Dieulafoy lesion

Answer 4

1) USG
2) ENDOSCOPY AND BIOPSY
3) CECT> Barium meal
4) ENDOSCOPY+/- BIOPSY(For gastric)
5) ENDOSCOPY
6) ENDOSCOPY

Question 5

Duodenal atresia
GIST
Gastric cancer

Answer 5

X ray
CECT, For recurrent GIST- PET (biopsy C/I)
Endoscopy and biopsy f/b PET CT f/b EUS, FDG PET for mets

Question 6

Liver

1) hemangioma
2) hepatic adenoma
3) focal nodular hyperplasia
4) hepatocellular carcinoma
5) fibrolamellar carcinoma

Answer 6

1)CECT-perpheral enhancement
2)USG f/b IOC CECT
3)CECT-central stellate scar, if fails, SULFUR COLLOID SCAN
4)USG f/b IOC CECT
OR AFP >400 AND CECT
5)USG f/b CECT- calcification+/-stellate scar

Question 7

Gallbladder and CBD

1) cholelithiasis
2) cholecystitis
3) gallstone ileus
4) cholangitis
5) choledochal cyst

Answer 7

1) USG
2) USG (but accuracy HIDA CECT USG)
3) CECT
4) USG f/b MRCP
5) USG f/b MRCP