NEET PG- Esophagus

Question 1

Boerhaave’s Syndrome

Answer 1

Posterolateral wall of lower third of esophagus
full thickness tear

Question 2

Mallory Weiss tear

Answer 2

Non transmural
GEJ

Question 3

Iatrogenic tears

Answer 3

Most common cause of esophageal perforation
Hypopharynx
GEJ

Question 4

Eosinophilic Esophagitis

Answer 4

> 15 eosinophils/HPF Squamous epithelium
Series of rings
Feline esophagus
PPI
Modification of diet
Topical CS
IL-5 (mepolizumab)

Question 5

Mallory Weiss and endoscopic treatment

Answer 5

Required when bleeding present
If non bleeding sentinel clot no therapy

Question 6

CMV Esophagitis

Answer 6

Immunocompromised
Odynophagia (mc)
Serpiginous ulcers
Large nuclear and cytoplasmic inclusions

Treatment- Ganciclovir/ Valganciclovir (900mg BD till healing)

Question 7

HIV patient with Odynopahgia

Answer 7

Candida Esophagitis
Oral Fluconazole

Question 8

Diffuse Esophageal Spasm

Answer 8

Hypermotility
Females
Dysphagia Chest pain
normal peristalsis in between
Marked hypertrophy of CIRCULAR muscles
CORKSCREW APPEARANCE

Question 9

Achalasia Cardia

Answer 9

Absence of Peristalsis and impaired relaxation of LES
Loss of Ganglionic Cells
Myenteric plexus
Bird Beak appearance
Rat Tail Appearance
Esophageal Mannometry

Question 10

Zenker’s Diverticulum

Answer 10

Pseudodiverticulum
Herniation of Mucosa/ submucosa through Killian triangle

Question 11

Killian Triangle

Answer 11

Transverse fibres of Cricopharyngeus
Oblique fibres of Thyropharyngeus

Question 12

Treatment of Achalasia Cardia

Answer 12

Nitrates
CCBS
Botox
Sildenafil
Anti Cholinergics
Pneumatic Dilatation
Heller’s Myotomy
POEM

Question 13

True Diverticula of Esophagus

Answer 13

BODY

Question 14

Zenkers Diverticulum

Answer 14

Epiphrenic Diverticula
usually upper esophagus

Question 15

Steakhouse Syndrome

Answer 15

Schatzki rings