The Esophagus- Surgical Diseases 4th Year- PMU

Descripción

THE ESOPHAGUS: ESOPHAGEAL CANCER. ACHALASTIA. ESOPHAGEAL DIVERTICULA. CAUSTIC INJURIES
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Resumen del Recurso

Pregunta 1

Pregunta
If you want flashcards go to https://quizlet.com/_6rs6rk
Respuesta
  • True
  • False

Pregunta 2

Pregunta
The most common esophageal diverticulum found today is
Respuesta
  • Zenker’s diverticulum
  • Hartman’s diverticulum
  • Rovsing’s dverticulum
  • Kocher’s diverticulum

Pregunta 3

Pregunta
Zenker’s diverticulum occurs in which part of the esophagus?
Respuesta
  • subdiaphragmatic
  • intraabdominal
  • pharyngoesophageal
  • parabronchial

Pregunta 4

Pregunta
Method of choice for diagnosing esophageal diverticula is
Respuesta
  • Plain X-ray
  • MRI
  • Contrast esophagography
  • CT scan
  • Upper endoscopy

Pregunta 5

Pregunta
The treatment of Zenker’s diverticulum consists of
Respuesta
  • endoscopic thermal coagulation
  • broad spectrum antibiotics
  • surgical or endoscopic repair
  • esophagectomy

Pregunta 6

Pregunta
Achalasia is characterized with
Respuesta
  • hypertension of the LES
  • failure of the LES to relax
  • compromised esophageal peristaltic
  • abnormal dilation of the esophagus at late stage
  • all of the above

Pregunta 7

Pregunta
Which parasitic disease is related to achalasia?
Respuesta
  • Hydatid cyst disease
  • Chagas disease
  • Enterobiosis
  • Ascariasis

Pregunta 8

Pregunta
The major symptom of achalasia is
Respuesta
  • dysphagia of liquids
  • odynophagia
  • abdominal pain
  • heartburn

Pregunta 9

Pregunta
The gold standard test for diagnosis of achalasia is
Respuesta
  • Plain X-ray
  • CT scan
  • Manometry
  • Endoscopic US
  • MRI

Pregunta 10

Pregunta
“Bird’s beak” is a typical X-ray feature of
Respuesta
  • Barret’s esophagus
  • GERD
  • Achalasia
  • Zenker’s diverticulum
  • Esophageal cancer

Pregunta 11

Pregunta
The treatment of achalasia consists of
Respuesta
  • nitroglycerin, nitrates and calcium channel blockers
  • bougie dilation
  • injections of botulinum toxin (Botox)
  • surgical esophagomyotomy
  • all of the above

Pregunta 12

Pregunta
Heller myotomy is a surgical method of treatment of
Respuesta
  • Esophageal cancer
  • Zenker's diverticulum
  • Pulmonary abscess
  • Achalasia
  • Pyloric stenosis

Pregunta 13

Pregunta
Barret’s esophagus is characterized with
Respuesta
  • replacement of the stratified squamous epithelium with intestinal columnar epithelium
  • replacement of the stratified squamous epithelium with transitional epithelium
  • replacement of the intestinal columnar epithelium with stratified squamous epithelium
  • squamous cell cancer in situ

Pregunta 14

Pregunta
Barret’s esophagus is a risk factor for developing
Respuesta
  • Squamous cell carcinoma of the esophagus
  • Achalasia
  • GERD
  • Adenocarcinoma of the esophagus

Pregunta 15

Pregunta
The alkali ingestion is the most dangerous caustic injury of the esophagus because of
Respuesta
  • liquefactive necrosis with deep penetration in the tissues
  • severe bleeding
  • immediate rupture
  • coagulative necrosis forming an eschar that limits tissue penetration

Pregunta 16

Pregunta
The most popular anti-reflux operation for GERD is called
Respuesta
  • Whipple Operation
  • Billroth II
  • Nissen fundoplication
  • Ivor Lewis procedure

Pregunta 17

Pregunta
Which of the following is the most commonly observed histologic type of cancer in the upper and the middle part of the esophagus?
Respuesta
  • adenocarcinoma
  • squamous cell carcinoma
  • neuro endocrine tumors
  • small cell carcinoma

Pregunta 18

Pregunta
Symptoms such as dysphagia for solids, weight loss arid regurgitation in most of the cases are associated with
Respuesta
  • Stomach cancer
  • Barret’s esopghagus
  • Advanced esophageal cancer
  • Zenker’s diverticulum
  • GERD

Pregunta 19

Pregunta
Method of choice for diagnosis of esophageal cancer is
Respuesta
  • Esophagography
  • Endoscopy with biopsy
  • CT scan
  • MRI

Pregunta 20

Pregunta
The most critical component of esophageal cancer staging that gives accurate information for T and N status of the tumor is
Respuesta
  • Upper endoscopy
  • CT scan
  • Esophagography
  • Endoscopic ultrasound

Pregunta 21

Pregunta
Ivor Lewis procedure used for surgical treatment of esophageal cancer is described as
Respuesta
  • thoracoabdominal esophagectomy
  • transhiatal esophagectomy
  • en-block (three incision) esophagectomy
  • endoscopic mucosal resection

Pregunta 22

Pregunta
Which of the following is a surgical method of treatment of esophageal cancer?
Respuesta
  • Ivor Lewis procedure
  • Transhiatal esophagectomy
  • En-block esophagectomy
  • Esophagectomy with right colonic transposition
  • All of the above
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