Q ) Old 65 years male with SCC upper Esophagus and Grade IV Dysphagia. Next treatment
a) Definitive CRT
b) Preop Chemo then THE
d) Neoadjuvant crt followed by three field esophagectomy
Q ) False regarding Benign lesion of esophagus
a) Fibrovascular polyps are seen in mid and lower two third
b) Leiomyoma and Leiomyosarcoma have same distribution.
c)Leiomyoma enucleation is sufficient
d) Leiomyoma are the most common benign tumors of esophagus
Q1) False about role of PET scan in Ca esophagus
a) Upstages disease in 15% cases
b) Used to assess response to pre op chemo radiation
c) Used for selecting patients for surgery after neoadjuvant chemo Rt
d) Assessment of response is seen after 2 weeks of pre op chemo RT
Q ) Patient with normal swallowing but progressive poor peristalsis in lower 2/3rds of esophagus and reflux episodes.
Q 35) Not a step in Gastric pull up mobilization?
a) Lesser sac entering
b) Posterior mobilization of the duodenum
c) dilatation of hiatus
d) ligation of lesser curve vessels
Stomach is the best esophageal substitute. It has a single anastomosis, consistent blood supply and is durable
Disadvantage is reflux in the long term.
Check the answer to the question on gastric pull up in the answer
Q ) False regarding Caustic injury to Esophagus
a) Gastric lavage not done as it increases the chances of more injury
b) Neutralising agents not given as it produces more injury than preventing it
c) Milk and albumin not given as it causes more damage
d) Activated charcoal not given as it doesn’t effectively absorb alkali
In caustic injuries to the esophagus, early decisions have to be taken. The involvement of surgeon should be done early and patient should be placed under close monitoring.
Blind nasogastric and orogastric tubes should not be inserted and initially CT of chest and abdomen with contrast should be done to guide the subsequent procedures. Read on
- Q) False regarding CA Esophagus
a) Siewert I treated as Esophageal cancer
b) Siewert III treated as Gastric cancer
c) Siewert II treated as Esophageal cancer or Merindino surgery
d) Proximal margin in Esophagus is determined routinely to alter the management
Q) DES esophagus False in the management of this patient
a) Treatment is primarily medical management
b) Long myotomy necessary if surgery indicated
c) Dor's Fundoplication is recommended to prevent reflux
d) Endoscopic dilatation.
Answer Q 30