Pseudo achalasia

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Q) Most common cause of  pseudo achalasia is ? (a) Benign tumors of esophagus (b) Chagas disease (c) Caustic injury (d) Adenocarcinoma of cardia Answer free for all 

Esophagus Stricture

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Q ) To restore normal swallowing  esophagus stricture to be dilated at least?      (a) 30mm    (b) 20mm     (c) 16mm      (d) 18mm Another Similar Question https://www.mcqsurgery.com/caustic-injuries-esophagus/ Answer

Squamous cell cancer of upper esophagus

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Q ) Old 65 years male with SCC upper Esophagus and Grade IV Dysphagia. Next treatment a) Definitive CRT b) Preop Chemo then THE c) Chemotherapy d) Neoadjuvant crt followed by three field esophagectomy Ans 

Benign polyps of esophagus

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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 Ans-    [/bg_collapse]

PET scan in Ca esophagus

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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 Answer 

Esophagus

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Q ) Patient with normal swallowing but progressive poor peristalsis in lower 2/3rds of esophagus and reflux episodes. a) Scleroderma b) Achalasia c) GERD Answer

Gastric pullup

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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 Answer 35 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

Caustic Injury to esophagus

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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 Check one more question on caustic injuries to esophagus here Answer  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