ABSITE - ESOPHAGUS – QUESTIONS WITH CORRECT ANSWERS 2025

ABSITE - ESOPHAGUS – QUESTIONS WITH
CORRECT ANSWERS 2025
AN75-year-
oldNmaleNpresentsNtoNtheNclinicNwithNaNfeelingNofNfullnessNinNhisNthroatNandNtroubleNswallowing.NHeNcomp
lainsNofNaNworseningNcoughNandNmoreNrecently,NbadNbreathNtoNtheNpointNheNavoidsNgoingNoutNinNpublic.N
WhatNisNtheNmostNappropriateNfirstNdiagnosticNtest?

A.NPlainNchestNx-ray

B.NBariumNesophagram

C.NUpperNendoscopy

D.NManometry

E.NCTNofNtheNchestN-NCORRECTNANSWERN-BariumNesophagram

Correct.

ThisNpatientNpresentsNwithNclassicNsymptomsNofNZenker'sNdiverticulum,NwhichNisNmostNcommonlyNfoundNi
nNelderlyNpatientsNandNisNbelievedNtoNbeNtheNresultNofNlossNofNtissueNelasticityNandNmuscleNtoneNassociate
dNwithNaging.NItNisNfoundNherniatingNintoNKillian'sNtriangle,NlocatedNatNtheNjunctionNofNtheNhypopharynxNan
dNtheNesophagus.NTheNmostNappropriateNfirstNdiagnosticNtestNwouldNbeNaNbariumNesophagram,Nespecially
NlateralNviewsNsinceNitNisNusuallyNfoundNposteriorlyNalongsideNtheNesophagus.NUpperNendoscopyNandNman

ometryNareNnotNnecessaryNinNdiagnosingNZenker's.



AN50-year-
oldNmaleNpresentsNtoNtheNERNwithNchestNpainN6NhoursNafterNundergoingNpneumaticNdilationNforNachalasia.
NANwater-solubleNcontrastNUGINdemonstratesNaNsmallNwell-

containedNperforation.NTheNdistalNesophagusNappearsNpatent.NTheNpatientNisNhemodynamicallyNstable.NW
hatNisNtheNnextNbestNstepNinNmanagement?

A.NObserveNandNattemptNPONtrial.

B.NAdmit,NkeepNNPONandNstartNbroad-spectrumNantibiotics.

C.NPlacementNofNaNCT-guidedNmediastinalNdrain

D.NImmediateNoperativeNdebridement

E.NDischargeNpatientNwithNcloseNfollow-up.N-NCORRECTNANSWERN-Admit,NkeepNNPONandNstartNbroad-
spectrumNantibiotics.

Correct.

MostNiatrogenicNesophagealNperforationsNsecondaryNtoNpneumaticNdilationNareNsmallNandNwell-
contained.NTheNpatientNshouldNbeNinitiallyNconsideredNforNnon-
operativeNmanagementNwithNantibioticsNandNcloseNmonitoringNbasedNonNtheNaforementionedNUGINfindin

,gsNifNtheNdistalNobstructionNhasNbeenNresolvedNandNtheNpatientNremainsNhemodynamicallyNstable.NDevelo
pmentNofNconcerningNsignsNmayNultimatelyNwarrantNinterventionNsuchNasNCT-
guidedNdrainageNorNoperativeNmanagement.NAttemptingNPONtrialNorNdischargeNwouldNbeNinappropriateNa
ndNprematureNatNthisNtime.



AN35-year-
oldNmaleNpresentsNtoNtheNERNcomplainingNofNchestNpain.NHeNwentNoutNtoNdinnerN2NnightsNagoNandNrapidly
NdevelopedNabdominalNcramps,NemesisNandNdiarrhea;Nhowever,NheNdidNnotNnoticeNbloodNinNhisNvomitNorN

stools.NThisNmorningNheNwokeNupNwithNacuteNonsetNofN10/10NchestNpainNandNdescribedNfeelingNlighthead
edNandNdizzy.NHeNdeniesNanyNrecentNalcoholNuse.NCurrentNvitalNsignsNare:NHRN120Nbpm,NBPN100/68NmmHg
,NRN24/minNandNTN101.6°F.NWhichNtestNisNmostNlikelyNtoNidentifyNtheNdiagnosis?

A.NEKG

B.NFlatNplateNandNuprightNofNtheNabdomen

C.NEsophagram

D.NStoolNpathogens

E.NUreaNbreathNtestN-NCORRECTNANSWERN-Esophagram

Correct.

TheNcorrectNdiagnosisNisNspontaneousNesophagealNperforation,NorNBoerhaaveNsyndrome.NTheNstemNidenti
fiesNaNrecentNepisodeNofNfoodNpoisoningNwithNsignificantNemesis.NAlthoughNthisNpatientNdoesn'tNdrink,Nalc
oholismNandNbingeNdrinkingNwithNemesisNisNanotherNredNflagNforNesophagealNspontaneousNperforation.NC
ontrastNesophagramNisNtheNtestNmostNlikelyNtoNidentifyNtheNdiagnosis.NCTNscan,NalthoughNnotNlisted,NisNals
oNhelpful.NEKGNwouldNbeNhelpfulNtoNidentifyNaNcardiacNetiologyNsuchNasNMI,NbutNinNourNpatientNwouldNlikel
yNjustNshowNsinusNtachycardia.NAbdominalNseriesNwouldNhelpNdiagnoseNbowelNobstructionNorNpneumoper
itoneumNfromNaNhollowNviscusNperforation.NStoolNpathogenNmayNbeNpositiveNgivenNrecentNgastroenteritis;
Nhowever,NthisNisNnotNtheNcauseNofNdelayedNsepsis.NUreaNbreathNtestNisNusedNtoNdiagnoseNH.NpyloriNrelated

NtoNpepticNulcerNdisease.




AN45-year-
oldNmaleNpresentsNtoNtheNERNcomplainingNofNnauseaNandNvomiting.NHeNsmellsNofNalcoholNandNnotesNaNcha
ngeNinNemesisNfromNbiliousNtoNbloodyNacutelyNthisNevening.NUponNfurtherNquestioning,NheNadmitsNtoNbing
eNdrinkingNoftenNtoNtheNpointNofNvomiting.NHisNcurrentNvitalsNare:NHRN110Nbpm,NBPN120/74NmmHg,NRN22/
minNandNTN99.3°F.NWhatNisNtheNlikelyNcauseNofNhisNsymptoms?

A.NPepticNulcerNdisease

B.NEsophagealNvarices

C.NEsophagealNperforation

D.NEsophagealNcancer

, E.NMallory-WeissNsyndromeN-NCORRECTNANSWERN-Mallory-WeissNsyndrome

Correct.

TheNpatientNhasNMallory-
WeissNsyndrome.NFromNhisNhistory,NheNappearsNtoNbeNanNalcoholicNonNaNrecentNbinge.NAlthoughNtheNdiffer
entialNforNupperNGINbleedingNandNemesisNisNbroad,NbiliousNemesisNwhichNacutelyNchangesNtoNbloodyNemes
isNisNhighlyNsuggestiveNofNaNMallory-
WeissNtear,NwhichNoccursNatNtheNjunctionNofNtheNesophagusNandNgastricNcardia.NCancerNisNlikelyNtoNhaveNaN
moreNindolentNobstructiveNpresentation.NPerforationNoftenNpresentsNwithNtachycardia,NleukocytosisNandNf
ever.



AN42-year-
oldNotherwiseNhealthyNfemaleNwasNnotedNtoNhaveNpersistentNUGINbleedingNfollowingNanNepisodeNofNsever
eNvomiting.NEndoscopicNevaluationNnotesNaNmucosalNtearNinNtheNgastricNcardia.NMultipleNendoscopicNatte
mptsNfailNtoNcontrolNtheNbleeding.NTheNpatientNisNnowNhemodynamicallyNunstable.NWhatNisNtheNnextNstepN
inNmanagement?

A.NOctreotide

B.NContinuousNprotonNpumpNinhibitor

C.NRepeatNattemptNatNendoscopicNelectrocoagulation

D.NAngiographicNembolization

E.NOversewingNlacerationNthroughNanNanteriorNgastrostomyN-NCORRECTNANSWERN-
OversewingNlacerationNthroughNanNanteriorNgastrostomy

Correct.

Mallory-
WeissNtearsNareNoftenNcausedNbyNforcefulNretchingNorNcoughing.NSimilarNtoNotherNsourcesNofNUGINbleeding
,NinitialNtreatmentNtypicallyNconsistsNofNnon-
operativeNmedicalNmanagementNandNendoscopicNmaneuvers.NHowever,NinNcasesNofNpersistentNbleedingNa
ndNconcurrentNhemodynamicNinstability,NoperativeNinterventionNisNwarranted.NTheNmucosalNtearNisNtypica
llyNlocatedNinNtheNgastricNcardiaNandNcanNbeNaccessedNthroughNanNanteriorNgastrostomy.NContinuedNmedic
alNtherapyNwouldNnotNbeNappropriateNatNthisNtime.NAngiographicNembolizationNcanNbeNutilizedNinNcasesNw
henNpatientsNareNnotNsuitableNorNunwillingNtoNundergoNsurgery.



AN1-year-
oldNchildNpresentsNtoNtheNemergencyNroomNafterNhavingNswallowedNaNpenny.NAtNwhichNlevelNofNtheNesoph
agusNisNtheNcoinNmostNlikelyNtoNbecomeNlodged?

A.NCervicalNesophagus

B.NMidNesophagus