(GERD)
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Questions and Answers

What is the primary etiology of GERD?

  • Pyloric stenosis
  • Delayed emptying of the stomach due to organic factors
  • Formation of a peptic ulcer in the lower esophagus
  • Incompetence of the cardia due to sliding hiatal hernia (correct)

What is the definition of Gastro-oesophageal reflux disease (GERD)?

  • Formation of a peptic ulcer in the lower esophagus
  • Incompetence of the pyloric sphincter leading to delayed emptying of the stomach
  • Regurgitation of acidic stomach contents into the esophagus leading to chronic esophagitis (correct)
  • Chronic inflammation of the stomach lining

What is a characteristic symptom of GERD?

  • Bloody stool
  • Chest pain
  • Acute dysphagia
  • Bitter taste in the mouth (correct)

What is the pathology behind reflux esophagitis in GERD?

<p>Recurrent superficial ulceration causing esophageal spasm and edema (B)</p> Signup and view all the answers

What is a potential complication of GERD?

<p>Chronic blood loss leading to secondary anemia (D)</p> Signup and view all the answers

What is the primary cause of Gastro-oesophageal reflux disease (GERD)?

<p>Incompetence of the cardia due to a sliding hiatal hernia (B)</p> Signup and view all the answers

What is the pathology behind reflux esophagitis in GERD?

<p>Recurring superficial ulceration causing longitudinal muscle spasm and esophageal fibrosis (D)</p> Signup and view all the answers

What is a potential complication of Gastro-oesophageal reflux disease (GERD)?

<p>Chronic blood loss leading to secondary anemia (A)</p> Signup and view all the answers

What is the characteristic symptom of Gastro-oesophageal reflux disease (GERD)?

<p>Burning pain (Heart burn) (A)</p> Signup and view all the answers

What may lead to progressive stricture and shortening of the esophagus in Gastro-oesophageal reflux disease (GERD)?

<p>Recurring esophageal fibrosis due to superficial ulceration (C)</p> Signup and view all the answers

Which surgical procedure may lead to alkalosis in cases of gastrectomy followed by oesophagoduodenostomy or oesophagojejunostomy without Roux en Y loop?

<p>Oesophagojejunostomy (A)</p> Signup and view all the answers

What is the primary cause of Gastro-oesophageal reflux disease (GERD) due to incompetence of cardia?

<p>Sliding H.H. (D)</p> Signup and view all the answers

What is the initial symptom of Gastro-oesophageal reflux disease (GERD) which is characterized by burning pain?

<p>Heart burn (A)</p> Signup and view all the answers

What may cause chronic blood loss leading to secondary anemia or haematemesis in Gastro-oesophageal reflux disease (GERD)?

<p>Peptic ulceration in the lower esophagus (B)</p> Signup and view all the answers

What characteristic feature of reflux esophagitis in GERD causes longitudinal muscle spasm drawing the cardia more and more up into the thorax?

<p>Superficial ulceration (C)</p> Signup and view all the answers

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