Esophageal and Gastric Disorders Quiz PDF

Worksheets Name Esophageal and Gastric Disorders Class Total questions: 25 Worksheet time: 13mins...

Worksheets Name Esophageal and Gastric Disorders Class Total questions: 25 Worksheet time: 13mins Date Instructor name: Mr. hkvxdgsnsg apple_user 1. A 65-year-old male presents with progressive dysphagia and significant weight loss. Endoscopy reveals a mass in the distal esophagus. What is the most likely diagnosis, and what is the next best step in management? a) Esophagitis; treat with antifungal therapy b) Barrett esophagus; start proton pump inhibitors c) Esophageal adenocarcinoma; obtain a biopsy d) Esophageal stricture; perform dilation 2. A patient with asthma and a history of food allergies reports intermittent dysphagia and episodes of food impaction. Endoscopy reveals concentric rings and furrows in the esophagus. What is the most likely diagnosis? a) Achalasia b) GERD c) Eosinophilic esophagitis d) Pill-induced esophagitis 3. A patient presents with weight loss, early satiety, and epigastric pain. Imaging reveals a gastric mass. What is the initial diagnostic study of choice? a) Upper endoscopy with biopsy b) Abdominal ultrasound c) Gastric emptying study d) CT scan of abdomen 4. A 50-year-old male with a history of chronic GERD undergoes endoscopy, revealing columnar-lined epithelium in the distal esophagus. What is the diagnosis, and what follow-up is required? a) Esophageal varices; initiate beta blockers b) Barrett esophagus; surveillance endoscopy c) Hiatal hernia; surgical repair d) Esophagitis; short-term PPI therapy 5. A 45-year-old with dyspepsia tests positive for H. pylori on a urea breath test. What is the preferred treatment regimen? a) H2 receptor antagonist and sucralfate b) Bismuth, PPI, tetracycline, and metronidazole c) Clarithromycin and amoxicillin only d) Amoxicillin and metronidazole https://quizizz.com/print/quiz/673831df94c4a22789fdbab4 11/22/24, 2 00 AM Page 1 of 6 :  6. A patient presents with nausea, hematemesis, and epigastric pain after a heavy alcohol binge. Endoscopy shows diffuse erythema and erosions in the stomach. What is the most likely diagnosis? a) Mallory-Weiss tear b) Zollinger-Ellison syndrome c) Peptic ulcer disease d) Erosive gastritis 7. A patient taking NSAIDs presents with epigastric pain relieved by food but worsened at night. What is the most likely diagnosis? a) Peptic ulcer disease b) Zollinger-Ellison syndrome c) GERD d) Acute gastritis 8. Compare the clinical presentation of a gastric ulcer versus a duodenal ulcer. Which type is more commonly associated with pain relief after eating? a) Both types b) Duodenal ulcer c) Gastric ulcer d) Neither type 9. A patient with refractory PUD is found to have an elevated fasting serum gastrin level. What is the most likely diagnosis, and what is the appropriate next step? a) GERD; increase PPI dosage b) Gastric cancer; endoscopic biopsy c) Zollinger-Ellison syndrome; secretin stimulation test d) H. pylori infection; urea breath test 10. A patient with eosinophilic esophagitis undergoes dietary modifications and PPI therapy but continues to have dysphagia. What additional treatment should be considered? a) Esophageal dilation b) Corticosteroid therapy c) Antifungal therapy d) Nissen fundoplication 11. A patient presents with nausea, vomiting, and weight loss. Imaging reveals a dilated stomach and a narrow pylorus. What is the most likely diagnosis, and how is it managed? a) Gastric outlet syndrome; surgical repair b) Zollinger-Ellison syndrome; tumor resection c) Hiatal hernia; PPI therapy d) Gastroparesis; dietary modification https://quizizz.com/print/quiz/673831df94c4a22789fdbab4 11/22/24, 2 00 AM Page 2 of 6 :  12. A patient presents with severe nausea, vomiting, and a tender, rigid abdomen. Imaging confirms free air under the diaphragm. What is the diagnosis, and what is the next step in management? a) Gastric outlet obstruction; endoscopy b) Gastric volvulus; surgical reduction c) Pancreatitis; IV fluids and pain management d) Perforated ulcer; emergent surgery 13. A 55-year-old patient with a history of GERD undergoes endoscopy, revealing a hiatal hernia. What are the associated complications? a) Peptic ulcer disease and intestinal obstruction b) Esophageal rupture and infection c) Gastric volvulus and mesenteric ischemia d) Increased GERD severity and delayed esophageal clearance 14. A 70-year-old presents with halitosis, regurgitation of undigested food, and dysphagia. Imaging shows a pouch at the pharyngoesophageal junction. What is the most likely diagnosis? a) Zenker diverticulum b) Esophageal stricture c) Hiatal hernia d) Achalasia 15. A patient presents with hematemesis and melena. Endoscopy shows a linear mucosal tear near the gastroesophageal junction. What is the diagnosis? a) Erosive esophagitis b) Mallory-Weiss tear c) Esophageal varices d) Peptic ulcer disease 16. A patient with cirrhosis presents with hematemesis and hemodynamic instability. Endoscopy confirms esophageal varices. What is the first-line treatment for acute bleeding? a) TIPS procedure b) Proton pump inhibitors and H2 blockers c) Endoscopic banding and somatostatin d) Beta-blockers and antibiotics 17. A 40-year-old female presents with retrosternal chest pain and difficulty swallowing solid foods. Endoscopy shows shallow ulcers, and biopsy reveals Candida. What is the diagnosis, and how is it treated? a) Eosinophilic esophagitis; corticosteroids b) Pill-induced esophagitis; stop offending medication c) GERD; increase PPI dose d) Candida esophagitis; antifungal therapy https://quizizz.com/print/quiz/673831df94c4a22789fdbab4 11/22/24, 2 00 AM Page 3 of 6 :  18. A patient presents with severe dysphagia for both solids and liquids. Manometry shows impaired LES relaxation and esophageal dilation. What is the diagnosis? a) Hiatal hernia b) GERD c) Achalasia d) Esophageal spasm 19. What endoscopic findings are diagnostic for eosinophilic esophagitis, and how does this differ from infectious esophagitis? a) Bird's beak narrowing; achalasia b) Diffuse erythema; pill esophagitis c) White plaques and ulcers; Candida esophagitis d) Concentric rings and furrows; eosinophilic esophagitis 20. A 60-year-old male with chronic GERD develops a peptic stricture. What is the best initial management? a) Esophagectomy b) Antifungal therapy c) Dietary modification d) Endoscopic dilation and long-term PPI therapy 21. A patient with a history of gastroparesis presents with postprandial bloating and nausea. Gastric emptying studies confirm the diagnosis. What is the recommended treatment? a) Surgery to remove the obstruction b) PPIs and H2 blockers c) Endoscopic dilation d) Dietary changes and prokinetics 22. A 48-year-old undergoes a partial gastrectomy for refractory PUD. What are the potential long-term complications of this procedure? a) Gastric outlet obstruction b) Eosinophilic esophagitis c) Hiatal hernia d) Malabsorption and anemia https://quizizz.com/print/quiz/673831df94c4a22789fdbab4 11/22/24, 2 00 AM Page 4 of 6 :  23. A patient presents with persistent vomiting and an inability to tolerate oral intake. Imaging confirms gastric outlet obstruction. What are the initial and definitive management steps? a) Endoscopy and antifungal therapy b) PPIs and dietary changes c) Long-term TPN d) Nasogastric suction and surgical repair 24. A 55-year-old male presents with chest pain and dysphagia triggered by eating large meals. Esophagram reveals a corkscrew pattern. What is the diagnosis, and how is it managed? a) Esophageal spasm; smooth muscle relaxants b) Achalasia; pneumatic dilation c) Hiatal hernia; surgical repair d) GERD; PPI therapy 25. A patient with refractory GERD is considering surgical intervention. What are the key indications for a Nissen fundoplication? a) Mild GERD symptoms not requiring medication b) Barrett esophagus with dysplasia c) High-dose PPI dependence or large hiatal hernia d) Recurrent peptic ulcer disease Answer Keys https://quizizz.com/print/quiz/673831df94c4a22789fdbab4 11/22/24, 2 00 AM Page 5 of 6 :  1. c) Esophageal 2. c) Eosinophilic esophagitis 3. a) Upper endoscopy with biopsy adenocarcinoma; obtain a biopsy 4. b) Barrett esophagus; 5. b) Bismuth, PPI, tetracycline, 6. d) Erosive gastritis surveillance endoscopy and metronidazole 7. a) Peptic ulcer disease 8. b) Duodenal ulcer 9. c) Zollinger-Ellison syndrome; secretin stimulation test 10. b) Corticosteroid therapy 11. a) Gastric outlet syndrome; 12. d) Perforated ulcer; emergent surgical repair surgery 13. d) Increased GERD severity 14. a) Zenker diverticulum 15. b) Mallory-Weiss tear and delayed esophageal clearance 16. c) Endoscopic banding and 17. d) Candida esophagitis; 18. c) Achalasia somatostatin antifungal therapy 19. d) Concentric rings and 20. d) Endoscopic dilation and 21. d) Dietary changes and furrows; eosinophilic long-term PPI therapy prokinetics esophagitis 22. d) Malabsorption and anemia 23. d) Nasogastric suction and 24. a) Esophageal spasm; smooth surgical repair muscle relaxants 25. c) High-dose PPI dependence or large hiatal hernia https://quizizz.com/print/quiz/673831df94c4a22789fdbab4 11/22/24, 2 00 AM Page 6 of 6 :