Gastroenterology Quiz #18: Esophageal Cancer

1. A 60-year-old man with a 40-pack-year smoking history and chronic alcohol use presents with progressive dysphagia first to solids and then to liquids, weight loss, and regurgitation. An esophagogastroduodenoscopy (EGD) reveals a mass in the middle third of the esophagus. Biopsy of the mass is most likely to show which of the following types of cancer? 

Question 1 of 5

2. A 55-year-old man with a history of gastroesophageal reflux disease (GERD) presents with progressive difficulty swallowing and unintentional weight loss. An esophagogastroduodenoscopy (EGD) reveals a mass in the distal esophagus. Biopsy of the mass is most likely to show which of the following types of cancer?

Question 2 of 5

3. A 65-year-old woman presents with new-onset hoarseness and difficulty swallowing both solids and liquids. She has a 30-year history of smoking but drinks alcohol only occasionally. On physical examination, a palpable lymph node is noted in the left supraclavicular fossa. Which of the following is the most likely diagnosis? 

Question 3 of 5

4. A 58-year-old man with a long-standing history of heartburn is diagnosed with Barrett's esophagus. Which of the following is the most significant risk factor for the development of esophageal adenocarcinoma in this patient? 

Question 4 of 5

5. A 63-year-old woman presents with progressive difficulty swallowing solids over the past few months, now progressing to liquids. She also reports significant weight loss. Physical examination reveals a cachectic woman with mild jaundice. An esophagogastroduodenoscopy (EGD) shows a mass in the lower third of the esophagus. Which of the following is the most likely complication associated with this condition?

Question 5 of 5


 

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