Esophageal Cancer QuizOnline version Clinical review of esophageal cancer and management by CHAN Ava 1 What is the most common type of benign oesophageal tumour? a Squamous cell papilloma b Adenocarcinoma c Leiomyoma d Lipoma 2 According to the document, which cancer is the 6th most common in Asia? a Carcinoma of the oesophagus b Lung cancer c Gastric cancer d Liver cancer 3 What is the most common site of metastasis for malignant oesophageal tumours? a Kidneys and pancreas b Brain and bones c Spleen and intestines d Liver and lungs 4 Which histological type of oesophageal cancer accounts for approximately 85% of cases and typically affects the middle/upper oesophagus? a Squamous cell carcinoma (SCC) b Small cell carcinoma c Adenocarcinoma d Leiomyosarcoma 5 What is identified as the highest risk factor for developing oesophageal cancer in the document? a Habitual ingestion of hot food b GERD c HPV infection d Cigarette smoking 6 Which diagnostic investigation is used specifically for tumour staging and identifying lymph node metastasis via fine needle aspiration? a Endoscopic ultrasound (EUS) + FNA b Bronchoscopy c CT Scan of chest d Barium swallow 7 For a patient with a late-stage oesophageal tumour who is not suitable for surgery, which palliative nutritional support method is mentioned? a Clear fluids only b Low-residue diet c Total parenteral nutrition (TPN) d High-protein oral supplements only 8 In oesophagectomy reconstruction, what are the two primary options for replacing the resected oesophagus? a Gastric bypass or ileal conduit b Stomach elevation or jejunal graft c Pancreatic graft or splenic flexure d Colon graft or liver graft 9 How long should a patient be kept nil by mouth (NPO) before an oesophagectomy according to the pre-operative guidelines? a 4-6 hours b 2-4 hours c 8-12 hours d 24-48 hours 10 What is the primary purpose of teaching pre-operative breathing and coughing exercises to a patient scheduled for an oesophagectomy? a To reduce the risk of wound infection b To decrease the need for pain medication c To prevent post-operative respiratory complications d To improve vocal cord function
