The section, EDAIC Multiple Choice Question and answer, covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.
Question: identify the true statements regarding hiatus hernia
- sliding type is more common than the rolling type
- more common in the elderly age group
- strangulation is more common in sliding hernia
- iron deficiency is a common association
- primary management is surgical correction
Answers:
- true
- true
- false
- true
- false
Explanation:
In a hiatus hernia, the proximal stomach enters the thorax, thereby diminishing the acute angle between the oesophagus and the stomach, and preventing the reinforcement of the LOS by the diaphragmatic crura. The resulting reduction in maximal LOS pressure reduces barrier pressure and increases the likelihood of reflux. Strangulation is more common in rolling type hernia
- Â It’s very common if you’re over 50.
- It does not normally need treatment if it’s not causing you problems.
- 95% of these are “sliding” Hiatal hernias, in which the LES protrudes above the diaphragm along with the stomach, and
- Only 5% are the “rolling” type (paraesophageal), in which the LES remains stationary, but the stomach protrudes above the diaphragm.
- iron-deficiency anaemia is common due to ulceration and bleeding
- Conservative management
- The first-line pharmacological management for asymptomatic hiatus hernia
- Lifestyle modification, including weight loss, alteration of diet (low fat, earlier meals, smaller portions), and sleeping with the head of the bed raised.
- Smoking cessation and reduction in alcohol intake
- Surgical treatment is indicated when conservative management proves ineffective
Mock-tests for EDAIC multiple choice questions (part-1) are now available for your practice and making you familiar with the exam pattern, and complexity. The practice will come in handy when the final exam FINALLY arrives. The tests have been launched keeping in mind the much needed last-minute practice and revision required for September 2021 exam.
You can take the test and gauge your preparation level. Detailed explanations are also available for desiring candidates. The exam result will be emailed to you with or without explanations as per your result.
DO NOT WASTE YOUR PRECIOUS TIME AND TAKE THE TEST NOW!
Need some more practice. Click here for more free MCQs uploaded on the site.
The candidates sitting in the current examination or preparing for next year should try and read about the asked topic in daily ‘EDAIC part-1: MCQs and explanations’ and indulge in active discussion with fellow students. In addition, you can join our Facebook group to stay updated with targetedaic content and MCQ discussion.
‘EDAIC Multiple Choice Question and answer’ covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.
