PAEA Surgery End Of Rotation (EOR) Practice Exam

What is the recommended treatment for shallow esophageal ulcers?

1. Antibiotics only

2. Corticosteroids and antibiotics

3. Surgery and corticosteroids

4. Antacids and pain relievers

The correct answer is: Corticosteroids and antibiotics

The recommended treatment for shallow esophageal ulcers typically involves a combination of corticosteroids and antibiotics. Shallow esophageal ulcers can be indicative of conditions such as erosive esophagitis or infections that may require both anti-inflammatory and antimicrobial management. Corticosteroids help reduce inflammation and promote healing of the esophageal lining. They are particularly useful when ulcers are due to inflammatory conditions or autoimmune disorders. Antibiotics are necessary when there is an underlying infection, such as a fungal or bacterial infection, contributing to the formation of ulcers. This combination addresses both the symptoms of inflammation and the potential infectious processes, which makes it a more comprehensive approach to treating shallow esophageal ulcers. Other treatment options, like antibiotics alone or surgery with corticosteroids, do not adequately address the underlying causes or may not be appropriate in many cases of shallow ulcers. The use of antacids and pain relievers can provide symptomatic relief but does not treat the underlying issue of the ulcers themselves, which is why they are not recommended as primary treatments.