American Board of Surgery Qualifying Exam (ABS QE) Practice Test

Disable ads (and more) with a membership for a one time $2.99 payment

Prepare for the ABS QE with flashcards and multiple-choice questions. Each question provides hints and explanations to enhance understanding. Start your journey to becoming a certified surgeon and tackle your exam with confidence!

Start Multiple Choice Practice Test
Start Flash Cards

Each practice test/flash card set has 50 randomly selected questions from a bank of over 500. You'll get a new set of questions each time!

Practice this question and more.

In a Type 1 Paraesophageal Hernia (PEH), where is the gastroesophageal junction positioned?

  1. Below the diaphragm

  2. Above the diaphragm

  3. At the level of the diaphragm

  4. Intra-abdominal

The correct answer is: Above the diaphragm

In a Type 1 Paraesophageal Hernia, also known as a sliding hiatal hernia, the gastroesophageal junction is positioned above the diaphragm. This occurs due to a displacement of a portion of the stomach, specifically the gastroesophageal junction, through the esophageal hiatus and into the thoracic cavity. This type of hernia is characterized by the stomach sliding into the thorax when the patient is supine or when intra-abdominal pressure increases. Understanding the anatomy is crucial in this context, as the diaphragm serves as a muscular boundary that separates the thoracic cavity from the abdominal cavity. When the gastroesophageal junction moves above the diaphragm, it indicates a relaxation of the normal anatomy, contributing to reflux symptoms experienced by patients with this type of hernia. The other options reference positions that do not accurately capture the anatomy associated with a Type 1 Paraesophageal Hernia.

More Questions Like This