Endoscopic Foreign Body Removal MCQ Quiz | Procedures – Major (Assisting)

Welcome to this specialized quiz on Endoscopic Foreign Body Removal, designed for MBBS students focusing on major assisting procedures. This assessment will test your knowledge on critical aspects of managing ingested foreign bodies, a common and potentially life-threatening emergency. The quiz covers indications for intervention, identification of high-risk objects like button batteries, selection of appropriate retrieval devices, procedural techniques such as the use of an overtube, and management of complications like perforation. This is a vital area of study, blending clinical decision-making with procedural skill. After completing the 25 questions, submit your answers to see your score and review the correct responses. You can also download a PDF of all questions with their correct answers for future study.

1. Which of the following scenarios constitutes an emergent indication for endoscopic foreign body removal (requiring intervention within 2-6 hours)?

2. What is the most common anatomical site of esophageal food bolus impaction in adults?

3. The use of an overtube during endoscopic foreign body removal primarily serves to:

4. Which retrieval device is most suitable for removing a smooth, round object like a coin from the proximal esophagus?

5. A 2-year-old child ingests a button battery, which is located in the mid-esophagus on X-ray. What is the most significant immediate risk?

6. Glucagon may be administered for esophageal food bolus impaction. What is its proposed mechanism of action?

7. On a chest X-ray (AP view), a coin lodged in the esophagus typically appears with its flat surface facing anteriorly, presenting as a:

8. The “push technique” for a food bolus is generally considered safe only when:

9. A Roth Net® is a retrieval device best suited for which type of foreign body?

10. After successful removal of a sharp foreign body from the esophagus, what is a crucial next step?

11. What is the primary management for an asymptomatic, smooth, small foreign body that has successfully passed into the stomach?

12. A patient ingests a packet of cocaine for concealment (“body packing”). What is the recommended management?

13. The cricopharyngeus muscle, a common site of foreign body impaction, is located at approximately which vertebral level?

14. What is the maximum recommended time a button battery should be allowed to remain in the esophagus before removal to prevent severe complications?

15. “Steakhouse syndrome” refers to food bolus impaction. Which underlying pathology is most commonly associated with this condition in adults?

16. Which imaging modality is most sensitive for detecting a radiolucent foreign body like a fish bone in the pharynx or upper esophagus?

17. Aspiration is a major risk during endoscopic foreign body removal. Which patient position is often recommended to minimize this risk?

18. What is the purpose of using a protector hood or a distal transparent cap on the endoscope?

19. An adult patient has a dental bridge lodged in the stomach. The object is large and has sharp clasps. What is the safest management approach?

20. The use of meat tenderizers (e.g., papain) for food bolus impaction is now discouraged primarily because it can:

21. After endoscopic removal of a foreign body, a patient develops fever, chest pain, and subcutaneous emphysema. What is the most likely diagnosis?

22. Which of the following foreign bodies, if located in the stomach or duodenum, requires urgent endoscopic removal?

23. In which situation is a flexible endoscope generally preferred over a rigid esophagoscope for foreign body removal?

24. What is the primary concern with ingested magnets, especially if more than one is swallowed at different times?

25. Which of the following is generally NOT considered a standard endoscopic retrieval device?

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