Paraesophageal and hiatal hernia Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 71-year-old woman comes to the office after recent blood work which revealed a microcytic anemic (hemoglobin 9.2 g/dL). She has a past medical history of gastroesophageal reflux disease (GERD) and atrial fibrillation and takes omeprazole, metoprolol, and apixaban. She has mild dyspnea with activity and occasional dysphagia with solids. She also has postprandial mid-epigastric pain. Vital signs are within normal limits. Physical examination reveals a soft nontender abdomen without palpable masses. Chest x-ray shows a retrocardiac air-fluid level. Upper endoscopy reveals a foreshortened esophagus with the entire stomach herniated through the hiatus. A Cameron ulcer is seen at the level of the diaphragm. Colonoscopy shows no masses or polyps. Which of the following types of paraesophageal/hiatal hernia does this patient have?  

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