GI imaging: gastric carcinoma: practice question

A Radiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Radiology · GI imaging: gastric carcinoma

Sample item

A barium meal shows a rigid, narrow, non-distensible stomach with a featureless mucosa in a patient with weight loss. What is this appearance called?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Linitis plastica (leather bottle stomach)

Diffusely infiltrating scirrhous carcinoma makes the wall rigid and thickened, with loss of rugae and a small stomach. Menetrier disease shows enlarged rugal folds. A cascade stomach results from posterior folding of the fundus.

Option by option

  • A. Rugal hypertrophy of Menetrier

    Menetrier disease causes giant folds rather than a rigid narrowed stomach.

  • B. Hourglass stomach due to a healed ulcer

    An hourglass stomach follows scarring from a lesser curve ulcer.

  • C. Linitis plastica (leather bottle stomach) (correct)

    Correct. Rigid, small stomach with absent rugae indicates linitis plastica.

  • D. Cascade stomach

    Cascade stomach is a normal variant with a cup-shaped fundus.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is C, Linitis plastica (leather bottle stomach). Diffusely infiltrating scirrhous carcinoma makes the wall rigid and thickened, with loss of rugae and a small stomach.

Why is "Rugal hypertrophy of Menetrier" not the answer?

Menetrier disease causes giant folds rather than a rigid narrowed stomach.

Why is "Hourglass stomach due to a healed ulcer" not the answer?

An hourglass stomach follows scarring from a lesser curve ulcer.

Why is "Cascade stomach" not the answer?

Cascade stomach is a normal variant with a cup-shaped fundus.

What concept does this question test?

It tests GI imaging: gastric carcinoma in Radiology. Menetrier disease shows enlarged rugal folds. A cascade stomach results from posterior folding of the fundus.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study GI imaging: gastric carcinoma?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.