Question

Punched out ulcer in esophagus is seen in

• A. herpes
• B. cmv
• C. Oesophagitis
• D. candida

Answer 1

The Correct Option is C

Punched out ulcers in the esophagus are a characteristic finding associated with herpes esophagitis. Herpes esophagitis is caused by the Herpes Simplex Virus and typically presents with multiple small, round, well-circumscribed ulcers, often described as "punched out" in appearance.

While other conditions like CMV (Cytomegalovirus) infection can also affect the esophagus, CMV typically causes linear or longitudinal ulcers rather than punched out lesions. Candida, another common cause of esophageal infection, usually leads to white plaques rather than ulcers.

Therefore, when considering the description of "punched out ulcer in esophagus," the most accurate answer is:

Herpes

Condition	Ulcer Appearance
Herpes	Punched out ulcers
CMV	Linear ulcers
Candida	White plaques
Oesophagitis	Varied presentations