PAEA Surgery End Of Rotation (EOR) Practice Exam

What ethnic group has a higher incidence of esophageal cancer in the US?

1. Caucasian

2. Asian

3. Hispanic

4. Black

The correct answer is: Black

The higher incidence of esophageal cancer among Black individuals in the United States can be attributed to various socio-economic factors, genetics, and lifestyle choices. Research indicates that African Americans tend to have a higher frequency of risk factors associated with esophageal cancer, such as gastroesophageal reflux disease (GERD), obesity, smoking, and alcohol consumption. Additionally, there are also disparities in access to healthcare and early diagnosis that can lead to later-stage detection of the disease in this population. Furthermore, certain genetic predispositions that may enhance the risk for esophageal cancer are also observed more frequently within the Black community. Studies have shown differences in the prevalence of Barrett’s esophagus, a condition that can lead to esophageal cancer, among different ethnic groups, again highlighting a higher risk in Black patients. Understanding these factors is crucial for developing targeted screening and prevention strategies, as well as addressing the overall health disparities affecting this ethnic group regarding esophageal cancer and other related health issues.