This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Oesophagus, Subject name: Surgery
Following are true about Boerhaave syndrome, except: 
Select and explain. 
A. Spontaneous perforation of the esophagus occurs due to violent contraction against a closed glottis., B. Has lower mortality rate compared to a Mallory-Weiss tear, C. Layers of the esophageal musculature are ruptured completely, D. Follows a bout of heavy drinking
B: Has lower mortality rate compared to a Mallory-Weiss tear
Answer: B: Has lower mortality rate compared to a Mallory-Weiss tear 
Explanation: Ans. (b) Has lower mortality rate compared to Mallory - Weiss tearRef: Bailey and Love 26th edition, Page 992* Boerhaave syndrome is a through and through perforation* Has high Mortality rate compared to Mallory - Weiss tear* It usually happens under alcohol influence with vomiting against closed glottis.