This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Esophagus, Subject name: Surgery
Small punched out lesions on endoscopy in lower esophagus in the immunocompromised patients is seen in:- 
Select and explain. 
A. CMV esophagitis, B. Candida esophagitis, C. Corrosive esophagitis, D. Herpes simplex esophagitis
D: Herpes simplex esophagitis
Answer: D: Herpes simplex esophagitis 
Explanation: Herpetic Esophagitis: Both herpes simplex virus type -1 or type 2 can cause Esophagitis In patients with chicken pox Adult - Zoster - Esophagitis Children - V. Zoster - Esophagitis Classic endoscopic findings: Vesicles & small punched out ulcerations Severe reflux esophagitis- Cytomegalovirus esophagitis - Herpes simplex virus esophagitis - Candida esophagitis - mucosal ulceration & friability serpiginous ulcers target-type shallow ulcerations white plaques adherent to esophageal mucosa