This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
A patient after heavy drinking of alcohol presents with too much vomiting & haematemesis. Most likely diagnosis could be: March 2012, March 2013 
Select and explain. 
A. Mallory Weiss syndrome, B. Oesophageal carcinoma, C. Achalasia cardia, D. Boerhaave syndrome
A: Mallory Weiss syndrome
Answer: A: Mallory Weiss syndrome 
Explanation: Ans: A i.e. Mallory Weiss syndromeEsophagus disorders & presentationIn Mallory Weiss syndrome, vigorous vomiting produces a veical split in gastric mucosa, immediately below the squamo-columnar junction at the cardia in 90% of cases. The condition presents with haematemesisMost oesophageal neoplasms presents with mechanical symptoms, principally dysphagia, but sometimes also regurgitation, vomiting, odynophagia & weight lossAchalsia cardia presents with dysphagia, although pain (often mistaken for reflux) is common in the early stages.In Boerhaave's syndrome, vomiting occurs against a closed glottis, and pressure builds up in the oesophagus