Chapter 40- Alterations of Digestive Function in Children Flashcards
__________ is seen more frequently in full-term than in premature infants, and in children with Down syndrome.
Pyloric stenosis
__________ is often associated with esophageal atresia.
Tracheoesophageal fistula
__________ permits the accumulation of toxins in the liver.
Wilson disease
_________ involves ileum invagination into the cecum through the ileocecal valve.
Intussusception
In jaundice of the newborn, ________ development is a possibility.
kernicterus
Increased _________ in pregnant women may contribute to pyloric stenosis in their infants.
gastrin secretion
Diabetes mellitus may be a complication of ________.
cystic fibrosis
Stools are pale, bulky, greasy, and foul-smelling in __________.
gluten-sensitive enteropathy
_________ is the result of faulty innervation of the colon.
Congenital aganglionic megacolon
Protein synthesis is reduced in all tissues in __________ nutrition.
kwashiorkor
Nutritional deficits associated with inadequate nurturing cause _________.
nonorganic FTT
Stress and anoxia of the bowel wall in neonates result in __________.
necrotizing enterocolitis
Congenital aganglionic megacolon is diagnosed by rectal manometry and rectal __________.
biopsy
A pH probe will demonstrate a(n) ___________ in esophageal pH during a period of reflux.
decrease
Cleft palate is frequently complicated by communication between the _________ and the ________ cavities.
paranasal sinuses and the middle ear
_________ may be a complication of cystic fibrosis secondary to the passage of large stools.
Rectal prolapse
Match the description with the alterations
Abscence of intramural ganglion cells in the enteric nerve plexuses
congenital aganglionic megacolon
Match the description with the alterations
Acute onset of abdominal pain and distention
intussusception
Match the description with the alterations
Thick, tarry plug obstructs the duodenum, jejunum, and ileum
meconium ileus
Match the description with the alterations
Many initally present with diarrhea
congenital aganglionic megacolon
Match the description with the alterations
Food regurgitation
esophageal atresia
Match the description with the alterations
May contribute to aspiration pneumonia
gastroesophageal reflux
Match the description with the alterations
Incompetent lower esophageal sphincter
gastroesophageal reflux
Match the description with the alterations
“Currant jelly” stools
intussusception
Match the description with the alterations
Enema may be treatment
meconium ileus and intussusception
- Which of the following is TRUE regarding cleft lip?
a. Developmental anomaly of the first branchial arch
b. Caused by single gene mutations
c. Increased incidence in black populations
d. Increased incidence in males
a. Developmental anomaly of the first branchial arch
- Which of the following is the name for the condition in which the esophagus ends in a blind pouch?
a. Esophageal atresia
b. Tracheoesophageal fistula
c. Pyloric stenosis
d. Malrotation
a. Esophageal atresia
- Which of the following is TRUE regarding pyloric stenosis?
a. It is an uncommon disorder.
b. The most common age is 6 months.
c. It is more common in males.
d. Asians are more commonly affected.
b. The most common age is 6 months.
- Which of the following diseases has been associated with meconium ileus?
a. Cleft palette
b. Sickle cell disease
c. Cystic fibrosis
d. Esophageal atresia
c. Cystic fibrosis
- A person has impacted feces and constipation. The physician states there are abnormalities of the basement membrane and extracellular matrix with absence of the Meissner and Auerbach plexuses. Which of the following diseases is characterized by this description?
a. Pyloric stenosis
b. Esophageal atresia
c. Congenital aganglionic megacolon
d. Tracheoesophageal fistula
c. Congenital aganglionic megacolon
- A 1-year-old is very irritable and is passing currant-jelly stools. Which of the following is the primary treatment for this condition?
a. Surgery
b. CT scan
c. Barium or air enema
d. Antibiotics
c. Barium or air enema
- Which of the following is NOT part of the triad of cystic fibrosis?
a. Overproduction of mucus in the respiratory tract
b. Pancreatic enzyme deficiency
c. Abnormally elevated sodium and chloride concentrations
d. Thin secretions
d. Thin secretions
- Which of the following conditions is NOT associated with gluten-sensitive enteropathy?
a. Early constipation
b. Deficiencies in fat-soluble vitamins
c. Anemia
d. Diminished growth
a. Early constipation
- Which of the following is the appropriate term for a severe deficiency of all nutrients?
a. Kwashiorkor
b. Marasmus
c. Necrotizing enterocolitis
d Gluten-sensitive enteropathy
b. Marasmus
- Which of the following is TRUE regarding physiologic jaundice of the newborn?
a. Generally chronic in nature
b. Occurs during the first week of life in full-term infants
c. Caused by indirect bilirubin reading of greater than 20 mg/dl
d. Caused by increased red cell breakdown
b. Occurs during the first week of life in full-term infants
