Gastroenterology

Question 1

This condition is common in school aged children, is unrelated to meals, but occurs every day intermittently and can be made worse by school and social situations?

Answer 1

functional ABD px

Question 2

the criteria for this condition is it must be chronic (>2 months) without any red flags, have a normal exam, and no blood in stool?

Answer 2

functional abd px

Question 3

Vomiting, fever, growth failure, delayed puberty, perianal disease, and constant pain are all red flags for what condition?

Answer 3

functional abd px

Question 4

In this condition, infants will spit up but still be gaining weight normally and be healthy otherwise?

Answer 4

gastroesophageal reflux

Question 5

This condition is when infants are coughing up food and have weight loss, failure to thrive, and breathing difficulties ?

Answer 5

GERD

Question 6

This is an acquired condition caused by hypertrophy and spasms of pyloric muscle resulting in gastric outlet obstruction

Answer 6

pyloric stenosis

Question 7

Presentation: vomiting with onset in first weeks of life that becomes more forceful and frequent a time passes; never contains bile; infant is insatiable hungry; and can have dehydration or metabolic alkilosis?

Answer 7

pyloric stenosis

Question 8

Treatment for this condition is IV fluids and pyloromotomy

Answer 8

pyloric stenosis

Question 9

Name that condition: Food can’t get into duodenum and comes out with forceful vomiting; hungry & not gaining weight; Olive mass upon palpation?

Answer 9

pyloric stenosis

Question 10

WHat is stooling or defecating in places other than a toilet in children >4y/o?

Answer 10

encopresis

Question 11

90% of this condition is considered functional or having no identifiable cause; includes stool withholding behaviors and passage of large diameter stools

Answer 11

constipation

Question 12

When are the three times in a childs life when constipation is common?

Answer 12

1- introduced to solids @ >6 months;
2- at toilet training period 2-3 y/o;
3 – start of school 3-5y/o

Question 13

Poor growth, abnormal urine stream; perianal disease; delayed passage of meconium; lots of skin tags and fissures are red flags for what GI condition?

Answer 13

constipation

Question 14

DX for an infant with a history of failure to pass stool in first 24 hr of life, abdominal distention, vomiting, symptoms of enterocolitis (fever, foul-smelling diarrhea, megacolon)?

Answer 14

Hirschsprung disease

Question 15

Oral rehydration with Pedialyte at 50ml/kg and breast feeding is treatment for what level of dehydration?

Answer 15

mild

Question 16

Oral rehydration with Pedialyte at 100ml/kg and monitoring in office is treatment for what level of dehydration?

Answer 16

moderate

Question 17

Admission to hospital and bolus IV fluid rehydration is treatment for what dehydration level?

Answer 17

severe