Gastroenterology

Question 1

11 hr old newborn cannot tolerate feeding and presents with FROTHING of the mouth of secretions and has harsh breath sounds, cyanotic lips and nailbeds?

Answer 1

Esophageal atresia (TEF)

Question 2

Diagnostic method to diagnose TEF?

Answer 2

Inabiity to pass NGT or OGT

Question 3

Treatment for TEF?

Answer 3

Surgical ligation of fistula

Question 4

Most common esophageal disorder in children in all ages?

Answer 4

Gastroesophageal Reflux Disease

Question 5

Main stimulus for transient lower esophageal structure relaxation?

Answer 5

Gastric distention/ overfeeding

Question 6

Management for intractable GERD, refractory esophagitis and strictures with morbidities from chronic pulmonary dse?

Answer 6

Fundoplication

Question 7

Patient came in who has lower weight than usual and showing signs of spitting out?

Answer 7

GERD

Question 8

Given to patients with GERD for 4-6 weeks with cases of GERD?

Answer 8

Esomeprazole

Question 9

Immediate management for a patient who had history of ingestion of sharp object, or disc button batteries?

Answer 9

Endoscopy

Question 10

If foreign object ingested a coin and undergone radiography and upon view shows Flat surface on AP view, which area can you predict the coin lodged? Esophagus or Trachea?

Answer 10

Esophagus

Question 11

Patient presents with NAUSEA, VOMITING, ABDOMINAL DISTENTION and OBSTIPATION?

Answer 11

Intestinal Obstruction

Question 12

Abdominal finding in Intestinal obstruction

Answer 12

Dilated loops in stepladder fashion

Question 13

Infant with non-billous vomiting after feeding with palpable olive-shaped mass on the abdomen?

Answer 13

Pyloric Stenosis

Question 14

Confirmatory test for Pyloric Stenosis?

Answer 14

Abdominal ultrasound

Question 15

Twisting of loop of intestine (sigmoid and cecum most common) with sudden onset of severe pain, inability to pass OGT/NGT, and retching with emesis?

Answer 15

Volvulus

Question 16

Bird beak sign, coffee-bean sign?

Answer 16

Volvulus

Question 17

Best treatment for volvulus?

Answer 17

Exploratory Laparotomy

Question 18

Preterm infant with billous vomiting without abdominal distention?

Answer 18

Duodenal Atresia

Question 19

Sign found on Abdominal Cray with Duodenal Atresia?

Answer 19

Double-Bubble sign

Question 20

Treatment for Duodenal Atresia?

Answer 20

NGT/OGT Decompression

Question 21

Incomplete rotation if intestine during fetal development bec of failure of the cecum to move into the RLQ?

Answer 21

Malrotation

Question 22

Sign seen on imaging with pxs with Malrotation?

Answer 22

Corkscrew sign

Question 23

Patient with intermittent, painless rectal bleeding with brick-colored stool?

Answer 23

Meckels diverticulum

Question 24

Patient with chronic constipation, globular abdomen but upon PE revealed normal sphincteric tone with no feces on examining finger after DRE?

Answer 24

Hirschsprung Dse/Megacolon

Question 25

Congenital aganglionic megacolon caused by absence of ganglion cells in the bowel wall beginning in the internal anal sphincter?

Answer 25

Hirschsprung Disease

Question 26

Pellet-like or ribbon-like feces?

Answer 26

Hirschsprung Disease

Question 27

Severe paroxysmal colicky pain that recurs at intervals with currant jelly stools?

Answer 27

Intussuception

Question 28

Most common cause of intestinal obstruction bet 3 mos-6 years old?

Answer 28

Intussuception

Question 29

Coiled-spring sign appearance

Answer 29

Intussuception

Question 30

Doughnut or target sign in abdominal ultrasound?

Answer 30

Intussuception

Question 31

Recurrent poorly localized epigastric pain alleviated with food

Answer 31

H. pylori PUD

Question 32

Treatment for H. pylori?

Answer 32

PPI + Clarithromycin + Amoxicillin or Metronidazole

Question 33

How much ORS should be given for Plan B of treatment of Diarrhea for 4 hours?

Answer 33

75cc/kg ORS per orem for 4 hours

Question 34

Patient with history if systemic viral infection now with consult with epigastric pain radiating to the back with persistent vomiting and febrile episodes?

Answer 34

Acute pancreatitis

Question 35

Cullen sign?

Answer 35

Acute Pancreatitis

Question 36

Grey Turner Sign

Answer 36

Acute Pancreatitis

Question 37

Most important test for Hepa A?

Answer 37

Anti-HAV IgM