Gastroenterology

Question 1

Risk of hypertrophic pyloric stenosis is increased with intake of this drug in neonatal period

Answer 1

Macrolide

Question 2

Blunting of microvilli can be caused by what E coli diarrhea agent

Answer 2

EPEC

Question 3

DOC for campylobacter

Answer 3

Macrolides

Question 4

DOC for EIEC

Answer 4

Co-trimoxazole

Question 5

DOC for shigella

Answer 5

Ciprofloxacin

Ampicillin or Co-trimoxazole if susceptible

Question 6

Treatment for non-typhoidal salmonella

Answer 6

Ampicillin or co-trimoxazole or chloramphenicol

Question 7

Biliary atresia vs neonatal hepatitis: prematurity

Answer 7

NH

Question 8

Biliary atresia vs neonatal hepatitis: bile stained duodenal aspirate

Answer 8

NH

Question 9

Biliary atresia vs neonatal hepatitis: hepatomegaly always present

Answer 9

BA

Question 10

If foreign bodies (coin) is present in the esophagus, the flat surface of the coin is seen in what view?

Answer 10

AP

edge on lateral view

Question 11

Necrosis due to alkali ingestion

Answer 11

Liquefactive

Question 12

Necrosis due to acid ingestion

Answer 12

Coagulative

Question 13

In caustic ingestion, dilution with milk is recommended. True or false?

Answer 13

True

Question 14

X-ray finding of ground glass appearance in the RLQ with trapped air bubbles

Answer 14

Meconium ileus

Question 15

Shoulder sign and double tract sign in barium swallow

Answer 15

Pyloric stenosis

Question 16

Surgical procedure for pyloric stenosis

Answer 16

Ramstedt pyloryotomy

Question 17

In duodenal atresia, obstruction is proximal or distal to ampulla of vater?

Answer 17

Distal

Question 18

Duodenal atresia is associated with polyhydramnios or oligohydramnios?

Answer 18

Polyhydramnios (failure of absorption of amniotic fluid in the distal intestine)

Question 19

Failure of the cecum to move into the RLQ

Answer 19

Malrotation

Question 20

Cork-screw sign

Answer 20

Malrotation

Question 21

Meckel diverticulum is a remnant of

Answer 21

Omphalomesenteric duct

Question 22

Most frequent congenital GI anomaly

Answer 22

Meckel’s diverticulum

Question 23

Arrest in the migration of neuroblast from proximal to distal bowel

Answer 23

Hirschprung disease

Question 24

Gold standard diagnostic for hirschprung disease

Answer 24

Rectal suction biopsy

Other: rectal manometry

Question 25

Intussusception is correlated with what virus?

Answer 25

Adenovirus

Question 26

Most common cause of intestinal obstruction between 3 mos to 6 yrs old?

Answer 26

Intussusception

Question 27

Currant jelly stools

Answer 27

Intussusception

Question 28

Severe paroxysmal colicky pain that recurs at frequent intervals with straining efforts; patient doubles up with loud crying

Answer 28

Intussusception

Question 29

Palpation of sausage-shaped mass in the RUQ

Answer 29

Intussusception

Question 30

Coiled spring sign on barium enema

Answer 30

Intussusception

Question 31

Ultrasound finding of doughnut or target sign

Answer 31

Intussusception

Question 32

Chronic diarrhea has a duration of

Answer 32

> 14 days

Question 33

Treatment plan B for dehydration

Answer 33

75 cc/kg ORS PO for 4 hours

Question 34

Treatment plan C for dehydration

Answer 34

100 cc/kg pLR

1st 30 : 1st hour
Next 70 : 5 hours for infants; 2.5 hours for children

Question 35

E. Coli diarrhea in nurseries and daycare

Answer 35

EPEC