Gastrointestinal Tract

Question 1

Belly aches at night and day

Blood in stool

Answer 1

Peptic ulcer

Question 2

Treatment for dysphagia, intermittent vomiting and epigastric pain, eosinophills present in biopsy.

Answer 2

Corticosteriods

Question 3

p-ANCA bodies

Elevated ESR

Answer 3

Inheritance is autosomal dominant

Question 4

Evaluation method for constipated child

Answer 4

Barium enema and rectal manometry

Question 5

Test for determining chest pain in RUQ

Answer 5

Ultrasound of RUQ

Question 6

Test given for midepigastric pain with guarding

Answer 6

Serum amylase levels

Question 7

Management for crying infant who passes loose bloody stool

Answer 7

Air contract enema

Question 8

Spitting up meals

Answer 8

Gastroesophageal reflux

Question 9

Diarrhea
Abdominal pain
Blood in stools
Weight loss

Answer 9

Crohns disease

Question 10

Study to diagnose watery diarrhea, belching and abdominal pain

Answer 10

Stool microscopy for ova and parasites

Question 11

Management for food regurgitation

Answer 11

Close observation only

Question 12

Test to diagnose infant with rectal bleeding

Answer 12

Radionucleotide scan

Question 13

Test to diagnose lactose intolerance

Answer 13

Hydrogen excretion in breath after oral administration of lactose

Question 14

Jaundice

Total bilirubin = 12 mg/dL

Answer 14

Choledochal cyst

Question 15

How to remove swallowed battery

Answer 15

Immediate removal of the battery via endoscopy

Question 16

Dehydration percentage for depressed fontanelle

Answer 16

5-9%

Question 17

IV for “doughy” skin

Answer 17

Normal saline

Question 18

Management for severe dehydration after fluid bolus treatment

Answer 18

Slow rehydration over 48 hours

Question 19

First tooth to erupt

Answer 19

Mandibular central incisor

Question 20

Management for abdominal pain with no abnormal findings

Answer 20

Observe the patient and reassure the patient and family

Question 21

How to transport knocked out teeth

Answer 21

In mouth of parent or cooperative patient

Question 22

Treatment for drinking drain cleaner

Answer 22

Endoscopic exam within first 12 - 24 hrs

Question 23

Treatment for pill overdose

Answer 23

Phenobarbital (with activated charcoal)

Question 24

Step to evaluate GI hemorrhage

Answer 24

APT test (bloody stool after C section) 
Abdominal series (premature infant) 
Stool culture on sorbitol MacConkey medium ( after eating hamburger) 
No immediate intervention ( small streaks of blood in stool) 
Fiberoptic endoscopy (black stools)

Question 25

Treatment for peripheralneuropathy in vegetarian

Answer 25

Vit B6

Question 26

`Treatment for infant being fed cows milk

Answer 26

Iron

Question 27

Treatment for circumcision bleeding

Answer 27

Vit K

Question 28

Treatment for toddler with tender legs and petechiae

Answer 28

Vit C

Question 29

Treatment for night blindness

Answer 29

Vit A

Question 30

Treatment for rickets

Answer 30

Vit D

Question 31

Study for child with pneumonia and battles to feed

Answer 31

Modified barium swallow

Question 32

Study for abdominal pain with black stools

Answer 32

Upper GI endoscopy

Question 33

Study for newborn who arches back while feeding

Answer 33

24 Hr pH probe

Question 34

What is not a feature of colic

Answer 34

Vomiting

Question 35

Incorrect historical red flags

Answer 35

Red flags exclude maternal illicit drug use

Question 36

Approach to infant colic

Answer 36

Try to discover why your infant is crying

Question 37

Management for newborn who hasnt passed meconium

Answer 37

Call radiologist to discuss unprepared barium enema

Question 38

Anal wink absence cause

Answer 38

The anus may be so traumatized by the impaction that the wink cannot be reliably elicited