Pedia- Gastrointestinal Disease

Question 1

What is the only common primary infection causing chronic malabsorption?

Answer 1

Giardiasis

Question 2

Give 2 useful screening tests for steatorrhea caused by pancreatic insufficiency

Answer 2

1. Stool for fat using Sudan red stain
2. Serum trypsinogen
   Gold standard is 72-hr stool for fecal fat

Question 2

Painful ulcers that are confined to the soft palate, oropharynx, uvula and posterior portion of the mouth caused by Coxsackie A virus

Answer 2

Herpangina

Question 3

A chest x-ray of a 2-day old male who presented with respiratory distress revealed a coiled NGT that ends in a blind pouch with large amount of air in the stomach and the small intestine. What is the probable diagnosis?

Answer 3

Esophageal atresia with distal fistula

Question 4

Five (5) common causes of bloody diarrhea

Answer 4

CASES
Campylobacter
Amoeba (E. hystolytica)
Shigella
E. coli
Salmonella

Question 5

The liver is normally palpable along the RMCL below the right subcostal margin in children. Give the variation in sizes among 6 mos-4 yr, 4-10 yr and > 10 yr old.

Answer 5

6 mos-4 yr: 0-3 cm

4-10 yr: 10 yr:

Question 6

The liver is normally palpable along the RMCL below the right subcostal margin in children. Give the variation in sizes among 6 mos-4 yr, 4-10 yr and > 10 yr old.

Answer 6

6 mos-4 yr: 0-3 cm

4-10 yr: 10 yr:

Question 8

Hypoplasia of the mesenchymal layer resulting in a failure of the medial nasal and maxillary processes to join

Answer 8

Cleft lip

Question 9

Shows a target-like appearance on ultrasound

Answer 9

Pyloric stenosis

Question 10

A 1-day old child presents with bilious vomiting and abdominal distention. Plain film showed a bubbly appearance on the RLQ without air fluid levels. What is the most probable diagnosis?

Answer 10

Meconium ileus

Question 11

Currarino triad of Hirschsprung disease

Answer 11

Anorectal malformation, presacral masses, sacral bone anomalies