pedia GI

Question 1

Telescoping of the colon(ileocecal region)

Answer 1

Intussusception

Question 2

Currant jelly bloody mucus stool

Answer 2

intussusception

Question 3

sausage shaped mass

Answer 3

intussuscpetion

Question 4

agent use in guaiac test

Answer 4

hydrogen peroxide

Question 5

purpose of NGT insertion in intussusception

Answer 5

decompression

Question 6

surgery for intussusception

Answer 6

swenson pullthrough

Question 7

where is the hyperactive sound heard in telescoping of colon

Answer 7

proximal area

Question 8

BROW diet

Answer 8

barley, rye, oats, wheat
also avoid beer in celiac dse

Question 9

substitution of grain foods in celiac dse

Answer 9

corn and rice

Question 10

simple patho of celiac dse

Answer 10

flat mucosal & atrophy of intestinal mucosa-> dec. absoption -> malabsorption of fat (steaorrhea)-> indigestion

Question 11

projectile vomiting w/out bile

Answer 11

pyloric stenosis

Question 12

olive shaped mass or bulge under the right rib

Answer 12

pyloric stenosis

Question 13

position of client after feeding in pt with P.stenosis

Answer 13

right side

Question 14

usually affected in aganglionic megacolon

Answer 14

descending colon

Question 15

failure to pass meconium for the 1st 24-48 hours

Answer 15

hirschsprung dse

Question 16

absence of autonomic parasympathetic ganglion in the large intestines

Answer 16

hirschsprung

Question 17

ribbon like stool

Answer 17

hirschsprung

Question 18

indication is stoma is concave and depressed

Answer 18

atrophy (notify md)

Question 19

foods allowed in pt with ostomy

Answer 19

SPYB- spinach, parsely, yogurt, brocolli

Question 20

can a pt with ostomy swin?

Answer 20

YAS!

Question 21

diet of client with hirschsprung

Answer 21

low residue(fiber), high protein and calorie

Question 22

volume used for infant in during enema

Answer 22

150-200 ml

Question 23

volume used for children in enema

Answer 23

250-500 ML

Question 24

what type of enema use in hirschsprung

Answer 24

mineral oil or isotonic saline
no not use water or soap suds (water intoxication)

Question 25

assessment of volvulus- twisting of bowel upon itself

Answer 25

hirschsprung

Question 26

parasitic infection that causes STEATORRHEA, diarrhea, vomting and abd cramps

Answer 26

giardia lamblia (protozoa)

Question 27

failure of absorption of the membrane that separates rectum and anus during embryonic life

Answer 27

imperforated anus

Question 28

3C's seen in esophageal atresia and tracheoesophageal fistula

Answer 28

choking, coughing & cyanosis

Question 29

Cardinal sign of appendicitis

Answer 29

intense, diffuse pain at RLQ and Mcburney's point

Question 30

palpation of left lower quadrant pain is felt on the right

Answer 30

Rovsing sign

Question 31

pain felt upon flexion of hip against resistance pain on RLQ

Answer 31

Psoas sign

Question 32

passive flex of knee and hips and internally rotate- pain in RLQ

Answer 32

obturator sign