Pediatric GI tract Flashcards
What should the stomach wall measure in peds?
A) 1.5-3mm
B) 2.5-3.5mm
C) 3-4mm
D) 4-5mm
B
What is known as “abnormal thickening of the antropyloric region of the stomach”?
A) Gastric stenosis
B) Pyloric stenosis
C) Peptic ulcer
D) Gastric ulcer
B - projectile vomiting and failure to thrive are symptoms
In pyloric stenosis, what is the length of the antrum and thickness of the muscle respectively?
A) >14mm and >4mm
B) >15mm and >3mm
C) >16mm and >4mm
D) >16mm and >3mm
D
What is the most common cause of small bowel obstruction in peds?
A) Duodenal atresia
B) Pyloric stenosis
C) Intussusception
D) Jejunal and ileal atresia
D - symptom of bilious vomiting
Which of the following pathologies will have decreased peristalsis?
A) Meconium ileus
B) Lactobezoar
C) Duodenal atresia
D) Jejunal and ileal atresia
A - abnormally thickened meconium will have decreased peristalsis as it cant move the thickened contents as well - associated with cystic fibrosis
Whats abnormality is known when the SMV is seen to the left of the SMA?
Malrotation - volvulus is a complication
What abnormality is known when the mesentery and SMV wraps around the SMA?
Volvulus - a complication of malrotation - bilious vomiting and abdominal distension
What is the second leading cause of death in premature
infants?
A) Volvulus
B) Meconium ileus
C) NEC
D) Malrotation
C - surgical emergency when the bowel necrotizes
Which of the following is NOT associated with NEC?
A) Intraluminal gas
B) Surgical emergency
C) Premature infant
D) Ultrasound is the gold standard
D - radiography is the gold standard
Which of the following pathologies will present with painless rectal bleeding?
A) Meckel diverticulum
B) NEC
C) Duodenal atresia
D) Meconium ileus
A - blind outpouching of ileum due to incomplete obliteration of vitelline duct
What abnormality is the “congenital absence of parasympathetic ganglion cells in the submucosal”
A) Aganglionic megacolon
B) Hirschsprung disease
C) Chrons
D) Chrons colitis
E) A & B
E
