Pediatric surgery Flashcards
In case of infantile and paediatric inguinal hernia which statement is correct?
1) The main symptom is usually a painless swelling in the inguinal region, which is easily reduced or can be repositioned into the abdominal cavity (reduction).
2) In case of an unsuccessful reduction (incarcerated hernia) in boys, usually an urgent operation is needed.
3) In childhood, stating the diagnosis of an inguinal hernia equals setting the indication for the operation.
4) In setting the diagnosis of an inguinal hernia, the doctor often relies only on parents.
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
E) all of the answers are correct
Which statement is correct?
1) Neonatal and infantile congenital hydrocele do not require any operation under 1 year of age.
2) There is no hydrocele in girls.
3) If next to a hydrocele an inguinal hernia is detected, the operation is recommended regardless of age.
4) Double-sided hydrocele causes often pain and other severe symptoms.
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
B) 1st and 3rd answers are correct
In distinguishing hydrocele and inguinal hernia, the following(s) may be useful:
1) Anamnestic data
2) Physical examination
3) Ultrasound scan
4) X-ray
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
E) all of the answers are correct
When does scrotal pain in an infant or child mean an imminent indication for operation?
1) If there is parenchymal bleeding in the testis because of blunt trauma
2) If scrotal pain is accompanied by abdominal pain
3) In case of orchido-epididymitis
4) If a testicular torsion cannot be ruled out based on the clinical symptoms, physical examination and/or Doppler sonography scan
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
D) only 4th answer is correct
Choose the true statement(s), which is (are) correct for intussusception in infancy and early childhood:
1) Sudden onset, spasmodic abdominal pain
2) Early onset, raspberry jam like stool
3) Its incidence is the greatest between 3-13 months of age
4) Meckel’s diverticulum does not play a role in intussusception
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
B) 1st and 3rd answers are correct
In case of infantile intussusception, which treatment(s) option(s) should be taken?
1) Hydrostatic desinvagination attempt (with ultrasound control)
2) In case of an unsuccessful desinvagination attempt operative treatment
3) In case of peritoneal symptoms, guarding, perforation immediate laparotomy
4) In case of bloody stool laparotomy is always needed
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
A) 1st, 2nd and 3rd answers are correct
In case of congenital hypertrophic pyloric stenosis:
1) The vomit is bloody from the strain.
2) It is characterised by gradually developing jet like vomiting.
3) The vomit is rather bilious.
4) It presents more often in boys.
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
C) 2nd and 4th answers are correct
Congenital hypertrophic pyloric stenosis can be diagnosed by
1) Feeding test
2) Abdominal ultrasound scan
3) Upper gastrointestinal X-ray with contrast
4) Lab tests (full blood count, Astrup and electrolytes)
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
A) 1st, 2nd and 3rd answers are correct
