Pediatrics

Question 1

Which diagnosis? Excessive salivation, choking with first feed, presents on first day of life

Answer 1

Esophageal Atresia

Question 2

Diagnosis of imperforate anus

Answer 2

Upside-down XR

Question 3

Which diagnosis? Abdominal defect over pubis and red mucosa showing

Answer 3

Bladder Exstrophy

Question 4

Causes of bilious vomiting and double bubble in newborn

Answer 4

Duodenal atresia, annular pancreas, malrotation

Question 5

Diagnosis of malrotation

Answer 5

Enema or Upper GI scope

Question 6

Which diagnosis? multiple air fluid levels throughout abdomen

Answer 6

Intestinal atresia

Question 7

Which diagnosis? feeding intolerance, distention, decreasing platelet count, premature infant

Answer 7

Necrotizing enterocolitis

Question 8

Treatment of necrotizing enterocolitis

Answer 8

Abx and parenteral feeding/fluids

Question 9

Which diagnosis? feeding intolerance and bilious vomiting with dilated small bowel on imaging

Answer 9

Meconium ileus

Question 10

Diagnosis and Treatment of meconium ileus

Answer 10

Gastrografin enema

Question 11

Which diagnosis? non-bilious projectile vomiting after feeds

Answer 11

Hypertrophic pyloric sphincter

Question 12

Diagnosis of Hypertrophic pyloric sphincter

Answer 12

Clinical (US if necessary)

Question 13

Which diagnosis? persistent, progressively increasing jaundice weeks 6-8 of life

Answer 13

Biliary Atresia

Question 14

Which diagnosis? chronic constipation, rectal exam may lead to explosive diarrhea

Answer 14

Hirschsprung Disease

Question 15

Diagnosis of Hirschsprung Disease

Answer 15

Biopsy

Question 16

Which diagnosis? Colicky abdominal pain lasting one minute at a time, vague mass on right side, currant-jelly stool, 6-12 months of age

Answer 16

Intussusception

Question 17

Diagnosis/Treatment of Intussusception

Answer 17

Barium/air enema

Question 18

Which diagnosis? Lower GI bleeding in child

Answer 18

Meckel Diverticulum

Question 19

Diagnosis of Meckel Diverticulum

Answer 19

Technetium Scan

Question 20

Testicle should reach scrotum by age ___; otherwise, treatment is _____

Answer 20

1; orchiopexy

Question 21

Which diagnosis? Abdominal mass that moves up and down with respiration

Answer 21

Hepatoblastoma/hepatocellular carcinoma

Question 22

Which diagnosis? Deep, fixed abdominal mass

Answer 22

Wilms tumor or neuroblastoma