peds gi 2 test 2

Question 1

– the most common chronic childhood disease

Answer 1

Dental caries

Question 2

Dental caries cause what

Answer 2

failure to thrive,

impaired speech development,

inability to concentrate,

absences from school

Question 3

when do permanent molars come in

Answer 3

6 yo

Question 4

By _____ of age, every child should begin to receive oral health risk assessments from a health professional

Answer 4

6 mo

Question 5

risk factor for bad teeth

Answer 5

bed bottle

low fluoride in water

paci / thumb sucking

not brushing teeth

Question 6

when show oral examination happen

Answer 6

by an oral pro

within first 6 months and no later than 12 mo

every 6 months

Question 7

80% of esophageal foreign bodies are in children – usually between ____ and ____ of age

Answer 7

6 months and 3 years

Question 8

t/f FB More common in children with developmental delays and psychiatric disorders

Answer 8

t

Question 9

t/f 30% of foreign body ingestions in kids may be totally asymptomatic

Answer 9

t

Question 10

symptoms of Esophageal Foreign Bodies

Answer 10

stridor, wheezing, cyanosis or dyspnea may be present

choking, gagging, and coughing
excessive salivation, dysphagia, food refusal, emesis or pain

Question 11

how do you eval esophageal foreign bodies

Answer 11

Plain films
AP and lateral of neck and chest

AP of abdomen

Question 12

how do coins look on films

Answer 12

flat on AP and edge on lateral films

Question 13

t/f Plastic wood, glass, aluminum and bones are easily seen

Answer 13

false can be radiolucent

Question 14

tx for foreign body

Answer 14

throw them in your trunk

endoscopic visualization of object and removal

(batteries cause injury in 4 hrs)

Question 15

causes painless rectal bleeding

Answer 15

Meckel diverticulum

Question 16

what age does malrotation happen

Answer 16

1 year of life over half in first month

Question 17

most common presentation of malrotation

Answer 17

vomiting (bilious)

recurrent abd pain (colic)

Question 18

Occurs when the small bowel twists around the superior mesenteric artery leading to vascular compromise of the bowel

Answer 18

malrotation volvulus

Question 19

how do you confirm volvulus

Answer 19

contrast radiographic study (UGI)

Question 20

tx for malrotation

Answer 20

surgery - bands and adhesions lysed (the band was not good

:(

Question 21

Developmental disorder of the enteric nervous system – absence of ganglion cells in the submucosal and myenteric plexus

Answer 21

Hirschprung disease

Question 22

congenital aganglionic megacolon

Answer 22

Hirschprung disease

Question 23

where does Hirschprung disease occure

Answer 23

Limited to the rectosigmoid in 80% of patients

Long segment disease in 10 – 15% patients

Question 24

Hirschprung disease manifestations

Answer 24

distended abdomen,

failure to pass meconium,

bilious emesis

Question 25

what is enterocolitis

caused by hirschprung

Answer 25

secondary to dilatation of the bowel
intraluminal pressure increase

deterioration of the mucosal barrier

bacterial proliferation

Question 26

gold standard dx for hirschprung

Answer 26

rectal suction biopsy (get the dyson out)

can do contrast enema in kids older than 1

Question 27

hirschprung tx

Answer 27

surgery - cut out not good colon

Question 28

1st several months of life – irritability, protracted vomiting and diarrhea

Vomiting usually occurs 1 – 3 hours after eating

If continued exposure -> abdominal distention, bloody diarrhea, anemia and failure to thrive

Answer 28

milk and soy protein allergy

Question 29

First few months of life
Blood-streaked stools in otherwise healthy infants
60% occur in breast-fed infants

Answer 29

Food protein-induced proctocolitis

Question 30

First few months
Diarrhea, steatorrhea, poor weight gain
Protracted diarrhea, vomiting, FTT, abdominal distention, early satiety and malabsorption

Cow’s milk sensitivity and Celiac are examples

Answer 30

Food protein-induced enteropathy