Peds GI

Question 1

Infant Reflux?

Answer 1

U benign

Resolves by 18 mo

Question 2

Infant GER evaluation?

Answer 2

Bilious = obstruction (stenosis, intuss, volvulus)

Question 3

Kid GERD risk factors?

Answer 3

Asthma
Cystic Fibrosis
Handicap

Question 4

GERD Red Flags?

Answer 4

Bleed
Onset of vomiting > 6 mo
Failure to thrive
Diarrhea
Fever
Hepatosplenomegaly
Abd tenderness or distension
Neurologic changes

Question 5

Phenylketonuria is?

Answer 5

Metabolic dysfxn from dec phenylalanine hydroxylase = Can’t convert phenylalanine to tyrosine

Question 6

Phenylketonuria sxs?

Answer 6

Vomiting
If untreated:
Retardation
Dec growth
Dec pigment
Mouse odor

Question 7

Phenylketonuria tx?

Answer 7

Avoid aspartame and phenylalanine

Question 8

Colic Rule of 3’s?

Answer 8

Healthy infant aged 2–3 months
Cries in pain 3+ hrs/day, 3+ x wk, > 3 weeks
U in afternoon
U resolves by 5 mo

Question 9

Meckel diverticulum is?

Answer 9

omphalomesenteric duct remnant in mid to distal ileum –»

secretes acid –» ulcerates

Question 10

Meckel diverticulum sxs?

Inc risk of?

Tx?

Answer 10

PAINLESS bleeding
Diverticulitis mimics appy

Volvulus, Intuss, Perf

Resection

Question 11

Hirschsprung dz is?

Answer 11

Aganglionic GI track

U rectosigmoid

Question 12

Hirschsprung dz sxs?

Answer 12

Fail to pass meconium
Vomiting, Distention
Severe constipation, Ribbon stool

Question 13

Hirschsprung dz dx?

Tx?

Answer 13

Biopsy

Resection

Question 14

Diarrhea most C causes?

Answer 14

Rota
Adeno
Noro

Question 15

Hirschsprung Rule of 2s?

Answer 15

2 feet from ileocecal valve
2 inches long
2% of population
Seen by age 2