PreTest Surgery: Pediatric Surgery

Question 1

Discuss the two types of imperforate anus and the treatments for each.

Answer 1

• High (above the prostate or vagina): diverting colostomy with posterior sagittal anoplasty
• Low (perineal): perineal anoplasty

Question 2

Give the pathologic diagnosis of Hirschsprung’s.

Answer 2

Absence of ganglion cells on full-thickness biopsy 2 cm above the dentate line

Question 3

Enteroenterostomy is the treatment for ________________.

Answer 3

duodenal atresia

Question 4

Lysis of Ladd bands treats ______________.

Answer 4

malrotation (along with detorsion of the bowel)

Question 5

Ileal atresia should be treated with _____________.

Answer 5

resection and anastomosis

Question 6

Annular pancreas is treatable with _____________.

Answer 6

duodenoduodenostomy

Question 7

Meckel diverticulum can be as far as ________ cm from the ileocecal valve.

Answer 7

60

Question 8

Small bowel and liver protruding through the abdominal wall is ______________.

Answer 8

omphalocele

Treat with antibiotics, prevention of hypothermia, and gastric decompression.

Question 9

The best initial management of meconium ileus is _______________.

Answer 9

contrast enema

Question 10

How do you manage diaphragmatic hernia?

Answer 10

1) Cardiopulmonary support

2) Exploratory laparotomy

Question 11

Describe the preoperative assessment of coarctation of the aorta.

Answer 11

• Echocardiography

* Prostaglandins to increase perfusion to the lower extremities