Surgery - other

Question 1

A 4-hour-old baby is noted to have episodes of cyanosis and breathlessness during his first breast feed. When you examine him you find frothy milk and slime around his mouth. The pregnancy was complicated by significant polyhydramnios, but otherwise was normal and proceeded to normal delivery at full term. What is the most likely diagnosis?

Question 1Select one:

a.
Late respiratory distress syndrome

b.
Transposition of the great arteries

c.
Blind pouch oesophageal atresia

d.
Congenital obstruction renal tract

Answer 1

Blind pouch oesophageal atresia

Shows us that swallowing not occuring (polyhydramnios + froth)

Question 2

A 3-week-old baby appears jaundiced with white or clay-coloured stools and dark urine. The MOST likely cause is:

Question 2Select one:

a.
Breast feeding

b.
Biliary atresia

c.
ABO reaction

d.
Cystic fibrosis

Answer 2

Biliary atresia

Question 3

A renal ultrasound is diagnostic for all EXCEPT which ONE of the following conditions?

Question 3Select one:

a.
Vesicoureteric reflux

b.
Horseshoe kidney

c.
Urinary obstruction

d.
Duplex kidney/ureter

Answer 3

Vesicoureteric reflux

functional rather than structural

Question 4

A baby due to be delivered soon, is suspected from antenatal scans, of having posterior urethral valves. The parents did not want the child sexed before birth. WHICH ONE of the following postnatal features EXCLUDES posterior urethral valves?

Question 4Select one:

a.
Adequate urinary stream

b.
Urinary tract infection

c.
Male gender of baby

d.
Female gender of baby

Answer 4

Female gender of baby

Question 5

WHICH ONE of the following is TRUE regarding congenital urinary tract abnormalities in infants?

Question 5Select one:

a.
The usual childhood anomaly is pelvi-ureteric obstruction

b.
They can only be detected by investigating all UTIs

c.
They occur in eighty percent of infants with UTI

d.
Some abnormalities increase the likelihood of UTI

Answer 5

Some abnormalities increase the likelihood of UTI