Vomiting, Reflux, Chronic Abdo Pain Flashcards
A 4 month-old child has frequent spilling after feeds, and is often irritable afterwards. He may throw his head and body backwards during these episodes. He is growing well. Oesophagoscopy has shown inflammation in the lower third of the oesophagus. What management would you recommend?
Question 1Select one:
a.
Milk/feed thickening
b.
Nissen fundoplication
c.
Simple reassurance
d.
Proton-pump inhibitor
Proton-pump inhibitor
objective damage on scope
A four week old infant presents with a history of being extremely upset mostly in the evening. This has been present since about one week of age. The baby goes red and draws the legs up and is only consoled by cuddling. WHICH ONE of the following is the MOST LIKELY diagnosis?
Question 2Select one:
a.
Unsettled-nonspecific
b.
Acute intussusception
c.
Maternal depression
d.
Reflux oesophagitis
Unsettled-nonspecific
A 4-week old boy presents with recent onset, forceful (hits the wall of the room), non-bilious vomiting and significant dehydration. What is the most likely cause?
Question 3Select one:
a.
Milk intolerance
b.
Pyloric stenosis
c.
Intussusception
d.
Gastric reflux
pyloric stenosis
A 3 month old girl presents to the outpatients because of frequent vomiting and spilling for the last 2 months. Vomitus contains some fresh blood and “coffee grounds”. There are no abnormal signs on examination and the child’s weight is on the 50th centile. What is the most likely cause of the bleeding in this situation?
Question 4Select one:
a.
Pyloric stenosis
b.
Peptic ulceration
c.
Coagulation disorder
d.
Reflux oesophagitis
Reflux oesophagitis
Mallory Weiss tear
Madison is a 7-year old girl with a 3-month history of recurrent abdominal pain, and has been missing numerous days from school on account of this. What is the most common cause of childhood recurrent abdominal pain in this situation?
Question 5Select one:
a.
Psychosomatic
b.
Diverticulitis
c.
Duodenal ulcer
d.
H. pylori gastritis
Psychosomatic
