Gastrointestinal

Question 0

Most common TEF

Answer 0

A

Question 1

Frothing and bubbling at mouth exacerbated by feeding

Newborn

Answer 1

Esophageal atresia

Question 2

Inability to pass NGT

Answer 2

Esophageal atresia

Question 3

TEF management

Answer 3

Sx ligation

End to end anastomosis

Question 4

Infant 4-12 mos
Postprandial regurgitation
Irritability, arching, choking

Answer 4

Esophageal reflux

Question 5

Dx test GERD

Answer 5

Barium study

Upper GIT

Question 6

GERD management

Answer 6

Thicken formula
Prone or upright
Nissen fundoplication

Question 7

FB
AP view
Lateral

Answer 7

Flat surface

Edge

Question 8

Liquid alkali

Acidic

Answer 8

Liquefaction necrosis

Coagulative

Question 9

CI caustic

Answer 9

Neutralization
Induced emesis
Gastric lavage

Question 10

Large volume frequent bilious emesis

Intermittent pain in epigastrium or periumbilical area

Answer 10

High intestinal obstruction

Question 11

Distention with progressively feculent emesis

Diffuse pain over entire abdomen

Answer 11

Low intestinal obstruction

Question 12

MCC Nonbilious vomiting

Answer 12

Pyloric stenosis

Question 13

Prostprandial vomiting
Hypochloremic metabolic alkalosis
Firm movable olive shaped mass

Answer 13

Pyloric stenosis

Question 14

Bulge of pyloric muse into atrium

Barium

Answer 14

Shoulder sign

Pyloric stenosis

Question 15

Streaks of barium in narrowed channel

Answer 15

Double tract sign

Pyloric stenosis

Question 16

Tx pyloric stenosis

Answer 16

Ramstedt pyloromyotomy

Question 17

Sudden severe epigastric pain
Inability to pass tube into stomach
Retching with emesis

Answer 17

Volvulus

Question 18

Bird’s beak sign

Barium

Answer 18

Volvulus

Question 19

Distended sigmoid loop

Answer 19

Inverted U sign

Volvulus

Question 20

Midline crease corresponding to mesenteric root in greatly distended sigmoid

Answer 20

Coffee bean sign

Volvulus

Question 21

Tx volvulus

Answer 21

Laparoscopic derotation or laparotomy +/- bowel resection

Question 22

Premature Newborn

Bilious vomiting without abdominal distention on first day of life

Answer 22

Duodenal atresia

Question 23

Failure to recanalize lumen

Distal to Ampulla of vater

Answer 23

Duodenal atresia

Question 24

Xray double bubble sign

Answer 24

Duodenal atresia

Question 25

Tx duodenal atresia

Answer 25

NGT/OGT decompression

Duodenoduodenostomy with gastrostomy tube

Question 26

Inc rotation of the intestine during fetal devt
MC failure of cecum to move to RLQ
1st year of life

Answer 26

Malrotation

Question 27

Intermittent painless rectal bleeding and brick colored stool
1st 2 years

Answer 27

Meckel diverticulum

Question 28

Remnant of omphalomesenteric duct

MC congenital GI anomaly

Answer 28

Meckel Diverticulum

Question 29

Dx Meckel diverticulum

Answer 29

Meckel radionuclide scan

Question 30

Absence of ganglion cells in bowel wall beginning in int anal sphincter
Rectosigmoid

Answer 30

Hirschprung

Question 31

Delayed passage of meconium
Chronic constipation
Normal anal tone with empty rectal vault

Answer 31

Hirschprung

Question 32

Currarino triad

Answer 32

Anorectal malformation
Sacral bone anomalies
Presacral masses

Question 33

Hirschprung dx

Answer 33

Rectal manometry and rectal suction biopsy

Question 34

Hirschprung tx

Answer 34

Temporary colostomy then wait until 6-12 mos old then pull through

Question 35

MC intussusception
Virus
Site

Answer 35

Adenovirus

Ileocolic and ileoileocolic

Question 36

Severe paroxysmal colicky pain that recurs at freq intervals with straining efforts

Answer 36

Intussusception

Question 37

Thin rim of Ba trapped around invaginating part within intussuscipiens

Answer 37

Coiled spring sign

Intussusception

Question 38

Doughnut or target sign on utz

Answer 38

Intussusception