pediatric surgery quiz

Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

http://www.go2pdf.com

What is this anomaly

a. Umbilical granulomab. Colostomyc. Umbilical sepsisd. Patent vitellointestinal duct



What does thisdepict

a.Peripheral smearb.Stool microscopy

c. Karyotyped.Barr body



Name this lesiona. Meningoceleb. Meningomyelocelec. Encephaloceled. Lipomae. kyphosis



CSF leaves the ventricularsystem through

a. Foramen of monroeb. Aperture of helenc. Foramina of luschkad. Epiploic foramen



This tumor in a fouryear old is likely tobe

a. Neuroblastomab. Wilms’ tumorc. Gravitz tumord. Hodgkin’s diseasee. Non-hodgkin’s

lymphoma



He developed aoperation for

congenitalmegacolon

a. Dr Kulkarnib. Dr. Swenson

c. Dr.Soaved. Dr.Abdul Kadir

khan



1 2

3 4

Namethe

lesions



He pioneeredneonatal surgery in

the US

a. Dr Swensonb. Dr Richards Lyon

c. Dr Laddd. Dr Mayo



What is this lesion

a. lobe of asterixb. caput medusaec. cava piriformis

d.conus medullaris



These drawings depict differentforms of

a. duodenal atresiab. intestinal atresia

c. anorectal malformationsd. esophageal atresia withtracheoesophageal fistula



Identifya. William

Oslerb.WilliamShakespeare

c. John Hunterd.John Major



What condition is being depicted?a. inguinal herniab. femoral hernia

c. diphragmatic herniad. hernia of the lung



Lower end of theshunt is

Inserted in the1. Pleural cavity

2. Peritoneal cavity3. Gall bladder

4. Urinary bladder



Six year old girlpresenting with

fever, jaundice andwhite stools

This is the ERCP imageThe diagnosis is

1. Gallstones2. Bile duct stones3. Choledocal cyst4. Biliary atresia



This slide shows different forms of

1. Variations in gall bladder and bileduct anatomy

2. Variations in liver anatomy3. Varieties of choledocal cysts

4. Variations in positions of appendix



Thickening ofpyloric

muscle isseen in

1. Pepticulcer

2. Duodenalulcer

3. Pyloricstenosis

4. Gastro-esophagealreflux



This anomalyshould be

repaired at1. Birth

2. 3 months3. One year4. Five years



This picture shows a baby with

1.Umbilical hernia2.Paraumbilical hernia3.Exomphalos major4.Exomphalos minor

5.Umbilical polyp



Absence of left testis from scrotum orundescended testis requires repair at

1. Birth2. Whenever patient becomes symptomatic

3. At 6 months4. At one year5. At 5 years



Double bubble inabdomenindicates

a.Normal anatomyb.Pyloric stenosis

c. Duodenalobstruction

d.malrotationCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


This child with exomphalos major beingtreated in aurangabad should be

1. Repaired immediately, ventilated, giventotal parenteral nutrition2. Repaired, ventilated

3. Repaired and bowel should be resected4. Treated conservatively



This anomaly ingirls requires

1. Colostomy2. Perineal repair

immediately3. Perineal repair

at 6 months4. No treatment



Name theprocedure



What is wrong with this patient

1. Congenital hydrocephalus2. Tuberculous meningitis

3. Brain tumor4. encephalocele



This illness requires

1.Application of pressure bandage2.Wearing of scrotal support

3.Immediate surgery4.Elective surgery



Gharpure hospital

This anomaly in a one year old child requires

1. Immediate repair2. Antibiotics

3. Repeated aspirations4. Elective repair



GHARPURE

HOSPITAL



Hypospadias requires repair at

1. Immediately at birth2. When baby is 6 months old

3. When baby weighs at least 20 kg4. When baby is around 1.5 year old and

weighs 10 kg



This anomaly in amale requires

1. Perineal repair2. Colostomy

3. No intervention4. Urethral

cathetarization



Gharpure hospitalCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


The treatment for meckel’sdiverticulum is

1.Wedge resection2.Resection and end to end

anastomosis3.Inversion of the diverticulum

4.Masterly inactivity



This newborn baby is bringing out froth frommouth

Catheter can not be passed beyond 10 cmfrom gum marginThe diagnosis is

1. Esophageal atresia2. Pharyngeal stenosis3. Laryngeal stenosis

4. Carcinoma esophagus



Air in pleuralcavity requires

1. Antibiotics2. Aspiration

3. Aspiration andICD if

Necessary4. No treatment5. thoracotomy



This patient with bilateralundescended testes and a well

developed penis needs the followinginvestigation

1.Karyotype2.Hemogram3.Genitogram4.Chest x-ray



This patient with bilateral descendedtestes and severe hypospadias requireswhich of the following investigations

1. X-ray abdomen2. X-ray pelvis3. Genitogram4. Karyotype

5. HCG stimulation test



Downwardcurvature of

penis is called

1. Hypospadias2. Epispadias

3. Normospadias4. chordee



This child withanal stenosis

requires

1. Colostomy2. Cutback

3. Anoplasty4. dilatation



This child is passing meconeum from anarrow opening in perineum

What investigations are required todetermine immediate management plan

1. X-ray abdomen2. Invertogram3. X-ray chest

4. Abdominal sonography5. None of the above



This child has undergone aprocedure for bilateral cleft lip

may require what additionalprocedures

1.Pharyngoplasty2.Palatoplasty3.Uvuloplasty

4.Sub-mucous resection of septumCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


Visible peristalsis in epigastrium;in a one month old male who is

vomiting milk means

1.Gastroesophageal reflux2.Congenital hypertrophic pyloric

stenosis3.Duodenal obstruction4.Feeding intolerance



This child has

1. Crouzon’ssyndrome

2. Apert syndrone3. Down’s syndrome4. Marfan syndrome5. Cushing syndrome



This five year old boywith soft cystic

transilluminant necktumor has

1. Lymph nodeenlargement

2. Multinodular goitre3. Cystic hygroma

4. Filariasis5. Branchial cyst



This child with cystichygroma needs the

following

1. CT scan of the neck2. MRI scan of the

neck3. X-ray neck and

surgical excision4. Conservative

therapy



Identify theanomaly

1. Craniosynostosis

2. Meningocele3. Lipoma

4. encephalocele



This child with exomphalos majorshould be evaluated for

1.Beckwith-wideman syndrome2.Abnormalities of glucose

metabolism3.Congenital heart disease

4.Congenital anomalies of theurinary tract



Identify

1. Hypospadias2. Epispadias3. Phimosis

4. Exstrophybladder



Identify

1. Cavernoushemangioma

2. Strawberrymark

3. Nevus4. Capillaryhemangioma5. Repaired

Cleft lip



This girl withhemangioma

needs

1. Surgical excision2. Trial of steroids3. Laser ablation

4. Injection ofboiling water



This girl withhemangioma

needs

1. Surgical excision2. Trial of steroids3. Local steroids

4. Injection ofboiling water

5. Laser ablation



This three month old male with bilateralreducible inguinoscrotal swellings

should

1. Be observed2. Undergo simultaneous repair of both

hernias3. Repair of individual hernias

4. Application of pressure dressing for 6months



This boy with obstructed inguinalhernia requires

a.Observationb.Taxis and attempt at manual

reductionc. Manual reduction under anesthesia

d.Immediate surgery



This boy with bilateral large herniasrequires

1.bilateral herniotomy2. Left herniotomy and right

herniorrhaphy3.Bilateral herniorrhaphy

4.Bilateral hernioplasty



This child with bilaterallarge inguinal hernias

should be evaluated for

1. Mucopolysaccharoidosis2. Klinefelter syndrome

3. Turner syndrome4. Cri-du-chat syndrome



Identify

1.Exomphalos minor2.Exomphalos intermediate

3.Exomphalos major4.Umbilical hernia

5.Paraumbilical herniaCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


This six month old child withirreducible umbilical hernia is

likely to undergo

1.Mayo’s repair2.Bassini’s repair

3.Repair4.Millard’s repair



Identify

1.Penoscrotal hypospadias2.Epispadias3.Phimosis

4.Normal anatomy



This girl with low anorectalmalformation needs

a.Colostomyb.Cutback and asarp

c. Abdominoperineal pullthroughd.dilatations



This boy with a small opening inperineum which is discharging

meconeum has

a. Anal stenosisb.Rectourethral fistulac. Rectovesical fistula

d.Rectoprostatic fistula



What operation hasbeen done on this

patient

1. Transversecolostomy

2. Sigmoid colostomy3. Ileostomy

4. Creation oflaparoscopy port5. gastrostomy



This child with inability to pass stoolssince birth, distended abdomen, and

failure to thrive has

a. Hypothyroidismb.Short bowel syndromec. Congenital megacolond.Long bowel syndrome

e. Malabsorption syndrome



This child withmegacolon

needs

a. Colostomyb.Colostomy and

pullthroughc. Pullthrough

d.Anal dilatation



After the two meningoceles aresurgically excised, this child is

likely to develop

a.Hydrocephalusb.Hydronephrosis

c. Hypospadiasd.Paraplegia

e. quadriplegia



What is the likely diagnosis

a.meckel’s diverticulumb.Umbilical granuloma

c.Umbilical sepsisd.Patent vitellointestinal duct



What is the diagnosis

a. External Pilesb.Internal piles

c. Fissured.Prolapse

e. Polypf. Carcinoma rectum




a.External pilesb.Internal piles

c.Prolapsed.Polyp

e.Carcinoma rectum



The typical appearance of thischild with bilateral renal

agenesis is known as

a.Harlequin appearanceb.Icthyosis

c.Potter’s faciesd.Risus sardonicus




a.Meningoceleb.Meningomyelocele

c. Encephaloceled.Cerebrocele

e. Ventriculocelef. corticocele




a.Encephaloceleb.Meningomyelocele

c.Lipomad.Spina bifida occulta

e.abscess



Identify thelesion

a. Glutealabscess

b. Meningomyelo-cele

c. Spina bifidaocculta

d. Lipomae. neurofibroma



This child who wasunable to feed at

birth hasundergone

Thoracotomy for

a. Tracheal stenosisb. Esophageal

atresiac. Patent ductus

arteriosusd. Mitral stenosis




a.Meningomyeloceleb.Lipoma

c.Teratomad.neurofibroma




a.Double meningoceleb.Teratoma

c.Meningocele and teratomad.lipoma



This child with a large sarcoma in neckunderwent excision and required two units

blood transfusionsWhat additional treatment may be required

considering the large amount of bloodtransfused

a. Gamma globulinsb. Calcium gluconate

c. Cryoprecipitated. Fresh frozen plasmae. Platelet transfusion



This large wilms’ tumor has beenremoved.what additional treatment the

patient may require

a. No treatmentb.Kidney transplant

c. Chemotherapyd.Chemotherapy and radiotherapy

e. Bone marrow transplant



This girl with a large wilms’ tumor inleft kidney is about to undergo

surgery.What is the preferred approach?

a. Lumbotomyb.Flank incision, extraperitoneal

c. Transperitoneald.Laparoscopic excisione. Cystoscopic excision



This child underwentexcision of wilms’tumor and did not

receive any additionaltreatment


a. Encephaloeleb. Meningocele

c. Scalp secondariesd. neurofibroma



This child with exomphalos major isbeing treated conservatively

What is the best local application

a.Tincture iodineb.Betadine

c. Spiritd.Mercurochrome

e. Acriflavin



Identify

a.Newtonb.Galileoc. Koch

d.Jenner



Identify this illustrious medicalfamily

a.Malphighib.Meckelc.Mayo

d.Moynihane.Mahurkar



Identify

a.Oslerb.Virchow

c. McBurneyd.Cunningham



Identify

a.Wilmsb.Ramstedt

c. Hirschsprungd.Deshpande



Identifya. Henry Gray

b.Satoskarc. Robins

d.Trandelenberg



Identify

a.Brodieb.Pagetc.Wilms

d.rokitansky



Identifya.OrvarSwenson

b.Alberto Penac.HardyHendren

d.HaroldHirschsprung



This typical appearance ofskull on plain x-ray is called

a.Weather beaten appearanceb.Silver beaten appearance

c.Gold foil appearanced.Paget’s disease of skull



This child with dysphagiaand vomiting has

a. Esophageal strictureb. Esophageal stenosis

c. Achalasia cardiad. Acid peptic diseasee. Gastroesophageal

reflux



This 3 day old childvomiting biliousfluid; not passed

meconeum; islikely to have

a. Duodenalobstruction

b. Jejunalobstruction

c. Ileal obstructiond. Imperforate anus



This 4 day old childwith double bubble

and duodenalobstruction needs

a. Gastrojejunostomyb. Duodeno-

jejunostomyc. Duodeno-

dudenostomyd. Gastrostomy

e. colostomy



This two day old child with highjejunal obstruction needs

a.Gastrostomyb.Resection and end to end

anastomosisc. End to side anastomosisd.Side to side anastomosis

e. Jejunostomy



This four year old girl presented with fever,jaundice and pain.

Ct scan showed a large cystic structureanterior to the kidney and under the liver

What is the likely diagnosis

a. Cholecystitisb. Cholangitis

c. Choledocal cystd. Pseudopancreatic cyst

e. Renal cyst




a. Intestinalobstruction

b. Pleural effusionc. Free air under

diphragmd. Cardiomegalye. hepatomegaly



So much air inperitoneal

cavity suggests

a. Colonicperforationb. Ileal

perforationc. Gastricperforation

d. Duodenalperforation

e. Bladderperforation



After filling thestomach withbarium some

barium was seen togo back in esophagus.

This is known as

a. Acid peptic diseaseb. Gastroesophageal

refluxc. Gastric outlet

obstructiond. Pyloric stenosis

e. Increasedintracranial tension



This investigation is done in achild suspected to have

a.Congenital heart diseaseb.Congenital megacolon

c.Imperforate anusd.Intestinal obstruction

e.Cleft lip and palate



What is theinvestigation

a. Urethrogram

b. Bariummeal and

followthrough

c. Bariumenema

d. Colograme. Myelogram



On filling the colon,bladder also filled

up.The patient has

a. Renal agenesisb. Hydronephrosis

c. Colovesical fistulad. Rectourethral

fistulae. Rectovaginal

fistula



After sigmoid colostomy is done,the retention catheter is kept for

a.Two daysb.Two weeks

c.Two monthsd.Two fortnights

e.Two years



What is thediagnosis

a. Bronchiectasisb. Esophageal

atresiac. Tracheal

stenosisd. Pneumothorax



This 6 year old boywith a long historyof repeated coughand respiratoryinfections has

Barium swallow hasbeen done

a. Chronic coughb. Asthmac. H-type

tracheoesophaealfistula

d. Esophageal atresia



Six year old boyunderwent

nephrectomydeveloped swelling

after six monthsWhat is the likely

diagnosis

a. Scalpsecondaries

b. Brain tumorc. Meningocele

d. Encephalocelee. hemangioma



Diagnosis?

a.Teratomab.Bladder

stonesc. Ureteric

stonesd.fecalomas



4 month old boy withrepeated urinary tractinfection and straining

during micturitionunderwent MCUDiagnosis?

a. Urethral strictureb. Megacystic

c. Posterior urethralvalves

d. Hydroureter



This 1 month oldmale withposterior

urethral valvesand serum

creatining 2.4should undergo

a. Cystoscopicfulguration

b. Pyelostomyc. Vesicostomy

d. Urethrostomye. urethroplasty



Mcu in this 1 year old boy indicates

a. Bilateral grade V refluxb. Bilateral grade III refluxc. Bilateral grade I reflux

d. Kidney stones



IVP in this 4 yearold boy shows

a. L.hydroureterand

hydronephrosisb. Hydroureter

c. Hydronephrosisd. Normal renal

anatomy



Large bladder, largeureter and dilated

pelvis.What else is wrong

a. Absent rightkidney

b. Abdominalbladder

c. Gas in intestinesd. Fecal matter in

intestines



Bilateral large kidneysand dilated ureters

on IVPWhat is the likely

diagnosis

a. Pelviuretericjunction obstruction

b. Ureterocelesc. Ureteric strictured. Urethral stricturee. Normal anatomy



This two monthold girl with a

majorcongenitalanomalyWhich

a. Imperforateanus

b. Esophagealatresia

c. Ileal atresiad. Exstrophy

bladder



Three month oldboy with ivp

What is thediagnosis

a. Normalanatomy

b. Kidney stonec. Pelviureteric

junctionobstruction

d. Ureteric stoneCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


Four month old withbilateralabdominal lumpsand spider likepelvicalycealsystem

Diagnosis

a. Duplication ofcollecting system

b. Normal anatomyc. Solitary renal cystd. Multiple renal

cystsCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


Five year old girl with abdominalpain and pus cells in urine has

this ivp picture

a.Kidney stoneb.Ureteric stone

c.Puj obstructiond.ureterocele



Return of urinefrom bladder

to ureter iscalled

a. Gastroesophageal reflux

b. Vesicouretericreflux

c. Megaureterd. Megacystic

e. megalourethraCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


Dilated urethra,trabeculated

bladderindicates

a. Posteriorurethral valvesb. Bladderdiverticulum

c. Urethralstricture

d. Bladder neckhypertrophy



This child withposterior urethral

valves had thisfinding on mcu

Diagnosis

a. Vesicouretericreflux

b. Urinomac. Pelviureteric

junctionobstruction

d. hydroureterCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


This newborngirl presentedwith a large

lump inhypogastriumDiagnosis

a. Hydroceleb. Hydrometroco

lpusc. Hematocolpus

d. Bladderdiverticulum



What is thisdilated

structure

a. Urethrab.Pelvisc. Ureterd.rectum



Vesicouretericreflux greaterthan grade III

requires

a. Antibioticsalone

b. Surgicaltreatment

c. No treatmentd. nephrectomy



What investigation is this

a.Barium mealb.Barium meal and follow

throughc.Operative cholangiogram

d.Barium enema



Procedure of choice forcholedocal cyst is

a. Cystogastrostomyb. Cystojejunostomyc. Cyst excision and

Hepatico-dochojejunostomy roux-

en-Yd. cystoduodenostomy



Cyst excision is recommended incholedocal cyst because

a.Surgery is simpleb.Bleeding is minimal

c. Risk of malignancy in cyst remnantd.Risk of portal hypertension



Investigation ofchoice in

choledocal cystis

a. CT scanb. Sonography

c. ERCPd. Operativecholangiogram

e. Percutaneouscholangiogram



What are the likely long termcomplications for this child with

dilated bile ducts

a.Stone formation in bile ductsb.Biliary cirrhosis

c. Portal hypertensiond.All the above



Identify theinvestigation

a. Bariummeal

b.Bariumswallowc. Ivp

d.Spleno-porto-gram



Spleno-porto-gram is done forevaluation of

a.Portal hypertensionb.Malaria

c. Kala azard.Hodgkin’s disease

e. lymphoma



Before CT scan this was ainvestigation for evaluation of

brain tumors

a.x-ray skullb.Carotid angiography

c. Pneumoventriculographyd.pneumoencephalography



Identify

a.Exomphalos majorb.Exomphalos minor

c.Gastroschisisd.Umbilical hernia

e.colostomy



This fifteen year oldboy with acutescrotal swelling

needs

a. Antibioticsb.Scrotalsonography

c. Ivpd.Immediate

explorationCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


This anomaly oftesticular fixation is

known as

a. Bell clapperdeformity

b.Call bell deformityc. Pendulum deformity

d.Wrist-watchdeformity



Passage ofmeconeum per

urethra indicates

a. Rectourethralfistula

b. Rectovaginalfistula

c. Normal anatomyd. Intestinal

obstruction



CSFcirculation

wasdiscovered

bya. Mayo

b. Moynihanc. Cushingd. Dandy

e. Halstead



Treatment for hydrocephalus is

a.ventriculo-atrial shuntb.Ventriculo-peritoneal shunt

c. Ventriculo-vesical shuntd.Ventriculo-pleural shunt

e. Repeated tappingf. Repeated lumbar puncture



Elongation of head in anteroposteriordirection is called

a. Plagiocephalyb.Brachycephalyc. Dolicocephalyd.Occicephaly

e. Scaphocephalyf. Turricephaly



Diagnosisa. Cranio-pharyngiomab. Cranio-synostsosis

c. Microcephalyd. Megalo-

cephaly



Bony spur within a vertebra iscalled

a.Spina bifidab.Diplomyelia

c.Diastematomyeliad.meningocele



Diagnosis

a. Consolidationb. Empyema

c. Bronchiectasisd. pneumothorax



Diagnosis

a. Congenitallobar

emphysemab. Pneumothorax

c. Pleuraleffusion

d. Cysticadenomatoidmalformation



This foreign body should beremoved by

a.Chest physiotherapyb.Nebulization and chest

physiotherapyc.Right bronchoscopy

d.Flexible bronchoscopy



What is wrong with thispatient

a.Pneumothoraxb.Pneumonia

c.Congenital lung cystd.Pulmonary collapse



Diagnosis

a. Diphragmatichernia

b.Eventration ofdiphragm

c. Pulmonaryagenesia

d.pneumothorax



This child suddenly developedrespiratory distress and cyanosis.

Diagnosis?

a. pneumoperitoneumb.pneumothorax

c. bronchopneumoniad. pulmonary edema



What adviseshould be

given to thischild

a. Immediaterepair of

CDHb. Deferred

repair ofCDH

c. Antibioticsd. Intercostal

drainage



This asymptomatic child wasfound to have this finding on x-

ray. What is the diagnosis?

a.Eventration of diphragmb.Bochdalek diphramatic herniac.Morgagni diphragmatic hernia

d.Umbilical hernia



Survival of patientswithdiphragmatichernia dependson

a. Availablefunctioning lungtissue

b. Amount ofviscera in thechest

c. Weight of thepatient

d. Operative timeCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


This patient with diphragmatichernia is at risk to develop

a.Midgut volvulusb.Gastric volvulusc.Sigmoid volvulus

d.Peptic ulcer



Diagnosis?

a.Staph pneumonia andpneumatoceles

b.Diphragmatic herniac.Pneumothorax

d.Cystic adenomatoidmalformation



A patient withdiphragmatichernia is at risk todevelop thiscomplication aftersurgery

a. Pulmonaryembolism

b. Trombophlebitisc. Compartment

syndromed. Aortic

insufficiencyCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


This child withsmooth mass inchest andvertebraldefects is likelyto have

a. Bronchogeniccyst

b. Thymic cystc. Esophageal

duplication cystd. Pulmonary cyst



Treatment of esophageal duplicationcyst is

a.Aspirationb.Aspiration and injection of

sclerosantc. Thoracotomy and excision

d.Thoracotomy and marsupializatione. Thoracotomy and internal

drainage



This girl underwent intercostaldrainage for empyema.

This is the latest ct scanWhat treatment is required

a.Thoracotomy and decorticationb.Thoracotomy and drainage of pus

c. Repeat intercostal drainaged.Higher antibiotics



These are photographs of thesame patient

What investigations are required

a.Sonographyb.Karyotype and genitogram

c.Laparoscopyd.hemogram



This patient brought up as boy has twogonads in scrotum, well developed phallus

and hypospadias.What investigations are necessary?

a. Karyotypeb. Barr body

c. Genitogramd. Sonography

e. Gonadal biopsyf. 17 ketosteroid estimation



Cleft lip should be repaired at

a.Three daysb.Three years

c.Three monthsd.Six months



This girl withswelling since

birth has

a.Meningoceleb.Meningomyeloce

lec. Encephaloceled.Dermoid cyst



After repair of encephalocele,the child is at risk to develop

a.Hypertensionb.Blindness

c.Hydrocephalusd.anosmia



What is comingout of the anus

a.Round wormb.Tape worm

c.Guinea wormd.Shunt catheter



This child withmeningocele

also has

a. Hydrocephalusb.Kyphosisc. Scoliosis

d.Talipes equinovarus



After repair thischild is at a

specific risk todevelop

a.Paraplegiab.Paraparesis

c. Wound dehiscenced.hydrocephalus



This lesion can be prevented ifmother takes this drug

during pregnancy

a.Calcium gluconateb.Vitamin Ec.Folic acid

d.cynocobalaminCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


Estimation of thissubstance willhelp antenatal

diagnosis

a. HCGb.Hemoglobinc. Alpha-feto

proteind.Serum proteins



Pericolostomyexcoriation is due

to

a. Reaction of skinto mucus

b.Digestion of skinby enzymes

c. Reaction of skinto fecal matterd.Amebiasis



Primary closureof metopic

suture leads to

a. Scaphocephalyb.Turricephaly

c. Trigonocephalyd.Normal

anatomy



Diagnosis

a. Crouzon’ssyndromeb.Albertsyndrome

c. Marfansyndromed.Apertsyndrome



This girl withapert syndrome

needs

a.Local steroidsb.Counsellingc. Craniectomy

andreconstructiond.Vitamin d



This boy withbilateral CTEV

probablyrequires

a. Manipulationsalone

b. Manipulationsand plaster

c. Tendon releaseand plaster

d. Caliper



Infection in cystichygroma is risky

because

a. Septicemiab.Respiratory

obstructionc. Facial nerve

paralysisd.Hemorrhage



This girl withectopic anus also

has

a.Ectopic urethrab.Septate vaginac. Rectovaginal

fistulad.hemorrhoids



All brain tissue presentin the sac should be

a. Carefully put backin the skull

b. Excisedc. Frozen section

should be done and ifmalignant, should beexcised

d. EEG should be doneand should beexcised if EEG isabnormal



This child has

a.Normalanatomy

b.Klumpke’spalsy

c.Erb’s palsyd.Bell’s palsy



This girl with thislarge swelling since

birth has

a.Exomphalos majorb.Exomphalos minorc.Umbilical hernia

d.Paraumbilicalhernia



Intestines lyingoutside theabdominal

cavity have lost

a.The citizenshipb.The

membershipc. The domicile

d.The civil rightsCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


After repair, this patient maydevelop

a.Respiratory insufficiencyb.Paralytic ileusc.Renal failure

d.Compartment syndromee.None of the abovef. All of the above



What surgicaladjuncts may benecessary in this

patient

a. myocutaneous flapb. Mesh

c. Latissimus dorsiflap

d. Fascia lata repair



Diagnosis

a.Meningoceleb.Meningomyelo

celec. Exstrophy

bladderd.Imperforate

anus



Diagnosis

a.Lipomab.Neurofibromac.Gynaecomastia

d.Carcinomabreast



This child with non biliousvomiting and visible peristalsis

is posted for

a.Swenson’s operationb.Bassini’s operation

c.Ramstedt’s operationd.Patil’s operation



This girl with vaginalatresia has

a.Turner’s syndromeb.Klinefelter syndromec.Rokitansky syndromed.Mitrofanoff syndrome



This boy with anorectalmalformations will require

a.One stage repair

b.Two stage repair

c.Three stage repair

d.Four stage repair



This boy with anorectalmalformation will require

a.One stage repairb.Two stage repairc.Three stage repaird.Four stage repaire.No repair



This girl with anorectalmalformation should undergo

a.abdomino-perineal pullthroughb.Posterior sagittal

anorectoplasty- PSARPc.Anterior sagittal anorectoplasty-

ASARPd.No surgery



The mainstay of surgery of this girlwill be

a.Good bowel preparation andcareful dissection

b.Broad spectrum antibioticsc. Blood transfusions

d.Postoperative ventilatory supporte. Total parenteral nutrition



Diagnosis

a. Rectovaginalfistula

b.Rectourethralfistula

c. Anterior ectopicanus

d.Covered anus



This child with anorectalmalformation needs

a.Cutbackb.Anoplastyc.Colostomy

d.AppendicectomyCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


This boy withanal stenosis

requires

a.Colostomyb.Anoplastyc. Dilatation

d.Abdominoperineal

pullthroughCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


This boy with pyloric stenosis islikely to have

a.Hyperchloremiab.Hyperchloremic acidosisc. Hyperchlremic alkalosis

d.Hypochloremic hyperkalemicalkalosis

e. Normal biochemistry



This boy withdifficulty in

defecation andabdominal

distension has

a. Ascitisb. Congenital

megacolonc. Hypo-thyroidism

d. Muco-poly-sacchoroidosis



What proportion ofrepaired

exstrophypatients are

continent

a. 5%b.30%c. 90%d.70%



Hyper-pigmentation,hirsutism,increased weight issuggestive of

1.Connective tissuedisorder2.Cushingsyndrome3.Virilisation4.Feminization



Forcible retraction of prepucebeyond the coronal sulcus

has led to

a.Phimosisb.Hypospadiasc.Paraphimosis

d.epispadiasCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


This patient with posteriorurethral valves and renal

failure has undergone

a.Bilateral pylostomyb.Vesicostomyc.Ureterostomy

d.ColostomyCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


This boy withurethral

valves hasundergone

a.Colostomyb.Vesicostomy

c. Ureterostomyd.Urethrostomy



This boy withhemangioma

needs

a. Trial ofsteroids

b. Trial of localinjection of

boiling waterc. Surgery

d. Laser ablation



This boy with giantinguinal herniashould undergo

a. Immediate repairb. Repair with mesh

c. Pneumo-peritoneum and

repaird. Resection of

intestines andrepair




a.Bilateral hydrocelesb.Bilateral hernia

c.Bilateral obstructedhernia

d.FilariasisCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


Congenital hydrocele in thisboy requires

a.Herniotomyb.Jaboulay’s operation

c.Lord’s operationd.Aspiration



Inguinal hernia in this boyrequires

a.Herniotomyb.Herniorrhaphy

c.Hernioplasty with meshd.Hernioplasty with fascia lata



This boy with herniaalso has

a. Connective tissuedisorder

b. Intestinalobstruction

c. Hypothyroidismd. Hypopituitarism



Identifya.Muco-poly-saccharoidosis

b.Osteogenesisimperfecta

c. Acromegalyd.Dwarfism



What are the specialrisks for this

patient posted forhernia repair

a. Recurrence ofhernia

b.Renal failurec. Paralytic ileus

d.Wound infection



This childwith spinabifida has

a.Cranio-synostosis

b.Meningitisc.Hydro-cephalus

d.tetanusCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


This child born with a softmass over the coccyx has

a.Meningoceleb.Meningomyelocele

c.Teratomad.Rectal prolapse



This tumor arising from lowerpole of kidney has been

removed.This tumor is named aftera.Christopher Columbus

b.Galileo Galileec.Wilms

d.John Hunter



This badly infected ulcer with ascab is

a.Congenitalb.Likely to be secondary to

allergic drug reactionc.Infantile eczema

d.Infiltration of IV fluids



Diagnosis?

a.Umbilicalhernia

b.Appendicitisc. Umbilical

granulomad.Ectopia cordis



This massivepneumo-

peritoneum hasbeen done in this

girl fora. Oxygenation

b. Improve digestionc. To increase size

of abdominalcavity

d. To reduce weight



What organ is lying outsidethe abdominal cavity.

a.Kidneyb.Pancreas

c.Spleend.liver



Dilated duodenum in this 1year old boy with bilious

vomiting is due to

a.Pyloric stenosisb.Peptic ulcer

c.Duodenal atresiad.Duodenal stenosis



Narrow rectumand dilatedsigmoid is

diagnostic ofa. Anal fissure

b.Internal pilesc. Congenital

megacolond.hypothyroidism



This massivedilatation of

upper tracts islikely to be due

toa. PUJ

obstructionb.Ureterocelec. Posterior

urethral valvesd.Hypospadias



This child hasintestinal

obstructionsecondary to

a. Intestinal bandsb.Vitellointestinal

ductc. Obstructed hernia

d.Congenitalmegacolon



10-year-old trauma victim presentsunconsciousand hypotensive. Multiple attempts atperipheral IV access are unsuccessful.The next access of choice is:

a.intraosseous lineb.femoral veinc.internal jugular veind.external jugular veine.saphenous vein cutdown



The most commonly injuredabdominal organ in pediatricblunt trauma is:

a.liverb.spleenc.kidneyd.small bowele.pancreas



In the absence of other concerningassociated signs, APNEA is definedas a respiratory pause of greaterthan:

a.10 secondsb.15 secondsc.20 secondsd.30 secondse.1 minute



Of the following causes of upperairway obstruction, which is LEASTlikely to result in an acute,precipitous deterioration in the ED?

a.croupb.epiglottitisc.foreign body ingestiond.retropharyngeal abscesse.smoke inhalation/ thermal injury



Which of the following is theLEAST LIKELY cause of stridorin an infant or child < 6 yearsold?

a.bacterial tracheitisb.retropharyngeal abscessc.foreign body aspirationcroupc.peritonsillar abscess



Compared with the adult airway, which of thefollowing is NOT characteristic of thepediatric airway:

a.more easily visualized with a straight (eg,Miller) bladeb.narrowest portion located at the cricoidcartilagec.more posterior locationsmaller diameter and shorter lengthd.more easily obstructed by edema,secretions or posterior displacement of thetongue



What percentage of newbornshave full retractable foreskins:

a.94%b.70%c.4%

d.24%Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


A patient in whom you have a highindex of suspicion for testicular

torsion, should have the followingdiagnostic test performed:

a.Nuclear scanb.Color Doppler ultrasound

c.Surgical explorationd.CT scan



Estimated testicular salvage rates inpatients with testicular torsion include

all of the following except:

a.96% if detorsion occurs within 4 hours ofsymptom onset

b.60% if detorsion occurs between 8 and 12hours of symptom onset

c.40% if detorsion occurs between 12 and 24hours of symptom onset

d.less than 10% with presentation greaterthan 24 hours after symptom onset



The lack of a cremasteric reflexin a patient with acute testicularpain, should raise the suspicion

for which of the following:

a.Paraphimosisb.Torsion of the testicular

appendagec.Priapism

d.Testicular torsionCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


Treatment options forparaphimosis include all of the

following except:

a.Manual reductionb.Foreskin needle puncture

c.Referral to a urologist within24 hours

d.Dorsal slit procedureCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


All of the following are true except:

a.Idiopathic scrotal edema is typicallypainlessb.Patients with idiopathic scrotal edemararely present with a feverc.Specific allergens leading to idiopathicscrotal edema have been identifiedd.Most cases of idiopathic scrotal edemaspontaneously resolve within 1 week



All of the following are true regardingvaricoceles except:

a.Most varicoceles are right-sidedb.Patients with the sudden onset of a left orright varicocele should undergo furtherevaluationc.Varicoceles are typically more pronouncedin the upright positiond.Incomplete drainage of the panpiniformplexus results in dilation of the spermaticveins and resultant varicocele formation



All of the following are true except:

a.Most hydroceles are right sidedb. Hydroceles can be reduced withsteady, firm pressurec.Hydroceles are more common inthe prepubertal maled.Hydroceles result from fluidaccumulation within the tunicavaginalis



A 7-week-old, full-term girl has worseningjaundice that the parents first noticed 10 days

ago. On her examination, she is wellappearing and is noted to have a liver edge

4cm below her costal margin. Her directbilirubin is 9. The most likely cause of herdirect hyperbilirubinemia is which of the

following:

a.Biliary atresiab.Cholecystitis

c.Sepsisd.Acetaminophen toxicity



All of the following are FALSE regardingintussusception EXCEPT:

a.The presence of "currant jelly" stoolsis a sensitive findingb.Absence of abdominal pain essentiallyexcludes the diagnosisc.Plain radiographs are not helpful inmaking the diagnosisd.Older children with intussusceptionare more likely to have an identifiable"lead point"



Potentially life-threateningcomplications of

inflammatory boweldisease include:

a.Toxic megacolonb.Gastrointestinal bleeding

c.Intestinal obstructiond.All of the above



All of the following statements are TRUEabout pyloric stenosis EXCEPT:

a.Bilious vomiting is the classicpresenting complaintb.Children may have a hypochloremic,hypokalemic metabolic alkalosisc.This diagnosis can be made bycontrast studies or ultrasonographyd.The hypertrophied muscle cansometimes be felt on abdominal exam



A 6-day-old girl presents with a three-hour history ofbilious emesis and rectal bleeding. Initially she wasquite irritable but is now lethargic. Her abdomen isdistended. An abdominal obstruction series shows adilated stomach and small intestine, but a paucity ofgas in the colon. The next step in management ofthis patient should be whichof the following:

a.Upper GI seriesb.Air-contrast enemac.Surgical interventiond.NICU admission for observation



Which of the following statements isTRUE about upper gastrointestinal(UGI) hemorrhage in children?

a.Ulcers may cause UGI bleeding in youngchildren

b.All patients should undergo nasogastrictube placement and lavagec.Esophageal varices are a common causeof UGI bleeding

d.Hematemesis in a newborn is usually asymptom of significant disease



Which of the following statements aboutappendicitis is TRUE?A.Perforation and peritonitis areuncommon in younger childrenb.The presence of diarrhea effectivelyexcludes appendicitisc.Both ultrasound and CT scan aresensitive and specific tests forappendicitisd.Most abdominal x-rays in patients withappendicitis reveal a fecalith



A 7-year-old boy presents with painless rectalbleeding. He had a large amount of red blood per

rectum at home and continued to bleed on the wayto the ED, but the bleeding has subsequently

stopped. He has been otherwise well. His abdominalexamination reveals no tenderness or masses. Hehas no fissures, polyps, or hemorrhoids noted on

rectal examination. The remainder of hisexamination is unremarkable. Which of the following

conditions is the MOST likely cause of hissymptoms:

a.Meckel's diverticulumb.Inflammatory bowel disease

c.Bacterial gastroenteritisd.Allergic colitis



All of the following statements are TRUEabout gastroesophageal reflux disease(GERD) EXCEPT:

a.GERD is a benign illness without any life-threatening complicationsb.Many infants with GERD can be treatedsuccessfully with conservative measures alonec.Symptoms are frequently non-specific, such asfailure to thrive and irritabilityd.H2-blocking drugs (e.g., ranitidine) and prokineticagents (eg, metoclopramide) are agents commonlyused in the treatment of GERD



A 2-month-old, otherwise healthy boy presents withseveral episodes of vomiting and no bowel movementfor 4 days. His parents state that he has had difficultypassing his stools since birth. His abdomen isdistended, and stool is palpable in the suprapubicregion. His rectal examination reveals no fissures, andno stool is palpable on digital examination. He has abowel movement after you remove your finger. Which ofthe following statements is TRUE about the most likelyetiology of this patient's constipation?A.Caused by neurotoxins elaborated by bacteria in theGI tractb. Caused by an absence of parasympathetic ganglioncells in the intestinec.Likely due to a combination of behavioral andenvironmental factorsd.Caused by poorly functioning endocrine glands



A 5-year-old boy presents withabdominal pain. Potential causes

of his abdominal pain include:a.Pneumoniab.Strep throat

c.Testicular torsiond.Diabetic ketoacidosis

e.All of the aboveCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


A 10-day old male presentswith bilious emesis. What isthe most likely diagnosis?

A.Appendicitisb.Pyloric stenosis

c.Malrotation with midgutvolvulus

d.Feeding intoleranceCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


A 2-week-old-male presents withlethargy and vomiting. His

electrolytes reveal sodium of 121meq/L, potassium of 7.0-meq/l andblood glucose of 40 mg/dl. What is

the most likely diagnosis?A.Dehydration

b.Congenital adrenal hyperplasiac.Inborn error of metabolism

d.Pyloric stenosisCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer


How should a neonate withlethargy and a blood sugar of

20mg/dl be treated?A.Oral feeds with apple juice

b.25% dextrose solutionc.10% dextrose solutiond.50% dextrose solution



A 2-day-old female presents withabdominal distension and vomiting.She has not yet passed a meconium

stool. What is the most likelydiagnosis?

A.Hirschsprung Diseaseb.Malrotation with midgut volvulus

c.Necrotizing enterocolitisd.Constipation



A 3-week-old female presents with persistentseizures despite aggressive management with

benzodiazepines and phenobarbital. Themother reports giving her daughter some

water to "stop her from getting dehydrated."What is the most likely cause of her status

epilepticus?

A.Hypoglycemiab.Diabetes insipidus

c.Hyponatremiad.Hypokalemia



A 1-week-old male presents with some milderythema around his umbilicus extending onto the

abdominal wall. Which of the following is the correctmanagement for this patient?

A.Reassurance and continue with alcohol wipes ofumbilicus

b.Topical antibiotic ointment and recheck the patientthe next day

c.Discharge on cephalexin and recheck the next dayd.Perform a full septic workup and admit the patient



Vaginal bleeding in a 3-day-oldfemale is:

a.Is always indicative of child abuseb.May be due to withdrawal of

maternal hormonesc.Is suspicious for gonorrhea

d.Is most commonly due to a vaginalforeign body-such as baby wipes



Which of the following arecauses of shock in the

newborn?

A.Infectionb.Inborn errors of metabolism

c.Child abused.Thyrotoxicosise.All of the above



Richly vascularized fat in nape ofneck in the newborn is called

1.Thyroid gland2.Hibernating gland

3.Pineal gland4.Accessory parotid gland



Adult stomach capacity isapproximately 1000 ml

Newborn stomach capacity at birth isapproximately

1.100 ml2.80 ml3.30 ml4.10 ml



Meconeum is

1.Highly Alkaline2.Highly Acidic

3.Neutral4.Mildly alkaline5.Mildly acidic



The maximum number of children awoman can have is about 20

how many primitive oocytes are presentin the neonatal ovary at birth

1. 10002. 100,000

3. 2004. 1000,000



Newborn brain is responsiblefor ……… % heat

production

1. 10%2. 20%3. 36%4. 40%



Total body water at term is

1. 40%2. 65%3. 78%4. 90%



Total blood volume at term is

a.70 ml/kgb.60 ml/kgc.80 ml/kgd.90 ml/kg



The mainstay of treatment after thischild with gastroschisis undergoes

repair isa.Administration of three or four

antibioticsb.Ventilatory support and total

parenteral nutritionc. Blood and plasma transfusions

d.Bladder cathetarization



This child with intestinalobstruction has

a.Duodenal atresiab.Jejunal atresia

c.Ileal atresiad.Colonic atresia



pediatric surgery quiz

Documents