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WorksheetsPedSx review
Total questions: 20
Worksheet time: 7mins
A 2-month-old boy was brought to the hospital because his parent noticed empty Rt scrotum. Physical examination showed a palpable testis at Rt groin around external inguinal ring.
What is the next management?
Rt orchiopexy
Laparoscopic examination
Observation
Exploration of Rt groin
A 6-month-old girl was brought to the clinic. Her parents told that the patient did not have a vagina. Physical examination was as depicted. What is the diagnosis?
Cloacal malformation
Imperforated hymen
Vaginal atresia
Labial fusion
Which condition is NOT associated with this patient?
Duodenal atresia
Cryptorchidism
Intestinal malrotation
Preterm birth
An 8-year-old boy presented with acute scrotal pain and nausea for four hours. Physical examination showed a blue dot sign.
What is the most likely diagnosis?
Testicular torsion
Torsion of testicular appendage
Epididymitis
Scrotal hematoma
Which condition is NOT associated with this patient?
Jejunoileal atresia
Pentalogy of Cantrell
Beckwith-Weideman Syndrome
Edward syndrome
A previously healthy 2-year-old boy presented with painless massive hematochezia.
He had acute anemia which required 2 units of PRC transfusion.
Which embryonic structure is the cause of this disease derived from?
Urachus
Allantois
Omphalomesenteric duct
Median umbilical ligament
A term female newborn was born with a history of polyhydramnios during materal ANC. At birth, physical examination was unremarkable. An orogastric tube can be passed without stuck. 10 ml of bile was obtained. A plain abdominal radiograph was done.
What is the most likely diagnosis?
Esophageal atresia
Duodenal atresia
Jejunal atresia
Ileal atresia
A previously healthy 6-week-old male baby presented with gradual jaundice. Acholic stool was observed. Liver function test showed direct hyperbilirubinemia.
If biliary atresia is suspected, which investigation is for the definitive diagnosis?
Upper abdominal ultrasonography
DISIDA Scan
Liver biopsy
Intraoperative cholangiogram
Which is NOT a finding for Hirschsprung disease in Barium enema?
Transitional zone
Complete evacuation of contrast in 24 hr
Jejunization
Saw tooth appearance
A 6-month-old boy presented with colicky abdominal pain 3 days PTA. His mother noticed abdominal distension last night. The pain gradually increased in frequency. This morning he had bilious vomiting and passed bloody stool. Abdominal ultrasonography was as depicted. Pneumatic reduction was done and successful in 1 attempt.
What is the most common cause of the condition in this patient?
GI tract Polyp
Meckel's diverticulum
Duplication cyst
Lymphoid tissue
A term female newborn had a history of abnormal prenatal ultrasonography.
At GA 20 wk, there was a multicystic lesion seen within Rt chest. However, at the third trimester, there was complete resolution of the lesion. She was born by normal delivery uneventfully.
What is the most proper management?
Plain chest radiography
Percutaneous biopsy
Emergency surgery
No further management required
A male newborn was born for 2 hours.
The nurse could not find the patient's normal anal opening.
There was no meconium seen in urine or at skin.
What is the proper management?
Colostomy
Anoplasty
Prone lateral
crosstable film
Observation
A term female newborn had a history of polyhydramnios during maternal ANC. The patient had hypersecretion since birth. An orogastric tube was inserted and stuck at 10 cm. Plain radiograph was done as shown.
Which condition is least associated with this patient?
Tetralogy of Fallot
Imperforate anus
Retinal anomalies
Hydronephrosis
A term male newborn presented with respiratory distress. Plain radiograph was as depicted.
What is the diagnosis?
Congenital diaphragmatic hernia
Bronchogenic cyst
Bronchopulmonary sequestration
Congenital pulmonary airway malformation
A 1-month-old girl presented with sudden onset bilious vomiting 2 days. She was previously healthy. On arrival, the patient was lethargy. Physical examination showed soft abdomen, no guarding, no palpable mass. Plain abdominal radiograph showed dilation of stomach with paucity of air in distal bowel.
What is the investigation of choice in this patient?
Barium enema
Upper GI study
CT whole abdomen
No further investigation
Operative management should be proceeded
Which treatment is required in this patient?
Nasogastric feeding
Palatal obturator
Cheiloplasty
Speech therapy
Which is believed to prevent this condition?
Proper prenatal screening
Folate
Ferrous
Calcium
A 4-month-old girl was brought to the clinic. She appeared healthy during her vitis. At first, she had a small reddish papule at her right cheek. Then, the lesion become larger rapidly.
What is a proper treatment?
Observation
Intralesional
bleomycin injection
Intralesional
steroid injection
Surgical excision
A 1-month-old girl, who was previously healthy, presented with
non-bilious vomiting for 4 days. She vomited vigorously especially soon after every feeding. On arrival, the patient was lethargy. Physical examination showed soft abdomen, no guarding, palpable soft tissue mass at upper abdomen. Plain abdominal radiograph was as shown.
What is the investigation of choice in this patient?
CT whole abdomen
Upper GI study
Ultrasonography of abdomen
No further investigation
Operative management should be proceeded
A term female newborn was delivered uneventfully. During physical examination at birth, there was abnormal perineal examination as depicted.
What is the most proper next management?
Observation for
20-24 hours
Probing
Anoplasty
Colostomy
