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PedSx review

Total questions: 20

Worksheet time: 7mins

Name
Class
Date
1.

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?

a)

Rt orchiopexy

b)

Laparoscopic examination

c)

Observation

d)

Exploration of Rt groin

2.

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?

a)

Cloacal malformation

b)

Imperforated hymen

c)

Vaginal atresia

d)

Labial fusion

3.

Which condition is NOT associated with this patient?

a)

Duodenal atresia

b)

Cryptorchidism

c)

Intestinal malrotation

d)

Preterm birth

4.

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?

a)

Testicular torsion

b)

Torsion of testicular appendage

c)

Epididymitis

d)

Scrotal hematoma

5.

Which condition is NOT associated with this patient?

a)

Jejunoileal atresia

b)

Pentalogy of Cantrell

c)

Beckwith-Weideman Syndrome

d)

Edward syndrome

6.

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?

a)

Urachus

b)

Allantois

c)

Omphalomesenteric duct

d)

Median umbilical ligament

7.

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?

a)

Esophageal atresia

b)

Duodenal atresia

c)

Jejunal atresia

d)

Ileal atresia

8.

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?

a)

Upper abdominal ultrasonography

b)

DISIDA Scan

c)

Liver biopsy

d)

Intraoperative cholangiogram

9.

Which is NOT a finding for Hirschsprung disease in Barium enema?

a)

Transitional zone

b)

Complete evacuation of contrast in 24 hr

c)

Jejunization

d)

Saw tooth appearance

10.

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?

a)

GI tract Polyp

b)

Meckel's diverticulum

c)

Duplication cyst

d)

Lymphoid tissue

11.

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?

a)

Plain chest radiography

b)

Percutaneous biopsy

c)

Emergency surgery

d)

No further management required

12.

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?

a)

Colostomy

b)

Anoplasty

c)

Prone lateral
crosstable film

d)

Observation

13.

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?

a)

Tetralogy of Fallot

b)

Imperforate anus

c)

Retinal anomalies

d)

Hydronephrosis

14.

A term male newborn presented with respiratory distress. Plain radiograph was as depicted.

What is the diagnosis?

a)

Congenital diaphragmatic hernia

b)

Bronchogenic cyst

c)

Bronchopulmonary sequestration

d)

Congenital pulmonary airway malformation

15.

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?

a)

Barium enema

b)

Upper GI study

c)

CT whole abdomen

d)

No further investigation

Operative management should be proceeded

16.

Which treatment is required in this patient?

a)

Nasogastric feeding

b)

Palatal obturator

c)

Cheiloplasty

d)

Speech therapy

17.

Which is believed to prevent this condition?

a)

Proper prenatal screening

b)

Folate

c)

Ferrous

d)

Calcium

18.

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?

a)

Observation

b)

Intralesional
bleomycin injection

c)

Intralesional
steroid injection

d)

Surgical excision

19.

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?

a)

CT whole abdomen

b)

Upper GI study

c)

Ultrasonography of abdomen

d)

No further investigation

Operative management should be proceeded

20.

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?

a)

Observation for
20-24 hours

b)

Probing

c)

Anoplasty

d)

Colostomy