Pediatric Surgery Quiz

  • June 2020
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What is this anomaly a. Umbilical granuloma b. Colostomy c. Umbilical sepsis d. Patent vitellointestinal duct

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What does this depict a.Peripheral smear b.Stool microscopy c. Karyotype d.Barr body

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Name this lesion a. Meningocele b. Meningomyelocele c. Encephalocele d. Lipoma e. kyphosis Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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CSF leaves the ventricular system through a. Foramen of monroe b. Aperture of helen c. Foramina of luschka d. Epiploic foramen Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This tumor in a four year old is likely to be a. b. c. d. e.

Neuroblastoma Wilms’ tumor Gravitz tumor Hodgkin’s disease Non-hodgkin’s lymphoma

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He developed a operation for congenital megacolon a. Dr Kulkarni b. Dr. Swenson c. Dr.Soave d. Dr.Abdul Kadir khan

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2

1

3

4

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Name the lesions

He pioneered neonatal surgery in the US a. Dr Swenson b. Dr Richards Lyon c. Dr Ladd d. Dr Mayo

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What is this lesion a. lobe of asterix b. caput medusae c. cava piriformis d.conus medullaris

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These drawings depict different forms of a. duodenal atresia b. intestinal atresia c. anorectal malformations d. esophageal atresia with tracheoesophageal fistula

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Identify a. William Osler b.William Shakespeare c. John Hunter d.John Major

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What condition is being depicted? a. inguinal hernia b. femoral hernia c. diphragmatic hernia d. hernia of the lung

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Lower end of the shunt is Inserted in the 1. Pleural cavity 2. Peritoneal cavity 3. Gall bladder 4. Urinary bladder

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Six year old girl presenting with fever, jaundice and white stools This is the ERCP image The diagnosis is 1. Gallstones 2. Bile duct stones 3. Choledocal cyst 4. Biliary atresia Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This slide shows different forms of 1. Variations in gall bladder and bile duct anatomy 2. Variations in liver anatomy 3. Varieties of choledocal cysts 4. Variations in positions of appendix

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Thickening of pyloric muscle is seen in 1. Peptic ulcer 2. Duodenal ulcer 3. Pyloric stenosis 4. Gastroesophageal reflux Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This anomaly should be repaired at 1. Birth 2. 3 months 3. One year 4. Five years

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This picture shows a baby with 1.Umbilical hernia 2.Paraumbilical hernia 3.Exomphalos major 4.Exomphalos minor 5.Umbilical polyp

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Absence of left testis from scrotum or undescended testis requires repair at 1. Birth 2. Whenever patient becomes symptomatic 3. At 6 months 4. At one year 5. At 5 years

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Double bubble in abdomen indicates a.Normal anatomy b.Pyloric stenosis c. Duodenal obstruction d.malrotation Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This child with exomphalos major being treated in aurangabad should be 1. Repaired immediately, ventilated, given total parenteral nutrition 2. Repaired, ventilated 3. Repaired and bowel should be resected 4. Treated conservatively

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This anomaly in girls requires 1. Colostomy 2. Perineal repair immediately 3. Perineal repair at 6 months 4. No treatment

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Name the procedure

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Name the procedure

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What is wrong with this patient 1. Congenital hydrocephalus 2. Tuberculous meningitis 3. Brain tumor 4. encephalocele

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This illness requires 1.Application of pressure bandage 2.Wearing of scrotal support 3.Immediate surgery 4.Elective surgery

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Gharpure hospital

This anomaly in a one year old child requires 1. Immediate repair 2. Antibiotics 3. Repeated aspirations 4. Elective repair Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

G H A R P U R E H O S P I T A L Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Hypospadias requires repair at 1. Immediately at birth 2. When baby is 6 months old 3. When baby weighs at least 20 kg 4. When baby is around 1.5 year old and weighs 10 kg

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This anomaly in a male requires 1. Perineal repair 2. Colostomy 3. No intervention 4. Urethral cathetarization

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

The treatment for meckel’s diverticulum is 1.Wedge resection 2.Resection and end to end anastomosis 3.Inversion of the diverticulum 4.Masterly inactivity Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This newborn baby is bringing out froth from mouth Catheter can not be passed beyond 10 cm from gum margin The diagnosis is 1. Esophageal atresia 2. Pharyngeal stenosis 3. Laryngeal stenosis 4. Carcinoma esophagus

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Air in pleural cavity requires 1. Antibiotics 2. Aspiration 3. Aspiration and ICD if Necessary 4. No treatment 5. thoracotomy

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This patient with bilateral undescended testes and a well developed penis needs the following investigation 1.Karyotype 2.Hemogram 3.Genitogram 4.Chest x-ray Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This patient with bilateral descended testes and severe hypospadias requires which of the following investigations 1. X-ray abdomen 2. X-ray pelvis 3. Genitogram 4. Karyotype 5. HCG stimulation test

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Downward curvature of penis is called 1. Hypospadias 2. Epispadias 3. Normospadias 4. chordee

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This child with anal stenosis requires 1. Colostomy 2. Cutback 3. Anoplasty 4. dilatation

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This child is passing meconeum from a narrow opening in perineum What investigations are required to determine immediate management plan 1. X-ray abdomen 2. Invertogram 3. X-ray chest 4. Abdominal sonography 5. None of the above Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This child has undergone a procedure for bilateral cleft lip may require what additional procedures 1.Pharyngoplasty 2.Palatoplasty 3.Uvuloplasty 4.Sub-mucous resection of septum Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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Visible peristalsis in epigastrium; in a one month old male who is vomiting milk means 1.Gastroesophageal reflux 2.Congenital hypertrophic pyloric stenosis 3.Duodenal obstruction 4.Feeding intolerance Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This child has 1. Crouzon’s syndrome 2. Apert syndrone 3. Down’s syndrome 4. Marfan syndrome 5. Cushing syndrome

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This five year old boy with soft cystic transilluminant neck tumor has 1. Lymph node enlargement 2. Multinodular goitre 3. Cystic hygroma 4. Filariasis 5. Branchial cyst

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This child with cystic hygroma needs the following 1. CT scan of the neck 2. MRI scan of the neck 3. X-ray neck and surgical excision 4. Conservative therapy

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Identify the anomaly 1. Craniosynost osis 2. Meningocele 3. Lipoma 4. encephalocele

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This child with exomphalos major should be evaluated for 1.Beckwith-wideman syndrome 2.Abnormalities of glucose metabolism 3.Congenital heart disease 4.Congenital anomalies of the urinary tract Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Identify 1. Hypospadias 2. Epispadias 3. Phimosis 4. Exstrophy bladder

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Identify 1. Cavernous hemangioma 2. Strawberry mark 3. Nevus 4. Capillary hemangioma 5. Repaired Cleft lip Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This girl with hemangioma needs 1. Surgical excision 2. Trial of steroids 3. Laser ablation 4. Injection of boiling water

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This girl with hemangioma needs 1. Surgical excision 2. Trial of steroids 3. Local steroids 4. Injection of boiling water 5. Laser ablation

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This three month old male with bilateral reducible inguinoscrotal swellings should 1. Be observed 2. Undergo simultaneous repair of both hernias 3. Repair of individual hernias 4. Application of pressure dressing for 6 months Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This boy with obstructed inguinal hernia requires a.Observation b.Taxis and attempt at manual reduction c. Manual reduction under anesthesia d.Immediate surgery Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This boy with bilateral large hernias requires 1.bilateral herniotomy 2. Left herniotomy and right herniorrhaphy 3.Bilateral herniorrhaphy 4.Bilateral hernioplasty

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This child with bilateral large inguinal hernias should be evaluated for 1. Mucopolysaccharoidosis 2. Klinefelter syndrome 3. Turner syndrome 4. Cri-du-chat syndrome

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Identify 1.Exomphalos minor 2.Exomphalos intermediate 3.Exomphalos major 4.Umbilical hernia 5.Paraumbilical hernia Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This six month old child with irreducible umbilical hernia is likely to undergo 1.Mayo’s repair 2.Bassini’s repair 3.Repair 4.Millard’s repair Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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Identify 1.Penoscrotal hypospadias 2.Epispadias 3.Phimosis 4.Normal anatomy

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This girl with low anorectal malformation needs a.Colostomy b.Cutback and asarp c. Abdominoperineal pullthrough d.dilatations

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This boy with a small opening in perineum which is discharging meconeum has a. Anal stenosis b.Rectourethral fistula c. Rectovesical fistula d.Rectoprostatic fistula Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

What operation has been done on this patient 1. Transverse colostomy 2. Sigmoid colostomy 3. Ileostomy 4. Creation of laparoscopy port 5. gastrostomy

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This child with inability to pass stools since birth, distended abdomen, and failure to thrive has a. Hypothyroidism b.Short bowel syndrome c. Congenital megacolon d.Long bowel syndrome e. Malabsorption syndrome

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This child with megacolon needs a. Colostomy b.Colostomy and pullthrough c. Pullthrough d.Anal dilatation Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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After the two meningoceles are surgically excised, this child is likely to develop a.Hydrocephalus b.Hydronephrosis c. Hypospadias d.Paraplegia e. quadriplegia Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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What is the likely diagnosis a.meckel’s diverticulum b.Umbilical granuloma c.Umbilical sepsis d.Patent vitellointestinal duct

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What is the diagnosis a. External Piles b.Internal piles c. Fissure d.Prolapse e. Polyp f. Carcinoma rectum

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What is the diagnosis a.External piles b.Internal piles c.Prolapse d.Polyp e.Carcinoma rectum Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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The typical appearance of this child with bilateral renal agenesis is known as a.Harlequin appearance b.Icthyosis c.Potter’s facies d.Risus sardonicus Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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What is the diagnosis a.Meningocele b.Meningomyelocele c. Encephalocele d.Cerebrocele e. Ventriculocele f. corticocele

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What is the diagnosis a.Encephalocele b.Meningomyelocele c.Lipoma d.Spina bifida occulta e.abscess Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Identify the lesion a. Gluteal abscess b. Meningomyelo -cele c. Spina bifida occulta d. Lipoma e. neurofibroma

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This child who was unable to feed at birth has undergone Thoracotomy for a. Tracheal stenosis b. Esophageal atresia c. Patent ductus arteriosus d. Mitral stenosis Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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What is the diagnosis a.Meningomyelocele b.Lipoma c.Teratoma d.neurofibroma Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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What is the diagnosis a.Double meningocele b.Teratoma c.Meningocele and teratoma d.lipoma

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This child with a large sarcoma in neck underwent excision and required two units blood transfusions What additional treatment may be required considering the large amount of blood transfused a. Gamma globulins b. Calcium gluconate c. Cryoprecipitate d. Fresh frozen plasma e. Platelet transfusion Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This large wilms’ tumor has been removed.what additional treatment the patient may require a. No treatment b.Kidney transplant c. Chemotherapy d.Chemotherapy and radiotherapy e. Bone marrow transplant

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This girl with a large wilms’ tumor in left kidney is about to undergo surgery. What is the preferred approach? a. Lumbotomy b.Flank incision, extraperitoneal c. Transperitoneal d.Laparoscopic excision e. Cystoscopic excision Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This child underwent excision of wilms’ tumor and did not receive any additional treatment What is the diagnosis a. Encephaloele b. Meningocele c. Scalp secondaries d. neurofibroma Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This child with exomphalos major is being treated conservatively What is the best local application a.Tincture iodine b.Betadine c. Spirit d.Mercurochrome e. Acriflavin Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Identify a.Newton b.Galileo c. Koch d.Jenner

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Identify this illustrious medical family a.Malphighi b.Meckel c.Mayo d.Moynihan e.Mahurkar Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Identify a.Osler b.Virchow c. McBurney d.Cunningham

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Identify a.Wilms b.Ramstedt c. Hirschsprung d.Deshpande

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Identify a. Henry Gray b.Satoskar c. Robins d.Trandelenberg

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Identify a.Brodie b.Paget c.Wilms d.rokitansky

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Identify a.Orvar Swenson b.Alberto Pena c.Hardy Hendren d.Harold Hirschsprung Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This typical appearance of skull on plain x-ray is called a.Weather beaten appearance b.Silver beaten appearance c.Gold foil appearance d.Paget’s disease of skull Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This child with dysphagia and vomiting has a. Esophageal stricture b. Esophageal stenosis c. Achalasia cardia d. Acid peptic disease e. Gastroesophageal reflux

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This 3 day old child vomiting bilious fluid; not passed meconeum; is likely to have a. Duodenal obstruction b. Jejunal obstruction c. Ileal obstruction d. Imperforate anus Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This 4 day old child with double bubble and duodenal obstruction needs a. Gastrojejunostomy b. Duodenojejunostomy c. Duodenodudenostomy d. Gastrostomy e. colostomy

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This two day old child with high jejunal obstruction needs a.Gastrostomy b.Resection and end to end anastomosis c. End to side anastomosis d.Side to side anastomosis e. Jejunostomy Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This four year old girl presented with fever, jaundice and pain. Ct scan showed a large cystic structure anterior to the kidney and under the liver What is the likely diagnosis a. Cholecystitis b. Cholangitis c. Choledocal cyst d. Pseudopancreatic cyst e. Renal cyst Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

What is the diagnosis a. Intestinal obstruction b. Pleural effusion c. Free air under diphragm d. Cardiomegaly e. hepatomegaly

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So much air in peritoneal cavity suggests

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a. Colonic perforation b. Ileal perforation c. Gastric perforation d. Duodenal perforation e. Bladder perforation

After filling the stomach with barium some barium was seen to go back in esophagus. This is known as a. Acid peptic disease b. Gastroesophageal reflux c. Gastric outlet obstruction d. Pyloric stenosis e. Increased intracranial tension Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This investigation is done in a child suspected to have a.Congenital heart disease b.Congenital megacolon c.Imperforate anus d.Intestinal obstruction e.Cleft lip and palate Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

What is the investigation

a. Urethrogra m b. Barium meal and follow through c. Barium enema d. Cologram e. Myelogram Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

On filling the colon, bladder also filled up. The patient has a. Renal agenesis b. Hydronephrosis c. Colovesical fistula d. Rectourethral fistula e. Rectovaginal fistula Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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After sigmoid colostomy is done, the retention catheter is kept for a.Two days b.Two weeks c.Two months d.Two fortnights e.Two years Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

What is the diagnosis a. Bronchiectasis b. Esophageal atresia c. Tracheal stenosis d. Pneumothorax

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This 6 year old boy with a long history of repeated cough and respiratory infections has Barium swallow has been done a. Chronic cough b. Asthma c. H-type tracheoesophaeal fistula d. Esophageal atresia Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Six year old boy underwent nephrectomy developed swelling after six months What is the likely diagnosis a. Scalp secondaries b. Brain tumor c. Meningocele d. Encephalocele e. hemangioma Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Diagnosis? a.Teratoma b.Bladder stones c. Ureteric stones d.fecalomas

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4 month old boy with repeated urinary tract infection and straining during micturition underwent MCU Diagnosis? a. Urethral stricture b. Megacystic c. Posterior urethral valves d. Hydroureter

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This 1 month old male with posterior urethral valves and serum creatining 2.4 should undergo a. Cystoscopic fulguration b. Pyelostomy c. Vesicostomy d. Urethrostomy e. urethroplasty Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Mcu in this 1 year old boy indicates a. Bilateral grade V reflux b. Bilateral grade III reflux c. Bilateral grade I reflux d. Kidney stones

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IVP in this 4 year old boy shows a. L.hydroureter and hydronephrosis b. Hydroureter c. Hydronephrosis d. Normal renal anatomy

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Large bladder, large ureter and dilated pelvis. What else is wrong a. Absent right kidney b. Abdominal bladder c. Gas in intestines d. Fecal matter in intestines

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Bilateral large kidneys and dilated ureters on IVP What is the likely diagnosis a. Pelviureteric junction obstruction b. Ureteroceles c. Ureteric stricture d. Urethral stricture e. Normal anatomy Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This two month old girl with a major congenital anomaly Which a. Imperforate anus b. Esophageal atresia c. Ileal atresia d. Exstrophy bladder Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Three month old boy with ivp What is the diagnosis a. Normal anatomy b. Kidney stone c. Pelviureteric junction obstruction d. Ureteric stone Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Four month old with bilateral abdominal lumps and spider like pelvicalyceal system Diagnosis a. Duplication of collecting system b. Normal anatomy c. Solitary renal cyst d. Multiple renal cysts

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Five year old girl with abdominal pain and pus cells in urine has this ivp picture a.Kidney stone b.Ureteric stone c.Puj obstruction d.ureterocele Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Return of urine from bladder to ureter is called a. Gastroesophag eal reflux b. Vesicoureteric reflux c. Megaureter d. Megacystic e. megalourethra Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Dilated urethra, trabeculated bladder indicates a. Posterior urethral valves b. Bladder diverticulum c. Urethral stricture d. Bladder neck hypertrophy

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This child with posterior urethral valves had this finding on mcu Diagnosis a. Vesicoureteric reflux b. Urinoma c. Pelviureteric junction obstruction d. hydroureter Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This newborn girl presented with a large lump in hypogastrium Diagnosis a. Hydrocele b. Hydrometroco lpus c. Hematocolpus d. Bladder diverticulum Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

What is this dilated structure a. Urethra b.Pelvis c. Ureter d.rectum

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Vesicoureteric reflux greater than grade III requires a. Antibiotics alone b. Surgical treatment c. No treatment d. nephrectomy

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What investigation is this a.Barium meal b.Barium meal and follow through c.Operative cholangiogram d.Barium enema Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Procedure of choice for choledocal cyst is a. Cystogastrostomy b. Cystojejunostomy c. Cyst excision and Hepatico-docho jejunostomy rouxen-Y d. cystoduodenostomy

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Cyst excision is recommended in choledocal cyst because a.Surgery is simple b.Bleeding is minimal c. Risk of malignancy in cyst remnant d.Risk of portal hypertension

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Investigation of choice in choledocal cyst is a. CT scan b. Sonography c. ERCP d. Operative cholangiogram e. Percutaneous cholangiogram Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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What are the likely long term complications for this child with dilated bile ducts a.Stone formation in bile ducts b.Biliary cirrhosis c. Portal hypertension d.All the above

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Identify the investigation a. Barium meal b.Barium swallow c. Ivp d.Splenoporto-gram Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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Spleno-porto-gram is done for evaluation of a.Portal hypertension b.Malaria c. Kala azar d.Hodgkin’s disease e. lymphoma

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Before CT scan this was a investigation for evaluation of brain tumors a.x-ray skull b.Carotid angiography c. Pneumoventriculography d.pneumoencephalography

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Identify a.Exomphalos major b.Exomphalos minor c.Gastroschisis d.Umbilical hernia e.colostomy

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This fifteen year old boy with acute scrotal swelling needs a. Antibiotics b.Scrotal sonography c. Ivp d.Immediate exploration

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This anomaly of testicular fixation is known as a. Bell clapper deformity b.Call bell deformity c. Pendulum deformity d.Wrist-watch deformity Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Passage of meconeum per urethra indicates a. Rectourethral fistula b. Rectovaginal fistula c. Normal anatomy d. Intestinal obstruction

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CSF circulation was discovered by a. Mayo b. Moynihan c. Cushing d. Dandy e. Halstead

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Treatment for hydrocephalus is a.ventriculo-atrial shunt b.Ventriculo-peritoneal shunt c. Ventriculo-vesical shunt d.Ventriculo-pleural shunt e. Repeated tapping f. Repeated lumbar puncture

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Elongation of head in anteroposterior direction is called a. Plagiocephaly b.Brachycephaly c. Dolicocephaly d.Occicephaly e. Scaphocephaly f. Turricephaly

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Diagnosis a. Craniopharyngioma b. Craniosynostsosis c. Microcephaly d. Megalocephaly

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Bony spur within a vertebra is called a.Spina bifida b.Diplomyelia c.Diastematomyelia d.meningocele Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Diagnosis a. Consolidation b. Empyema c. Bronchiectasis d. pneumothorax

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Diagnosis a. Congenital lobar emphysema b. Pneumothorax c. Pleural effusion d. Cystic adenomatoid malformation

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This foreign body should be removed by a.Chest physiotherapy b.Nebulization and chest physiotherapy c.Right bronchoscopy d.Flexible bronchoscopy Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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What is wrong with this patient a.Pneumothorax b.Pneumonia c.Congenital lung cyst d.Pulmonary collapse Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Diagnosis a. Diphragmatic hernia b.Eventration of diphragm c. Pulmonary agenesia d.pneumothorax

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This child suddenly developed respiratory distress and cyanosis. Diagnosis? a. pneumoperitoneum b.pneumothorax c. bronchopneumonia d. pulmonary edema Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

What advise should be given to this child a. Immediate repair of CDH b. Deferred repair of CDH c. Antibiotics d. Intercostal drainage Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This asymptomatic child was found to have this finding on xray. What is the diagnosis? a.Eventration of diphragm b.Bochdalek diphramatic hernia c.Morgagni diphragmatic hernia d.Umbilical hernia Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Survival of patients with diphragmatic hernia depends on a. Available functioning lung tissue b. Amount of viscera in the chest c. Weight of the patient d. Operative time Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This patient with diphragmatic hernia is at risk to develop a.Midgut volvulus b.Gastric volvulus c.Sigmoid volvulus d.Peptic ulcer

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Diagnosis? a.Staph pneumonia and pneumatoceles b.Diphragmatic hernia c.Pneumothorax d.Cystic adenomatoid malformation Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

A patient with diphragmatic hernia is at risk to develop this complication after surgery a. Pulmonary embolism b. Trombophlebitis c. Compartment syndrome d. Aortic insufficiency Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This child with smooth mass in chest and vertebral defects is likely to have a. Bronchogenic cyst b. Thymic cyst c. Esophageal duplication cyst d. Pulmonary cyst Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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Treatment of esophageal duplication cyst is a.Aspiration b.Aspiration and injection of sclerosant c. Thoracotomy and excision d.Thoracotomy and marsupialization e. Thoracotomy and internal drainage Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This girl underwent intercostal drainage for empyema. This is the latest ct scan What treatment is required a.Thoracotomy and decortication b.Thoracotomy and drainage of pus c. Repeat intercostal drainage d.Higher antibiotics Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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These are photographs of the same patient What investigations are required a.Sonography b.Karyotype and genitogram c.Laparoscopy d.hemogram Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This patient brought up as boy has two gonads in scrotum, well developed phallus and hypospadias. What investigations are necessary? a. Karyotype b. Barr body c. Genitogram d. Sonography e. Gonadal biopsy f. 17 ketosteroid estimation Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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Cleft lip should be repaired at a.Three days b.Three years c.Three months d.Six months

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This girl with swelling since birth has a.Meningocele b.Meningomyeloce le c. Encephalocele d.Dermoid cyst Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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After repair of encephalocele, the child is at risk to develop a.Hypertension b.Blindness c.Hydrocephalus d.anosmia Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

What is coming out of the anus a.Round worm b.Tape worm c.Guinea worm d.Shunt catheter

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This child with meningocele also has a. Hydrocephalus b.Kyphosis c. Scoliosis d.Talipes equino varus

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After repair this child is at a specific risk to develop a.Paraplegia b.Paraparesis c. Wound dehiscence d.hydrocephalus Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This lesion can be prevented if mother takes this drug during pregnancy a.Calcium gluconate b.Vitamin E c.Folic acid d.cynocobalamin Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Estimation of this substance will help antenatal diagnosis a. HCG b.Hemoglobin c. Alpha-feto protein d.Serum proteins Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Pericolostomy excoriation is due to a. Reaction of skin to mucus b.Digestion of skin by enzymes c. Reaction of skin to fecal matter d.Amebiasis Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Primary closure of metopic suture leads to a. Scaphocephaly b.Turricephaly c. Trigonocephaly d.Normal anatomy Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Diagnosis a. Crouzon’s syndrome b.Albert syndrome c. Marfan syndrome d.Apert syndrome Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This girl with apert syndrome needs a.Local steroids b.Counselling c. Craniectomy and reconstruction d.Vitamin d Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This boy with bilateral CTEV probably requires a. Manipulations alone b. Manipulations and plaster c. Tendon release and plaster d. Caliper Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Infection in cystic hygroma is risky because a. Septicemia b.Respiratory obstruction c. Facial nerve paralysis d.Hemorrhage Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This girl with ectopic anus also has a.Ectopic urethra b.Septate vagina c. Rectovaginal fistula d.hemorrhoids Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

All brain tissue present in the sac should be a. Carefully put back in the skull b. Excised c. Frozen section should be done and if malignant, should be excised d. EEG should be done and should be excised if EEG is abnormal

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This child has a.Normal anatomy b.Klumpke’s palsy c.Erb’s palsy d.Bell’s palsy Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This girl with this large swelling since birth has a.Exomphalos major b.Exomphalos minor c.Umbilical hernia d.Paraumbilical hernia Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Intestines lying outside the abdominal cavity have lost a.The citizenship b.The membership c. The domicile d.The civil rights Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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After repair, this patient may develop a.Respiratory insufficiency b.Paralytic ileus c.Renal failure d.Compartment syndrome e.None of the above f. All of the above Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

What surgical adjuncts may be necessary in this patient a. myocutaneous flap b. Mesh c. Latissimus dorsi flap d. Fascia lata repair

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Diagnosis a.Meningocele b.Meningomyelo cele c. Exstrophy bladder d.Imperforate anus Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Diagnosis a.Lipoma b.Neurofibroma c.Gynaecomastia d.Carcinoma breast

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This child with non bilious vomiting and visible peristalsis is posted for a.Swenson’s operation b.Bassini’s operation c.Ramstedt’s operation d.Patil’s operation Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This girl with vaginal atresia has a.Turner’s syndrome b.Klinefelter syndrome c.Rokitansky syndrome d.Mitrofanoff syndrome Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This boy with anorectal malformations will require a.One stage repair b.Two stage repair c.Three stage repair d.Four stage repair Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This boy with anorectal malformation will require a.One stage repair b.Two stage repair c.Three stage repair d.Four stage repair e.No repair Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This girl with anorectal malformation should undergo a.abdomino-perineal pullthrough b.Posterior sagittal anorectoplasty- PSARP c.Anterior sagittal anorectoplastyASARP d.No surgery Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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The mainstay of surgery of this girl will be a.Good bowel preparation and careful dissection b.Broad spectrum antibiotics c. Blood transfusions d.Postoperative ventilatory support e. Total parenteral nutrition Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Diagnosis a. Rectovaginal fistula b.Rectourethral fistula c. Anterior ectopic anus d.Covered anus

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This child with anorectal malformation needs a.Cutback b.Anoplasty c.Colostomy d.Appendicectomy Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This boy with anal stenosis requires a.Colostomy b.Anoplasty c. Dilatation d.Abdominoperi neal pullthrough Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This boy with pyloric stenosis is likely to have a.Hyperchloremia b.Hyperchloremic acidosis c. Hyperchlremic alkalosis d.Hypochloremic hyperkalemic alkalosis e. Normal biochemistry Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This boy with difficulty in defecation and abdominal distension has a. Ascitis b. Congenital megacolon c. Hypo-thyroidism d. Muco-polysacchoroidosis Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

What proportion of repaired exstrophy patients are continent a. 5% b.30% c. 90% d.70% Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Hyperpigmentation, hirsutism, increased weight is suggestive of 1.Connective tissue disorder 2.Cushing syndrome 3.Virilisation 4.Feminization Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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Forcible retraction of prepuce beyond the coronal sulcus has led to a.Phimosis b.Hypospadias c.Paraphimosis d.epispadias Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This patient with posterior urethral valves and renal failure has undergone a.Bilateral pylostomy b.Vesicostomy c.Ureterostomy d.Colostomy Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This boy with urethral valves has undergone a.Colostomy b.Vesicostomy c. Ureterostomy d.Urethrostomy Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This boy with hemangioma needs a. Trial of steroids b. Trial of local injection of boiling water c. Surgery d. Laser ablation

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This boy with giant inguinal hernia should undergo a. Immediate repair b. Repair with mesh c. Pneumoperitoneum and repair d. Resection of intestines and repair Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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What is the diagnosis a.Bilateral hydroceles b.Bilateral hernia c.Bilateral obstructed hernia d.Filariasis Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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Congenital hydrocele in this boy requires a.Herniotomy b.Jaboulay’s operation c.Lord’s operation d.Aspiration Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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Inguinal hernia in this boy requires a.Herniotomy b.Herniorrhaphy c.Hernioplasty with mesh d.Hernioplasty with fascia lata Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This boy with hernia also has a. Connective tissue disorder b. Intestinal obstruction c. Hypothyroidism d. Hypopituitarism

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Identify a.Muco-polysaccharoidosis b.Osteogenesis imperfecta c. Acromegaly d.Dwarfism

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What are the special risks for this patient posted for hernia repair a. Recurrence of hernia b.Renal failure c. Paralytic ileus d.Wound infection Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This child with spina bifida has a.Craniosynostosis b.Meningitis c.Hydrocephalus d.tetanus Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This child born with a soft mass over the coccyx has a.Meningocele b.Meningomyelocele c.Teratoma d.Rectal prolapse Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This tumor arising from lower pole of kidney has been removed. This tumor is named after a.Christopher Columbus b.Galileo Galilee c.Wilms d.John Hunter Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This badly infected ulcer with a scab is a.Congenital b.Likely to be secondary to allergic drug reaction c.Infantile eczema d.Infiltration of IV fluids

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Diagnosis? a.Umbilical hernia b.Appendicitis c. Umbilical granuloma d.Ectopia cordis

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This massive pneumoperitoneum has been done in this girl for a. Oxygenation b. Improve digestion c. To increase size of abdominal cavity d. To reduce weight Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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What organ is lying outside the abdominal cavity. a.Kidney b.Pancreas c.Spleen d.liver Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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Dilated duodenum in this 1 year old boy with bilious vomiting is due to a.Pyloric stenosis b.Peptic ulcer c.Duodenal atresia d.Duodenal stenosis Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Narrow rectum and dilated sigmoid is diagnostic of a. Anal fissure b.Internal piles c. Congenital megacolon d.hypothyroidism

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This massive dilatation of upper tracts is likely to be due to a. PUJ obstruction b.Ureterocele c. Posterior urethral valves d.Hypospadias Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

This child has intestinal obstruction secondary to a. Intestinal bands b.Vitellointestinal duct c. Obstructed hernia d.Congenital megacolon Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

10-year-old trauma victim presents unconscious and hypotensive. Multiple attempts at peripheral IV access are unsuccessful. The next access of choice is: a.intraosseous line b.femoral vein c.internal jugular vein d.external jugular vein e.saphenous vein cutdown Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

The most commonly injured abdominal organ in pediatric blunt trauma is: a.liver b.spleen c.kidney d.small bowel e.pancreas Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

In the absence of other concerning associated signs, APNEA is defined as a respiratory pause of greater than: a.10 seconds b.15 seconds c.20 seconds d.30 seconds e.1 minute Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Of the following causes of upper airway obstruction, which is LEAST likely to result in an acute, precipitous deterioration in the ED? a.croup b.epiglottitis c.foreign body ingestion d.retropharyngeal abscess e.smoke inhalation/ thermal injury Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Which of the following is the LEAST LIKELY cause of stridor in an infant or child < 6 years old? a.bacterial tracheitis b.retropharyngeal abscess c.foreign body aspiration croup c.peritonsillar abscess Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Compared with the adult airway, which of the following is NOT characteristic of the pediatric airway: a.more easily visualized with a straight (eg, Miller) blade b.narrowest portion located at the cricoid cartilage c.more posterior location smaller diameter and shorter length d.more easily obstructed by edema, secretions or posterior displacement of the tongue Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

What percentage of newborns have 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 high index of suspicion for testicular torsion, should have the following diagnostic test performed: a.Nuclear scan b.Color Doppler ultrasound c.Surgical exploration d.CT scan Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Estimated testicular salvage rates in patients with testicular torsion include all of the following except: a.96% if detorsion occurs within 4 hours of symptom onset b.60% if detorsion occurs between 8 and 12 hours of symptom onset c.40% if detorsion occurs between 12 and 24 hours of symptom onset d.less than 10% with presentation greater than 24 hours after symptom onset Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

The lack of a cremasteric reflex in a patient with acute testicular pain, should raise the suspicion for which of the following: a.Paraphimosis b.Torsion of the testicular appendage c.Priapism d.Testicular torsion Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Treatment options for paraphimosis include all of the following except: a.Manual reduction b.Foreskin needle puncture c.Referral to a urologist within 24 hours d.Dorsal slit procedure Create 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 typically painless b.Patients with idiopathic scrotal edema rarely present with a fever c.Specific allergens leading to idiopathic scrotal edema have been identified d.Most cases of idiopathic scrotal edema spontaneously resolve within 1 week Create 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 regarding varicoceles except: a.Most varicoceles are right-sided b.Patients with the sudden onset of a left or right varicocele should undergo further evaluation c.Varicoceles are typically more pronounced in the upright position d.Incomplete drainage of the panpiniform plexus results in dilation of the spermatic veins and resultant varicocele formation Create 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.Most hydroceles are right sided b. Hydroceles can be reduced with steady, firm pressure c.Hydroceles are more common in the prepubertal male d.Hydroceles result from fluid accumulation within the tunica vaginalis Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

A 7-week-old, full-term girl has worsening jaundice that the parents first noticed 10 days ago. On her examination, she is well appearing and is noted to have a liver edge 4cm below her costal margin. Her direct bilirubin is 9. The most likely cause of her direct hyperbilirubinemia is which of the following: a.Biliary atresia b.Cholecystitis c.Sepsis d.Acetaminophen toxicity Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

All of the following are FALSE regarding intussusception EXCEPT: a.The presence of "currant jelly" stools is a sensitive finding b.Absence of abdominal pain essentially excludes the diagnosis c.Plain radiographs are not helpful in making the diagnosis d.Older children with intussusception are more likely to have an identifiable "lead point" Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Potentially life-threatening complications of inflammatory bowel disease include: a.Toxic megacolon b.Gastrointestinal bleeding c.Intestinal obstruction d.All of the above Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

All of the following statements are TRUE about pyloric stenosis EXCEPT: a.Bilious vomiting is the classic presenting complaint b.Children may have a hypochloremic, hypokalemic metabolic alkalosis c.This diagnosis can be made by contrast studies or ultrasonography d.The hypertrophied muscle can sometimes be felt on abdominal exam Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

A 6-day-old girl presents with a three-hour history of bilious emesis and rectal bleeding. Initially she was quite irritable but is now lethargic. Her abdomen is distended. An abdominal obstruction series shows a dilated stomach and small intestine, but a paucity of gas in the colon. The next step in management of this patient should be which of the following:

a.Upper GI series b.Air-contrast enema c.Surgical intervention d.NICU admission for observation Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Which of the following statements is TRUE about upper gastrointestinal (UGI) hemorrhage in children? a.Ulcers may cause UGI bleeding in young

children b.All patients should undergo nasogastric tube placement and lavage c.Esophageal varices are a common cause of UGI bleeding d.Hematemesis in a newborn is usually a symptom of significant disease Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Which of the following statements about appendicitis is TRUE? A.Perforation and peritonitis are uncommon in younger children b.The presence of diarrhea effectively excludes appendicitis c.Both ultrasound and CT scan are sensitive and specific tests for appendicitis d.Most abdominal x-rays in patients with appendicitis reveal a fecalith Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

A 7-year-old boy presents with painless rectal bleeding. He had a large amount of red blood per rectum at home and continued to bleed on the way to the ED, but the bleeding has subsequently stopped. He has been otherwise well. His abdominal examination reveals no tenderness or masses. He has no fissures, polyps, or hemorrhoids noted on rectal examination. The remainder of his examination is unremarkable. Which of the following conditions is the MOST likely cause of his symptoms: a.Meckel's diverticulum b.Inflammatory bowel disease c.Bacterial gastroenteritis d.Allergic colitis Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

All of the following statements are TRUE about gastroesophageal reflux disease (GERD) EXCEPT: a.GERD is a benign illness without any lifethreatening complications b.Many infants with GERD can be treated successfully with conservative measures alone c.Symptoms are frequently non-specific, such as failure to thrive and irritability d.H2-blocking drugs (e.g., ranitidine) and prokinetic agents (eg, metoclopramide) are agents commonly used in the treatment of GERD Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

A 2-month-old, otherwise healthy boy presents with several episodes of vomiting and no bowel movement for 4 days. His parents state that he has had difficulty passing his stools since birth. His abdomen is distended, and stool is palpable in the suprapubic region. His rectal examination reveals no fissures, and no stool is palpable on digital examination. He has a bowel movement after you remove your finger. Which of the following statements is TRUE about the most likely etiology of this patient's constipation? A.Caused by neurotoxins elaborated by bacteria in the GI tract b. Caused by an absence of parasympathetic ganglion cells in the intestine c.Likely due to a combination of behavioral and environmental factors d.Caused by poorly functioning endocrine glands Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

A 5-year-old boy presents with abdominal pain. Potential causes of his abdominal pain include: a.Pneumonia b.Strep throat c.Testicular torsion d.Diabetic ketoacidosis e.All of the above Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

A 10-day old male presents with bilious emesis. What is the most likely diagnosis? A.Appendicitis b.Pyloric stenosis c.Malrotation with midgut volvulus d.Feeding intolerance Create 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 with lethargy and vomiting. His electrolytes reveal sodium of 121 meq/L, potassium of 7.0-meq/l and blood glucose of 40 mg/dl. What is the most likely diagnosis? A.Dehydration b.Congenital adrenal hyperplasia c.Inborn error of metabolism d.Pyloric stenosis Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

How should a neonate with lethargy and a blood sugar of 20mg/dl be treated? A.Oral feeds with apple juice b.25% dextrose solution c.10% dextrose solution d.50% dextrose solution Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

A 2-day-old female presents with abdominal distension and vomiting. She has not yet passed a meconium stool. What is the most likely diagnosis? A.Hirschsprung Disease b.Malrotation with midgut volvulus c.Necrotizing enterocolitis d.Constipation Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

A 3-week-old female presents with persistent seizures despite aggressive management with benzodiazepines and phenobarbital. The mother reports giving her daughter some water to "stop her from getting dehydrated." What is the most likely cause of her status epilepticus? A.Hypoglycemia b.Diabetes insipidus c.Hyponatremia d.Hypokalemia Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

A 1-week-old male presents with some mild erythema around his umbilicus extending onto the abdominal wall. Which of the following is the correct management for this patient? A.Reassurance and continue with alcohol wipes of umbilicus b.Topical antibiotic ointment and recheck the patient the next day c.Discharge on cephalexin and recheck the next day d.Perform a full septic workup and admit the patient Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Vaginal bleeding in a 3-day-old female is: a.Is always indicative of child abuse b.May be due to withdrawal of maternal hormones c.Is suspicious for gonorrhea d.Is most commonly due to a vaginal foreign body-such as baby wipes Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Which of the following are causes of shock in the newborn? A.Infection b.Inborn errors of metabolism c.Child abuse d.Thyrotoxicosis e.All of the above

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Richly vascularized fat in nape of neck in the newborn is called 1.Thyroid gland 2.Hibernating gland 3.Pineal gland 4.Accessory parotid gland

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Adult stomach capacity is approximately 1000 ml Newborn stomach capacity at birth is approximately 1.100 ml 2.80 ml 3.30 ml 4.10 ml Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

Meconeum is 1.Highly Alkaline 2.Highly Acidic 3.Neutral 4.Mildly alkaline 5.Mildly acidic

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The maximum number of children a woman can have is about 20 how many primitive oocytes are present in the neonatal ovary at birth 1. 1000 2. 100,000 3. 200 4. 1000,000

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Newborn brain is responsible for ……… % heat production 1. 2. 3. 4.

10% 20% 36% 40%

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Total body water at term is 1. 2. 3. 4.

40% 65% 78% 90%

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Total blood volume at term is a.70 ml/kg b.60 ml/kg c.80 ml/kg d.90 ml/kg Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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The mainstay of treatment after this child with gastroschisis undergoes repair is a.Administration of three or four antibiotics b.Ventilatory support and total parenteral nutrition c. Blood and plasma transfusions d.Bladder cathetarization Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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This child with intestinal obstruction has a.Duodenal atresia b.Jejunal atresia c.Ileal atresia d.Colonic atresia Create PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer

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