Fifteen to 25% of infants with a diaphragmatic hernia have an associated anomaly, the most important being cardiovascular abnormalities. Nevertheless, they are quite rare. All of the following conditions are derived from the primitive embryonic foregut except: A. Endoscopic sphincterotomy Answer: c The most common choledochal cyst is a type I cyst; 80% to 90% of the total in most reports. Regarding infantile hypertrophic pyloric stenosis a Usually presents between 6 and 12 months of age b The female : male ratio is 4:1 c Has a strong familial predisposition d Pathologically shows hypertrophy of the longitudinal muscle layer of the pylorus e Presents with bile-stained projectile vomiting ------------------------------------------ only c is right.
Extralobar sequestration is typically a mass of disorganized pulmonary parenchymal tissue within its own investing pleura and outside of the normal lung parenchyma. Hirschsprung's disease should be suspected in infants with Down syndrome that manifest evidence of abdominal distension and constipation. The child should have a nasogastric tube placed, broad spectrum intravenous antibiotics begun, and sequential abdominal films obtained. It is best treated by gastroenterostomy. Gastroesophageal reflux secondary to dysmotility of the distal esophagus is a significant problem and occurs to some degree in virtually all of these patients.
The standard therapy is short-term endotracheal intubation performed in the operating room with general anesthesia. When the infant is potentially extubatable d. The best course of therapy is? Hirschsprung's disease is a form of low intestinal obstruction, and therefore an adequate length of proximal patent intestine is available for absorption of the swallowed amniotic fluid and polyhydramnios is usually not present. These infants have an incidence of approximately 40% to 50% of associated anomalies c. Proximity to which of the following structures places it at risk during surgical excision of a second branchial cleft remnant? Emergency laparotomy, bowel resection, and anastomosis. The subscription is valid for 6 months and is very competitively priced! Consideration of this potential problem has contributed significantly to the current emphasis on surgical excision of these cysts.
This obviates the need for resection or enterostomy in most cases. Children with pectus excavatum deformities typically have physiologically insignificant limitation of exercise tolerance b. Generally, the construction of a duodenostomy that minimizes the length of defunctionalized duodenum is preferred. Serum T3 and T4 levels d. Of the following, which is the most likely cause of hemodynamically significant lower gastrointestinal bleeding in a 6 month old male child? Sweat chloride test and pancreatic enzyme therapy.
Cathartics and a follow-up plain film in 48 hours if the child remains asymptomatic Answer: d 43. Currently recommended therapy includes complete resection of primary tumors prior to chemotherapy for small noninvasive lesions, or after documented response with more formidable primary tumors c. Typically, signs and symptoms include fever and ileus with bloody diarrhea. Complications of prematurity account for approximately 85% of fetal deaths. Surfactant deficiency is the primary factor in the pathophysiology of the neonatal respiratory distress syndrome. Intussusception, while a cause of distal bowel obstruction in infants, does not usually become a consideration until at least 3 to 6 months of age.
Regarding inguinal hernias in children a Boys are affected more often than girls b Are less common in preterm infants c In infants less than one years old approximately 50% present with incarceration d 50% of hernias are bilateral e Approximately 20% of patients will develop a contralateral hernia ------------------------------------- a , c , e are true. This is an apparent improvement from the historic range of 50%. Cat scratch Answer: a, c Acute suppurative lymphadenitis related to bacterial pathogens is generally straightforward to diagnose. Complications of prematurity account for approximately 85% of fetal deaths b. Here you will find details of European Board of Paediatric Surgery's , what is involved, who is involved, as well as successful candidates from previous examinations s, sample questions and suggested reading lists. For this reason, delay beyond 1 year is not recommended. Which of the following is most common after primary esophagostomy for esophageal atresia with a distal tracheoesophageal fistula? Although this represent a small number of patients, the total number reported exceeds 50 and the incidence is about 1000 times that of the normal population.
A 1500-gram, 30-week gestation neonate is fed at 2 weeks of age. It consists of approximately 200 multiple-choice questions designed to assess a surgeon's cognitive knowledge and clinical judgment in pediatric surgery. Cathartics and enemas may help expedite passage of batteries discovered when already in the small or large bowel. Infection is rare and although hemorrhage, arterial venous shunting, mediastinal compression and occasional malignancy may occur, these lesions are typically asymptomatic and indeed often discovered via prenatal ultrasound. The incidence of rhabdomysarcoma is biphasic with one peak in infancy followed by the second in the adolescent years. It often occurs in the distal ileum with an ileo-colic intussusception being the most common type. The most common cause of this finding is which of the following? Which of the following statements regarding neuroblastoma are true? Indirect laryngoscopy and intravenous antibiotics e.
Metastatic osteogenic sarcoma Answer: c Bronchial adenomas are the most common primary lung tumors in childhood. Lymphoma with secondary pyogenic organisms e. Preterm infants are at increased risk for hypocalcemia and hypoglycemia when compared to term infants Answer: a, d 21. Rectal temperature is the best indicator of core body temperature. You can take the practice questions in the real exam like scenario. An intravenous infusion of prostaglandin E1 should be initiated immediately c. Therefore, careful vaginal delivery generally remains the birthing method of choice.