Pediatric Gastroenterology: TE Fistula Diagnosis and Treatment
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Questions and Answers

What is a characteristic of a neonate with a tracheoesophageal fistula?

  • Gurgling or coughing (correct)
  • Scaphoid abdomen
  • No meconium on exam
  • Imperforate anus

What is the primary diagnostic tool for diagnosing anal atresia in a newborn?

  • X-ray of the entire spine
  • Cross-table XR (correct)
  • Complete Metabolic Panel (CMP)
  • Echocardiogram

What is a complication of congenital diaphragmatic hernia in utero?

  • Maternal polyhydramnios
  • Tracheoesophageal fistula
  • VACTERL association
  • Hypoplastic lung (correct)

What is the primary treatment for gastroschisis?

<p>Silo to push the bowel back in (A)</p> Signup and view all the answers

What is the characteristic appearance of the extrophy of bladder?

<p>Wet, shiny, red sack (B)</p> Signup and view all the answers

What is the term for the association of vertebral anomalies, anal atresia, cardiac defects, tracheoesophageal fistula, renal disease, and limb abnormalities?

<p>VACTERL (A)</p> Signup and view all the answers

What is the characteristic finding on X-ray for a tracheoesophageal fistula?

<p>Coiled NG tube (D)</p> Signup and view all the answers

What is the primary treatment for congenital diaphragmatic hernia?

<p>Surgical repair (D)</p> Signup and view all the answers

What is the characteristic of biliary emesis in the newborn?

<p>Double bubble and green or yellow-appearing vomit (A)</p> Signup and view all the answers

What is the characteristic radiographic finding in a patient with Duodenal Atresia or Annular Pancreas?

<p>No gas on XR (D)</p> Signup and view all the answers

Which of the following is a common association with Duodenal Atresia?

<p>Down's Syndrome (C)</p> Signup and view all the answers

A newborn presents with episodic, bilious vomiting and diffuse tenderness on abdominal examination. What is the most likely diagnosis?

<p>Midgut Volvulus (C)</p> Signup and view all the answers

What is the pathophysiological mechanism underlying Midgut Volvulus?

<p>Abnormal rotation of bowel secondary to adhesions (D)</p> Signup and view all the answers

A patient with Midgut Volvulus may also have which of the following underlying conditions?

<p>All of the above (D)</p> Signup and view all the answers

What is the typical age of presentation of a patient with Midgut Volvulus?

<p>Newborn to 1 month old (A)</p> Signup and view all the answers

A patient with Malrotation is likely to have which of the following radiographic findings?

<p>Normal gas pattern distally (C)</p> Signup and view all the answers

Which of the following is a common risk factor for Midgut Volvulus?

<p>Premature birth (D)</p> Signup and view all the answers

What is the typical clinical presentation of a patient with Necrotizing Enterocolitis?

<p>Sudden, bloody BM (A)</p> Signup and view all the answers

Which of the following is a common association with Necrotizing Enterocolitis?

<p>Premature birth (A)</p> Signup and view all the answers

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