Date post: | 18-Nov-2014 |
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What is this anomaly
a. Umbilical granulomab. Colostomyc. Umbilical sepsisd. Patent vitellointestinal duct
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What does thisdepict
a.Peripheral smearb.Stool microscopy
c. Karyotyped.Barr body
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Name this lesiona. Meningoceleb. Meningomyelocelec. Encephaloceled. Lipomae. kyphosis
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CSF leaves the ventricularsystem through
a. Foramen of monroeb. Aperture of helenc. Foramina of luschkad. Epiploic foramen
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This tumor in a fouryear old is likely tobe
a. Neuroblastomab. Wilms’ tumorc. Gravitz tumord. Hodgkin’s diseasee. Non-hodgkin’s
lymphoma
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He developed aoperation for
congenitalmegacolon
a. Dr Kulkarnib. Dr. Swenson
c. Dr.Soaved. Dr.Abdul Kadir
khan
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1 2
3 4
Namethe
lesions
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He pioneeredneonatal surgery in
the US
a. Dr Swensonb. Dr Richards Lyon
c. Dr Laddd. Dr Mayo
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What is this lesion
a. lobe of asterixb. caput medusaec. cava piriformis
d.conus medullaris
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These drawings depict differentforms of
a. duodenal atresiab. intestinal atresia
c. anorectal malformationsd. esophageal atresia withtracheoesophageal fistula
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Identifya. William
Oslerb.WilliamShakespeare
c. John Hunterd.John Major
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What condition is being depicted?a. inguinal herniab. femoral hernia
c. diphragmatic herniad. hernia of the lung
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Lower end of theshunt is
Inserted in the1. Pleural cavity
2. Peritoneal cavity3. Gall bladder
4. Urinary bladder
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Six year old girlpresenting with
fever, jaundice andwhite stools
This is the ERCP imageThe diagnosis is
1. Gallstones2. Bile duct stones3. Choledocal cyst4. Biliary atresia
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This slide shows different forms of
1. Variations in gall bladder and bileduct anatomy
2. Variations in liver anatomy3. Varieties of choledocal cysts
4. Variations in positions of appendix
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Thickening ofpyloric
muscle isseen in
1. Pepticulcer
2. Duodenalulcer
3. Pyloricstenosis
4. Gastro-esophagealreflux
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This anomalyshould be
repaired at1. Birth
2. 3 months3. One year4. Five years
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This picture shows a baby with
1.Umbilical hernia2.Paraumbilical hernia3.Exomphalos major4.Exomphalos minor
5.Umbilical polyp
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Absence of left testis from scrotum orundescended testis requires repair at
1. Birth2. Whenever patient becomes symptomatic
3. At 6 months4. At one year5. At 5 years
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Double bubble inabdomenindicates
a.Normal anatomyb.Pyloric stenosis
c. Duodenalobstruction
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This child with exomphalos major beingtreated in aurangabad should be
1. Repaired immediately, ventilated, giventotal parenteral nutrition2. Repaired, ventilated
3. Repaired and bowel should be resected4. Treated conservatively
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This anomaly ingirls requires
1. Colostomy2. Perineal repair
immediately3. Perineal repair
at 6 months4. No treatment
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Name theprocedure
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Name theprocedure
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What is wrong with this patient
1. Congenital hydrocephalus2. Tuberculous meningitis
3. Brain tumor4. encephalocele
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This illness requires
1.Application of pressure bandage2.Wearing of scrotal support
3.Immediate surgery4.Elective surgery
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Gharpure hospital
This anomaly in a one year old child requires
1. Immediate repair2. Antibiotics
3. Repeated aspirations4. Elective repair
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GHARPURE
HOSPITAL
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Hypospadias requires repair at
1. Immediately at birth2. When baby is 6 months old
3. When baby weighs at least 20 kg4. When baby is around 1.5 year old and
weighs 10 kg
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This anomaly in amale requires
1. Perineal repair2. Colostomy
3. No intervention4. Urethral
cathetarization
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Gharpure hospitalCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer
The treatment for meckel’sdiverticulum is
1.Wedge resection2.Resection and end to end
anastomosis3.Inversion of the diverticulum
4.Masterly inactivity
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This newborn baby is bringing out froth frommouth
Catheter can not be passed beyond 10 cmfrom gum marginThe diagnosis is
1. Esophageal atresia2. Pharyngeal stenosis3. Laryngeal stenosis
4. Carcinoma esophagus
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Air in pleuralcavity requires
1. Antibiotics2. Aspiration
3. Aspiration andICD if
Necessary4. No treatment5. thoracotomy
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This patient with bilateralundescended testes and a well
developed penis needs the followinginvestigation
1.Karyotype2.Hemogram3.Genitogram4.Chest x-ray
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This patient with bilateral descendedtestes and severe hypospadias requireswhich of the following investigations
1. X-ray abdomen2. X-ray pelvis3. Genitogram4. Karyotype
5. HCG stimulation test
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Downwardcurvature of
penis is called
1. Hypospadias2. Epispadias
3. Normospadias4. chordee
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This child withanal stenosis
requires
1. Colostomy2. Cutback
3. Anoplasty4. dilatation
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This child is passing meconeum from anarrow opening in perineum
What investigations are required todetermine immediate management plan
1. X-ray abdomen2. Invertogram3. X-ray chest
4. Abdominal sonography5. None of the above
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This child has undergone aprocedure for bilateral cleft lip
may require what additionalprocedures
1.Pharyngoplasty2.Palatoplasty3.Uvuloplasty
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Visible peristalsis in epigastrium;in a one month old male who is
vomiting milk means
1.Gastroesophageal reflux2.Congenital hypertrophic pyloric
stenosis3.Duodenal obstruction4.Feeding intolerance
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This child has
1. Crouzon’ssyndrome
2. Apert syndrone3. Down’s syndrome4. Marfan syndrome5. Cushing syndrome
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This five year old boywith soft cystic
transilluminant necktumor has
1. Lymph nodeenlargement
2. Multinodular goitre3. Cystic hygroma
4. Filariasis5. Branchial cyst
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This child with cystichygroma needs the
following
1. CT scan of the neck2. MRI scan of the
neck3. X-ray neck and
surgical excision4. Conservative
therapy
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Identify theanomaly
1. Craniosynostosis
2. Meningocele3. Lipoma
4. encephalocele
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This child with exomphalos majorshould be evaluated for
1.Beckwith-wideman syndrome2.Abnormalities of glucose
metabolism3.Congenital heart disease
4.Congenital anomalies of theurinary tract
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Identify
1. Hypospadias2. Epispadias3. Phimosis
4. Exstrophybladder
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Identify
1. Cavernoushemangioma
2. Strawberrymark
3. Nevus4. Capillaryhemangioma5. Repaired
Cleft lip
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This girl withhemangioma
needs
1. Surgical excision2. Trial of steroids3. Laser ablation
4. Injection ofboiling water
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This girl withhemangioma
needs
1. Surgical excision2. Trial of steroids3. Local steroids
4. Injection ofboiling water
5. Laser ablation
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This three month old male with bilateralreducible inguinoscrotal swellings
should
1. Be observed2. Undergo simultaneous repair of both
hernias3. Repair of individual hernias
4. Application of pressure dressing for 6months
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This boy with obstructed inguinalhernia requires
a.Observationb.Taxis and attempt at manual
reductionc. Manual reduction under anesthesia
d.Immediate surgery
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This boy with bilateral large herniasrequires
1.bilateral herniotomy2. Left herniotomy and right
herniorrhaphy3.Bilateral herniorrhaphy
4.Bilateral hernioplasty
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This child with bilaterallarge inguinal hernias
should be evaluated for
1. Mucopolysaccharoidosis2. Klinefelter syndrome
3. Turner syndrome4. Cri-du-chat syndrome
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Identify
1.Exomphalos minor2.Exomphalos intermediate
3.Exomphalos major4.Umbilical hernia
5.Paraumbilical herniaCreate 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 withirreducible umbilical hernia is
likely to undergo
1.Mayo’s repair2.Bassini’s repair
3.Repair4.Millard’s repair
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Identify
1.Penoscrotal hypospadias2.Epispadias3.Phimosis
4.Normal anatomy
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This girl with low anorectalmalformation needs
a.Colostomyb.Cutback and asarp
c. Abdominoperineal pullthroughd.dilatations
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This boy with a small opening inperineum which is discharging
meconeum has
a. Anal stenosisb.Rectourethral fistulac. Rectovesical fistula
d.Rectoprostatic fistula
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What operation hasbeen done on this
patient
1. Transversecolostomy
2. Sigmoid colostomy3. Ileostomy
4. Creation oflaparoscopy port5. gastrostomy
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This child with inability to pass stoolssince birth, distended abdomen, and
failure to thrive has
a. Hypothyroidismb.Short bowel syndromec. Congenital megacolond.Long bowel syndrome
e. Malabsorption syndrome
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This child withmegacolon
needs
a. Colostomyb.Colostomy and
pullthroughc. Pullthrough
d.Anal dilatation
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After the two meningoceles aresurgically excised, this child is
likely to develop
a.Hydrocephalusb.Hydronephrosis
c. Hypospadiasd.Paraplegia
e. quadriplegia
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What is the likely diagnosis
a.meckel’s diverticulumb.Umbilical granuloma
c.Umbilical sepsisd.Patent vitellointestinal duct
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What is the diagnosis
a. External Pilesb.Internal piles
c. Fissured.Prolapse
e. Polypf. Carcinoma rectum
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What is the diagnosis
a.External pilesb.Internal piles
c.Prolapsed.Polyp
e.Carcinoma rectum
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The typical appearance of thischild with bilateral renal
agenesis is known as
a.Harlequin appearanceb.Icthyosis
c.Potter’s faciesd.Risus sardonicus
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What is the diagnosis
a.Meningoceleb.Meningomyelocele
c. Encephaloceled.Cerebrocele
e. Ventriculocelef. corticocele
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What is the diagnosis
a.Encephaloceleb.Meningomyelocele
c.Lipomad.Spina bifida occulta
e.abscess
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Identify thelesion
a. Glutealabscess
b. Meningomyelo-cele
c. Spina bifidaocculta
d. Lipomae. neurofibroma
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This child who wasunable to feed at
birth hasundergone
Thoracotomy for
a. Tracheal stenosisb. Esophageal
atresiac. Patent ductus
arteriosusd. Mitral stenosis
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What is the diagnosis
a.Meningomyeloceleb.Lipoma
c.Teratomad.neurofibroma
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What is the diagnosis
a.Double meningoceleb.Teratoma
c.Meningocele and teratomad.lipoma
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This child with a large sarcoma in neckunderwent excision and required two units
blood transfusionsWhat additional treatment may be required
considering the large amount of bloodtransfused
a. Gamma globulinsb. Calcium gluconate
c. Cryoprecipitated. Fresh frozen plasmae. Platelet transfusion
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This large wilms’ tumor has beenremoved.what additional treatment the
patient may require
a. No treatmentb.Kidney transplant
c. Chemotherapyd.Chemotherapy and radiotherapy
e. Bone marrow transplant
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This girl with a large wilms’ tumor inleft kidney is about to undergo
surgery.What is the preferred approach?
a. Lumbotomyb.Flank incision, extraperitoneal
c. Transperitoneald.Laparoscopic excisione. Cystoscopic excision
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This child underwentexcision of wilms’tumor and did not
receive any additionaltreatment
What is the diagnosis
a. Encephaloeleb. Meningocele
c. Scalp secondariesd. neurofibroma
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This child with exomphalos major isbeing treated conservatively
What is the best local application
a.Tincture iodineb.Betadine
c. Spiritd.Mercurochrome
e. Acriflavin
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Identify
a.Newtonb.Galileoc. Koch
d.Jenner
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Identify this illustrious medicalfamily
a.Malphighib.Meckelc.Mayo
d.Moynihane.Mahurkar
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Identify
a.Oslerb.Virchow
c. McBurneyd.Cunningham
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Identify
a.Wilmsb.Ramstedt
c. Hirschsprungd.Deshpande
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Identifya. Henry Gray
b.Satoskarc. Robins
d.Trandelenberg
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Identify
a.Brodieb.Pagetc.Wilms
d.rokitansky
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Identifya.OrvarSwenson
b.Alberto Penac.HardyHendren
d.HaroldHirschsprung
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This typical appearance ofskull on plain x-ray is called
a.Weather beaten appearanceb.Silver beaten appearance
c.Gold foil appearanced.Paget’s disease of skull
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This child with dysphagiaand vomiting has
a. Esophageal strictureb. Esophageal stenosis
c. Achalasia cardiad. Acid peptic diseasee. Gastroesophageal
reflux
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This 3 day old childvomiting biliousfluid; not passed
meconeum; islikely to have
a. Duodenalobstruction
b. Jejunalobstruction
c. Ileal obstructiond. Imperforate anus
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This 4 day old childwith double bubble
and duodenalobstruction needs
a. Gastrojejunostomyb. Duodeno-
jejunostomyc. Duodeno-
dudenostomyd. Gastrostomy
e. colostomy
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This two day old child with highjejunal obstruction needs
a.Gastrostomyb.Resection and end to end
anastomosisc. End to side anastomosisd.Side to side anastomosis
e. Jejunostomy
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This four year old girl presented with fever,jaundice and pain.
Ct scan showed a large cystic structureanterior to the kidney and under the liver
What is the likely diagnosis
a. Cholecystitisb. Cholangitis
c. Choledocal cystd. Pseudopancreatic cyst
e. Renal cyst
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What is the diagnosis
a. Intestinalobstruction
b. Pleural effusionc. Free air under
diphragmd. Cardiomegalye. hepatomegaly
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So much air inperitoneal
cavity suggests
a. Colonicperforationb. Ileal
perforationc. Gastricperforation
d. Duodenalperforation
e. Bladderperforation
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After filling thestomach withbarium some
barium was seen togo back in esophagus.
This is known as
a. Acid peptic diseaseb. Gastroesophageal
refluxc. Gastric outlet
obstructiond. Pyloric stenosis
e. Increasedintracranial tension
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This investigation is done in achild suspected to have
a.Congenital heart diseaseb.Congenital megacolon
c.Imperforate anusd.Intestinal obstruction
e.Cleft lip and palate
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What is theinvestigation
a. Urethrogram
b. Bariummeal and
followthrough
c. Bariumenema
d. Colograme. Myelogram
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On filling the colon,bladder also filled
up.The patient has
a. Renal agenesisb. Hydronephrosis
c. Colovesical fistulad. Rectourethral
fistulae. Rectovaginal
fistula
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After sigmoid colostomy is done,the retention catheter is kept for
a.Two daysb.Two weeks
c.Two monthsd.Two fortnights
e.Two years
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What is thediagnosis
a. Bronchiectasisb. Esophageal
atresiac. Tracheal
stenosisd. Pneumothorax
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This 6 year old boywith a long historyof repeated coughand respiratoryinfections has
Barium swallow hasbeen done
a. Chronic coughb. Asthmac. H-type
tracheoesophaealfistula
d. Esophageal atresia
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Six year old boyunderwent
nephrectomydeveloped swelling
after six monthsWhat is the likely
diagnosis
a. Scalpsecondaries
b. Brain tumorc. Meningocele
d. Encephalocelee. hemangioma
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Diagnosis?
a.Teratomab.Bladder
stonesc. Ureteric
stonesd.fecalomas
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4 month old boy withrepeated urinary tractinfection and straining
during micturitionunderwent MCUDiagnosis?
a. Urethral strictureb. Megacystic
c. Posterior urethralvalves
d. Hydroureter
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This 1 month oldmale withposterior
urethral valvesand serum
creatining 2.4should undergo
a. Cystoscopicfulguration
b. Pyelostomyc. Vesicostomy
d. Urethrostomye. urethroplasty
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Mcu in this 1 year old boy indicates
a. Bilateral grade V refluxb. Bilateral grade III refluxc. Bilateral grade I reflux
d. Kidney stones
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IVP in this 4 yearold boy shows
a. L.hydroureterand
hydronephrosisb. Hydroureter
c. Hydronephrosisd. Normal renal
anatomy
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Large bladder, largeureter and dilated
pelvis.What else is wrong
a. Absent rightkidney
b. Abdominalbladder
c. Gas in intestinesd. Fecal matter in
intestines
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Bilateral large kidneysand dilated ureters
on IVPWhat is the likely
diagnosis
a. Pelviuretericjunction obstruction
b. Ureterocelesc. Ureteric strictured. Urethral stricturee. Normal anatomy
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This two monthold girl with a
majorcongenitalanomalyWhich
a. Imperforateanus
b. Esophagealatresia
c. Ileal atresiad. Exstrophy
bladder
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Three month oldboy with ivp
What is thediagnosis
a. Normalanatomy
b. Kidney stonec. Pelviureteric
junctionobstruction
d. Ureteric stoneCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer
Four month old withbilateralabdominal lumpsand spider likepelvicalycealsystem
Diagnosis
a. Duplication ofcollecting system
b. Normal anatomyc. Solitary renal cystd. Multiple renal
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Five year old girl with abdominalpain and pus cells in urine has
this ivp picture
a.Kidney stoneb.Ureteric stone
c.Puj obstructiond.ureterocele
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Return of urinefrom bladder
to ureter iscalled
a. Gastroesophageal reflux
b. Vesicouretericreflux
c. Megaureterd. Megacystic
e. megalourethraCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer
Dilated urethra,trabeculated
bladderindicates
a. Posteriorurethral valvesb. Bladderdiverticulum
c. Urethralstricture
d. Bladder neckhypertrophy
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This child withposterior urethral
valves had thisfinding on mcu
Diagnosis
a. Vesicouretericreflux
b. Urinomac. Pelviureteric
junctionobstruction
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This newborngirl presentedwith a large
lump inhypogastriumDiagnosis
a. Hydroceleb. Hydrometroco
lpusc. Hematocolpus
d. Bladderdiverticulum
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What is thisdilated
structure
a. Urethrab.Pelvisc. Ureterd.rectum
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Vesicouretericreflux greaterthan grade III
requires
a. Antibioticsalone
b. Surgicaltreatment
c. No treatmentd. nephrectomy
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What investigation is this
a.Barium mealb.Barium meal and follow
throughc.Operative cholangiogram
d.Barium enema
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Procedure of choice forcholedocal cyst is
a. Cystogastrostomyb. Cystojejunostomyc. Cyst excision and
Hepatico-dochojejunostomy roux-
en-Yd. cystoduodenostomy
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Cyst excision is recommended incholedocal cyst because
a.Surgery is simpleb.Bleeding is minimal
c. Risk of malignancy in cyst remnantd.Risk of portal hypertension
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Investigation ofchoice in
choledocal cystis
a. CT scanb. Sonography
c. ERCPd. Operativecholangiogram
e. Percutaneouscholangiogram
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What are the likely long termcomplications for this child with
dilated bile ducts
a.Stone formation in bile ductsb.Biliary cirrhosis
c. Portal hypertensiond.All the above
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Identify theinvestigation
a. Bariummeal
b.Bariumswallowc. Ivp
d.Spleno-porto-gram
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Spleno-porto-gram is done forevaluation of
a.Portal hypertensionb.Malaria
c. Kala azard.Hodgkin’s disease
e. lymphoma
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Before CT scan this was ainvestigation for evaluation of
brain tumors
a.x-ray skullb.Carotid angiography
c. Pneumoventriculographyd.pneumoencephalography
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Identify
a.Exomphalos majorb.Exomphalos minor
c.Gastroschisisd.Umbilical hernia
e.colostomy
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This fifteen year oldboy with acutescrotal swelling
needs
a. Antibioticsb.Scrotalsonography
c. Ivpd.Immediate
explorationCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer
This anomaly oftesticular fixation is
known as
a. Bell clapperdeformity
b.Call bell deformityc. Pendulum deformity
d.Wrist-watchdeformity
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Passage ofmeconeum per
urethra indicates
a. Rectourethralfistula
b. Rectovaginalfistula
c. Normal anatomyd. Intestinal
obstruction
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CSFcirculation
wasdiscovered
bya. Mayo
b. Moynihanc. Cushingd. Dandy
e. Halstead
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Treatment for hydrocephalus is
a.ventriculo-atrial shuntb.Ventriculo-peritoneal shunt
c. Ventriculo-vesical shuntd.Ventriculo-pleural shunt
e. Repeated tappingf. Repeated lumbar puncture
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Elongation of head in anteroposteriordirection is called
a. Plagiocephalyb.Brachycephalyc. Dolicocephalyd.Occicephaly
e. Scaphocephalyf. Turricephaly
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Diagnosisa. Cranio-pharyngiomab. Cranio-synostsosis
c. Microcephalyd. Megalo-
cephaly
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Bony spur within a vertebra iscalled
a.Spina bifidab.Diplomyelia
c.Diastematomyeliad.meningocele
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Diagnosis
a. Consolidationb. Empyema
c. Bronchiectasisd. pneumothorax
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Diagnosis
a. Congenitallobar
emphysemab. Pneumothorax
c. Pleuraleffusion
d. Cysticadenomatoidmalformation
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This foreign body should beremoved by
a.Chest physiotherapyb.Nebulization and chest
physiotherapyc.Right bronchoscopy
d.Flexible bronchoscopy
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What is wrong with thispatient
a.Pneumothoraxb.Pneumonia
c.Congenital lung cystd.Pulmonary collapse
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Diagnosis
a. Diphragmatichernia
b.Eventration ofdiphragm
c. Pulmonaryagenesia
d.pneumothorax
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This child suddenly developedrespiratory distress and cyanosis.
Diagnosis?
a. pneumoperitoneumb.pneumothorax
c. bronchopneumoniad. pulmonary edema
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What adviseshould be
given to thischild
a. Immediaterepair of
CDHb. Deferred
repair ofCDH
c. Antibioticsd. Intercostal
drainage
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This asymptomatic child wasfound to have this finding on x-
ray. What is the diagnosis?
a.Eventration of diphragmb.Bochdalek diphramatic herniac.Morgagni diphragmatic hernia
d.Umbilical hernia
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Survival of patientswithdiphragmatichernia dependson
a. Availablefunctioning lungtissue
b. Amount ofviscera in thechest
c. Weight of thepatient
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This patient with diphragmatichernia is at risk to develop
a.Midgut volvulusb.Gastric volvulusc.Sigmoid volvulus
d.Peptic ulcer
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Diagnosis?
a.Staph pneumonia andpneumatoceles
b.Diphragmatic herniac.Pneumothorax
d.Cystic adenomatoidmalformation
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A patient withdiphragmatichernia is at risk todevelop thiscomplication aftersurgery
a. Pulmonaryembolism
b. Trombophlebitisc. Compartment
syndromed. Aortic
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This child withsmooth mass inchest andvertebraldefects is likelyto have
a. Bronchogeniccyst
b. Thymic cystc. Esophageal
duplication cystd. Pulmonary cyst
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Treatment of esophageal duplicationcyst is
a.Aspirationb.Aspiration and injection of
sclerosantc. Thoracotomy and excision
d.Thoracotomy and marsupializatione. Thoracotomy and internal
drainage
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This girl underwent intercostaldrainage for empyema.
This is the latest ct scanWhat treatment is required
a.Thoracotomy and decorticationb.Thoracotomy and drainage of pus
c. Repeat intercostal drainaged.Higher antibiotics
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These are photographs of thesame patient
What investigations are required
a.Sonographyb.Karyotype and genitogram
c.Laparoscopyd.hemogram
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This patient brought up as boy has twogonads in scrotum, well developed phallus
and hypospadias.What investigations are necessary?
a. Karyotypeb. Barr body
c. Genitogramd. Sonography
e. Gonadal biopsyf. 17 ketosteroid estimation
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Cleft lip should be repaired at
a.Three daysb.Three years
c.Three monthsd.Six months
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This girl withswelling since
birth has
a.Meningoceleb.Meningomyeloce
lec. Encephaloceled.Dermoid cyst
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After repair of encephalocele,the child is at risk to develop
a.Hypertensionb.Blindness
c.Hydrocephalusd.anosmia
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What is comingout of the anus
a.Round wormb.Tape worm
c.Guinea wormd.Shunt catheter
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This child withmeningocele
also has
a. Hydrocephalusb.Kyphosisc. Scoliosis
d.Talipes equinovarus
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After repair thischild is at a
specific risk todevelop
a.Paraplegiab.Paraparesis
c. Wound dehiscenced.hydrocephalus
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This lesion can be prevented ifmother takes this drug
during pregnancy
a.Calcium gluconateb.Vitamin Ec.Folic acid
d.cynocobalaminCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer
Estimation of thissubstance willhelp antenatal
diagnosis
a. HCGb.Hemoglobinc. Alpha-feto
proteind.Serum proteins
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Pericolostomyexcoriation is due
to
a. Reaction of skinto mucus
b.Digestion of skinby enzymes
c. Reaction of skinto fecal matterd.Amebiasis
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Primary closureof metopic
suture leads to
a. Scaphocephalyb.Turricephaly
c. Trigonocephalyd.Normal
anatomy
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Diagnosis
a. Crouzon’ssyndromeb.Albertsyndrome
c. Marfansyndromed.Apertsyndrome
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This girl withapert syndrome
needs
a.Local steroidsb.Counsellingc. Craniectomy
andreconstructiond.Vitamin d
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This boy withbilateral CTEV
probablyrequires
a. Manipulationsalone
b. Manipulationsand plaster
c. Tendon releaseand plaster
d. Caliper
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Infection in cystichygroma is risky
because
a. Septicemiab.Respiratory
obstructionc. Facial nerve
paralysisd.Hemorrhage
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This girl withectopic anus also
has
a.Ectopic urethrab.Septate vaginac. Rectovaginal
fistulad.hemorrhoids
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All brain tissue presentin the sac should be
a. Carefully put backin the skull
b. Excisedc. Frozen section
should be done and ifmalignant, should beexcised
d. EEG should be doneand should beexcised if EEG isabnormal
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This child has
a.Normalanatomy
b.Klumpke’spalsy
c.Erb’s palsyd.Bell’s palsy
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This girl with thislarge swelling since
birth has
a.Exomphalos majorb.Exomphalos minorc.Umbilical hernia
d.Paraumbilicalhernia
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Intestines lyingoutside theabdominal
cavity have lost
a.The citizenshipb.The
membershipc. The domicile
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After repair, this patient maydevelop
a.Respiratory insufficiencyb.Paralytic ileusc.Renal failure
d.Compartment syndromee.None of the abovef. All of the above
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What surgicaladjuncts may benecessary in this
patient
a. myocutaneous flapb. Mesh
c. Latissimus dorsiflap
d. Fascia lata repair
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Diagnosis
a.Meningoceleb.Meningomyelo
celec. Exstrophy
bladderd.Imperforate
anus
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Diagnosis
a.Lipomab.Neurofibromac.Gynaecomastia
d.Carcinomabreast
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This child with non biliousvomiting and visible peristalsis
is posted for
a.Swenson’s operationb.Bassini’s operation
c.Ramstedt’s operationd.Patil’s operation
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This girl with vaginalatresia has
a.Turner’s syndromeb.Klinefelter syndromec.Rokitansky syndromed.Mitrofanoff syndrome
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This boy with anorectalmalformations will require
a.One stage repair
b.Two stage repair
c.Three stage repair
d.Four stage repair
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This boy with anorectalmalformation will require
a.One stage repairb.Two stage repairc.Three stage repaird.Four stage repaire.No repair
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This girl with anorectalmalformation should undergo
a.abdomino-perineal pullthroughb.Posterior sagittal
anorectoplasty- PSARPc.Anterior sagittal anorectoplasty-
ASARPd.No surgery
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The mainstay of surgery of this girlwill be
a.Good bowel preparation andcareful dissection
b.Broad spectrum antibioticsc. Blood transfusions
d.Postoperative ventilatory supporte. Total parenteral nutrition
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Diagnosis
a. Rectovaginalfistula
b.Rectourethralfistula
c. Anterior ectopicanus
d.Covered anus
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This child with anorectalmalformation needs
a.Cutbackb.Anoplastyc.Colostomy
d.AppendicectomyCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer
This boy withanal stenosis
requires
a.Colostomyb.Anoplastyc. Dilatation
d.Abdominoperineal
pullthroughCreate 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 islikely to have
a.Hyperchloremiab.Hyperchloremic acidosisc. Hyperchlremic alkalosis
d.Hypochloremic hyperkalemicalkalosis
e. Normal biochemistry
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This boy withdifficulty in
defecation andabdominal
distension has
a. Ascitisb. Congenital
megacolonc. Hypo-thyroidism
d. Muco-poly-sacchoroidosis
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What proportion ofrepaired
exstrophypatients are
continent
a. 5%b.30%c. 90%d.70%
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Hyper-pigmentation,hirsutism,increased weight issuggestive of
1.Connective tissuedisorder2.Cushingsyndrome3.Virilisation4.Feminization
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Forcible retraction of prepucebeyond the coronal sulcus
has led to
a.Phimosisb.Hypospadiasc.Paraphimosis
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This patient with posteriorurethral valves and renal
failure has undergone
a.Bilateral pylostomyb.Vesicostomyc.Ureterostomy
d.ColostomyCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer
This boy withurethral
valves hasundergone
a.Colostomyb.Vesicostomy
c. Ureterostomyd.Urethrostomy
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This boy withhemangioma
needs
a. Trial ofsteroids
b. Trial of localinjection of
boiling waterc. Surgery
d. Laser ablation
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This boy with giantinguinal herniashould undergo
a. Immediate repairb. Repair with mesh
c. Pneumo-peritoneum and
repaird. Resection of
intestines andrepair
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What is the diagnosis
a.Bilateral hydrocelesb.Bilateral hernia
c.Bilateral obstructedhernia
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Congenital hydrocele in thisboy requires
a.Herniotomyb.Jaboulay’s operation
c.Lord’s operationd.Aspiration
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Inguinal hernia in this boyrequires
a.Herniotomyb.Herniorrhaphy
c.Hernioplasty with meshd.Hernioplasty with fascia lata
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This boy with herniaalso has
a. Connective tissuedisorder
b. Intestinalobstruction
c. Hypothyroidismd. Hypopituitarism
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Identifya.Muco-poly-saccharoidosis
b.Osteogenesisimperfecta
c. Acromegalyd.Dwarfism
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What are the specialrisks for this
patient posted forhernia repair
a. Recurrence ofhernia
b.Renal failurec. Paralytic ileus
d.Wound infection
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This childwith spinabifida has
a.Cranio-synostosis
b.Meningitisc.Hydro-cephalus
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This child born with a softmass over the coccyx has
a.Meningoceleb.Meningomyelocele
c.Teratomad.Rectal prolapse
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This tumor arising from lowerpole of kidney has been
removed.This tumor is named aftera.Christopher Columbus
b.Galileo Galileec.Wilms
d.John Hunter
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This badly infected ulcer with ascab is
a.Congenitalb.Likely to be secondary to
allergic drug reactionc.Infantile eczema
d.Infiltration of IV fluids
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Diagnosis?
a.Umbilicalhernia
b.Appendicitisc. Umbilical
granulomad.Ectopia cordis
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This massivepneumo-
peritoneum hasbeen done in this
girl fora. Oxygenation
b. Improve digestionc. To increase size
of abdominalcavity
d. To reduce weight
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What organ is lying outsidethe abdominal cavity.
a.Kidneyb.Pancreas
c.Spleend.liver
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Dilated duodenum in this 1year old boy with bilious
vomiting is due to
a.Pyloric stenosisb.Peptic ulcer
c.Duodenal atresiad.Duodenal stenosis
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Narrow rectumand dilatedsigmoid is
diagnostic ofa. Anal fissure
b.Internal pilesc. Congenital
megacolond.hypothyroidism
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This massivedilatation of
upper tracts islikely to be due
toa. PUJ
obstructionb.Ureterocelec. Posterior
urethral valvesd.Hypospadias
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This child hasintestinal
obstructionsecondary to
a. Intestinal bandsb.Vitellointestinal
ductc. Obstructed hernia
d.Congenitalmegacolon
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10-year-old trauma victim presentsunconsciousand hypotensive. Multiple attempts atperipheral IV access are unsuccessful.The next access of choice is:
a.intraosseous lineb.femoral veinc.internal jugular veind.external jugular veine.saphenous vein cutdown
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The most commonly injuredabdominal organ in pediatricblunt trauma is:
a.liverb.spleenc.kidneyd.small bowele.pancreas
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In the absence of other concerningassociated signs, APNEA is definedas a respiratory pause of greaterthan:
a.10 secondsb.15 secondsc.20 secondsd.30 secondse.1 minute
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Of the following causes of upperairway obstruction, which is LEASTlikely to result in an acute,precipitous deterioration in the ED?
a.croupb.epiglottitisc.foreign body ingestiond.retropharyngeal abscesse.smoke inhalation/ thermal injury
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Which of the following is theLEAST LIKELY cause of stridorin an infant or child < 6 yearsold?
a.bacterial tracheitisb.retropharyngeal abscessc.foreign body aspirationcroupc.peritonsillar abscess
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Compared with the adult airway, which of thefollowing is NOT characteristic of thepediatric airway:
a.more easily visualized with a straight (eg,Miller) bladeb.narrowest portion located at the cricoidcartilagec.more posterior locationsmaller diameter and shorter lengthd.more easily obstructed by edema,secretions or posterior displacement of thetongue
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What percentage of newbornshave 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 highindex of suspicion for testicular
torsion, should have the followingdiagnostic test performed:
a.Nuclear scanb.Color Doppler ultrasound
c.Surgical explorationd.CT scan
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Estimated testicular salvage rates inpatients with testicular torsion include
all of the following except:
a.96% if detorsion occurs within 4 hours ofsymptom onset
b.60% if detorsion occurs between 8 and 12hours of symptom onset
c.40% if detorsion occurs between 12 and 24hours of symptom onset
d.less than 10% with presentation greaterthan 24 hours after symptom onset
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The lack of a cremasteric reflexin a patient with acute testicularpain, should raise the suspicion
for which of the following:
a.Paraphimosisb.Torsion of the testicular
appendagec.Priapism
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Treatment options forparaphimosis include all of the
following except:
a.Manual reductionb.Foreskin needle puncture
c.Referral to a urologist within24 hours
d.Dorsal slit procedureCreate 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 typicallypainlessb.Patients with idiopathic scrotal edemararely present with a feverc.Specific allergens leading to idiopathicscrotal edema have been identifiedd.Most cases of idiopathic scrotal edemaspontaneously resolve within 1 week
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All of the following are true regardingvaricoceles except:
a.Most varicoceles are right-sidedb.Patients with the sudden onset of a left orright varicocele should undergo furtherevaluationc.Varicoceles are typically more pronouncedin the upright positiond.Incomplete drainage of the panpiniformplexus results in dilation of the spermaticveins and resultant varicocele formation
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All of the following are true except:
a.Most hydroceles are right sidedb. Hydroceles can be reduced withsteady, firm pressurec.Hydroceles are more common inthe prepubertal maled.Hydroceles result from fluidaccumulation within the tunicavaginalis
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A 7-week-old, full-term girl has worseningjaundice that the parents first noticed 10 days
ago. On her examination, she is wellappearing and is noted to have a liver edge
4cm below her costal margin. Her directbilirubin is 9. The most likely cause of herdirect hyperbilirubinemia is which of the
following:
a.Biliary atresiab.Cholecystitis
c.Sepsisd.Acetaminophen toxicity
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All of the following are FALSE regardingintussusception EXCEPT:
a.The presence of "currant jelly" stoolsis a sensitive findingb.Absence of abdominal pain essentiallyexcludes the diagnosisc.Plain radiographs are not helpful inmaking the diagnosisd.Older children with intussusceptionare more likely to have an identifiable"lead point"
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Potentially life-threateningcomplications of
inflammatory boweldisease include:
a.Toxic megacolonb.Gastrointestinal bleeding
c.Intestinal obstructiond.All of the above
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All of the following statements are TRUEabout pyloric stenosis EXCEPT:
a.Bilious vomiting is the classicpresenting complaintb.Children may have a hypochloremic,hypokalemic metabolic alkalosisc.This diagnosis can be made bycontrast studies or ultrasonographyd.The hypertrophied muscle cansometimes be felt on abdominal exam
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A 6-day-old girl presents with a three-hour history ofbilious emesis and rectal bleeding. Initially she wasquite irritable but is now lethargic. Her abdomen isdistended. An abdominal obstruction series shows adilated stomach and small intestine, but a paucity ofgas in the colon. The next step in management ofthis patient should be whichof the following:
a.Upper GI seriesb.Air-contrast enemac.Surgical interventiond.NICU admission for observation
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Which of the following statements isTRUE about upper gastrointestinal(UGI) hemorrhage in children?
a.Ulcers may cause UGI bleeding in youngchildren
b.All patients should undergo nasogastrictube placement and lavagec.Esophageal varices are a common causeof UGI bleeding
d.Hematemesis in a newborn is usually asymptom of significant disease
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Which of the following statements aboutappendicitis is TRUE?A.Perforation and peritonitis areuncommon in younger childrenb.The presence of diarrhea effectivelyexcludes appendicitisc.Both ultrasound and CT scan aresensitive and specific tests forappendicitisd.Most abdominal x-rays in patients withappendicitis reveal a fecalith
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A 7-year-old boy presents with painless rectalbleeding. He had a large amount of red blood per
rectum at home and continued to bleed on the wayto the ED, but the bleeding has subsequently
stopped. He has been otherwise well. His abdominalexamination reveals no tenderness or masses. Hehas no fissures, polyps, or hemorrhoids noted on
rectal examination. The remainder of hisexamination is unremarkable. Which of the following
conditions is the MOST likely cause of hissymptoms:
a.Meckel's diverticulumb.Inflammatory bowel disease
c.Bacterial gastroenteritisd.Allergic colitis
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All of the following statements are TRUEabout gastroesophageal reflux disease(GERD) EXCEPT:
a.GERD is a benign illness without any life-threatening complicationsb.Many infants with GERD can be treatedsuccessfully with conservative measures alonec.Symptoms are frequently non-specific, such asfailure to thrive and irritabilityd.H2-blocking drugs (e.g., ranitidine) and prokineticagents (eg, metoclopramide) are agents commonlyused in the treatment of GERD
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A 2-month-old, otherwise healthy boy presents withseveral episodes of vomiting and no bowel movementfor 4 days. His parents state that he has had difficultypassing his stools since birth. His abdomen isdistended, and stool is palpable in the suprapubicregion. His rectal examination reveals no fissures, andno stool is palpable on digital examination. He has abowel movement after you remove your finger. Which ofthe following statements is TRUE about the most likelyetiology of this patient's constipation?A.Caused by neurotoxins elaborated by bacteria in theGI tractb. Caused by an absence of parasympathetic ganglioncells in the intestinec.Likely due to a combination of behavioral andenvironmental factorsd.Caused by poorly functioning endocrine glands
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A 5-year-old boy presents withabdominal pain. Potential causes
of his abdominal pain include:a.Pneumoniab.Strep throat
c.Testicular torsiond.Diabetic ketoacidosis
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A 10-day old male presentswith bilious emesis. What isthe most likely diagnosis?
A.Appendicitisb.Pyloric stenosis
c.Malrotation with midgutvolvulus
d.Feeding intoleranceCreate 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 withlethargy and vomiting. His
electrolytes reveal sodium of 121meq/L, potassium of 7.0-meq/l andblood glucose of 40 mg/dl. What is
the most likely diagnosis?A.Dehydration
b.Congenital adrenal hyperplasiac.Inborn error of metabolism
d.Pyloric stenosisCreate PDF with GO2PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer
How should a neonate withlethargy and a blood sugar of
20mg/dl be treated?A.Oral feeds with apple juice
b.25% dextrose solutionc.10% dextrose solutiond.50% dextrose solution
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A 2-day-old female presents withabdominal distension and vomiting.She has not yet passed a meconium
stool. What is the most likelydiagnosis?
A.Hirschsprung Diseaseb.Malrotation with midgut volvulus
c.Necrotizing enterocolitisd.Constipation
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A 3-week-old female presents with persistentseizures despite aggressive management with
benzodiazepines and phenobarbital. Themother reports giving her daughter some
water to "stop her from getting dehydrated."What is the most likely cause of her status
epilepticus?
A.Hypoglycemiab.Diabetes insipidus
c.Hyponatremiad.Hypokalemia
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A 1-week-old male presents with some milderythema around his umbilicus extending onto the
abdominal wall. Which of the following is the correctmanagement for this patient?
A.Reassurance and continue with alcohol wipes ofumbilicus
b.Topical antibiotic ointment and recheck the patientthe next day
c.Discharge on cephalexin and recheck the next dayd.Perform a full septic workup and admit the patient
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Vaginal bleeding in a 3-day-oldfemale is:
a.Is always indicative of child abuseb.May be due to withdrawal of
maternal hormonesc.Is suspicious for gonorrhea
d.Is most commonly due to a vaginalforeign body-such as baby wipes
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Which of the following arecauses of shock in the
newborn?
A.Infectionb.Inborn errors of metabolism
c.Child abused.Thyrotoxicosise.All of the above
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Richly vascularized fat in nape ofneck in the newborn is called
1.Thyroid gland2.Hibernating gland
3.Pineal gland4.Accessory parotid gland
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Adult stomach capacity isapproximately 1000 ml
Newborn stomach capacity at birth isapproximately
1.100 ml2.80 ml3.30 ml4.10 ml
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Meconeum is
1.Highly Alkaline2.Highly Acidic
3.Neutral4.Mildly alkaline5.Mildly acidic
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The maximum number of children awoman can have is about 20
how many primitive oocytes are presentin the neonatal ovary at birth
1. 10002. 100,000
3. 2004. 1000,000
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Newborn brain is responsiblefor ……… % heat
production
1. 10%2. 20%3. 36%4. 40%
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Total body water at term is
1. 40%2. 65%3. 78%4. 90%
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Total blood volume at term is
a.70 ml/kgb.60 ml/kgc.80 ml/kgd.90 ml/kg
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The mainstay of treatment after thischild with gastroschisis undergoes
repair isa.Administration of three or four
antibioticsb.Ventilatory support and total
parenteral nutritionc. Blood and plasma transfusions
d.Bladder cathetarization
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This child with intestinalobstruction has
a.Duodenal atresiab.Jejunal atresia
c.Ileal atresiad.Colonic atresia
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