Multiple Choice Questions (MCQ)

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Category: Surgery--->Pediatric Surgery
Page: 2

Question 6#Print Question

The predicted 4-year survival rate of a child with a Wilms tumor that is confined to one kidney and is grossly excised is:

a. 24%
b. 38%
c. 68%
d. 97%

Question 7#Print Question

A premature infant boy has been started on enteral feeds shortly after birth, but develops feeding intolerance 2 weeks postnatally. He displays abdominal tenderness, distention, and bloody stools. An abdominal radiograph is obtained and is shown in Fig. below. What should be the next step in management?

a. Nasogastric decompression, parenteral nutrition, broadspectrum antibiotics
b. Laparotomy, excision of the affected bowel with ostomy formation
c. Laparotomy, reduction of the volvulus, division of adhesions, appendectomy
d. Water-soluble contrast enema

Question 8#Print Question

An infant girl is found to have persistent jaundice after birth. A metabolic screen is normal, ultrasound demonstrates an absent gallbladder, and a technetium-99m iminodiacetic acid scan shows radionuclide that is concentrated in the liver but not excreted into the intestine. Which of the following is true?

a. This condition is usually managed non operatively
b. Surgery should be performed within 60 days of life
c. Cystoenterostomy provides adequate biliary drainage
d. Most of these patients will not require transplantation

Question 9#Print Question

The leading cause of death for children older than 1 year of age is:

a. Malignancy
b. Infection
c. Injury
d. Congenital anomalies

Question 10#Print Question

A "double bubble" on an abdominal radiograph in an infant is characteristic of:

a. Duodenal atresia
b. Jejunal atresia
c. Meconium ileus
d. Pyloric stenosis

Category: Surgery--->Pediatric Surgery
Page: 2 of 4