paediatric surgery objective type questions and answers
Questions
Free download in PDF Paediatric Surgery Objective Type Questions & Answers for competitive exams. These short objective type questions with answers are very important for Board exams as well as competitive exams. These short solved questions or quizzes are provided by Gkseries.
21
Infants with a double aortic arch most commonly present with which of the following problems?
A
Dysphagia
B
High output cardiac failure related to a patent ductus arteriosus
C
Positional hyperemia and edema of the right upper extremity
24
The definitive evaluation of a child with a suspected congenital cystic abnormality of the tracheobronchial tree is best done using which of the following?
A
Rigid bronchoscopy
B
Computerized tomography or magnetic resonance imaging
Answer: Computerized tomography or magnetic resonance imaging
25
A newborn infant develops coughing, choking and cyanosis with his first feeding. He is noted to have excessive drooling. What are the important associated anomalies that must be screened for prior to surgical intervention?
26
Which of the following ventilation strategies is the best initial approach for a neonate with a left congenital diaphragmatic hernia and the following post ductal arterial blood gases: PaO2 50 mm Hg, PaCO2 60 mm Hg, pH 7.35?
A
High-frequency jet ventilation
B
Permissive hypercapnia with convential pressure controlled ventilation
Answer: When the infant is potentially extubatable
28
A 3-week old infant has a barium upper gastrointestinal series to evaluate vomiting. The duodenojejunal flexure is found to be to the right of the midline as well as more caudal and anterior than a normal ligament of Treitz. The child is seen to reflux barium spontaneously to the level of the mid-thoracic esophagus. You would recommend which of the following?
30
You are asked to recommend therapy for an asymptomatic 2 year old who swallowed a small alkaline watch battery 4 hours ago. A plain film shows the intact battery in the intestine beyond the stomach. The best course of therapy is?
A
Immediate laparotomy, enterotomy and removal of the battery
B
Enteroscopy with extraction
C
Laparoscopy with ultrasound localization and extraction
D
Cathartics and a follow-up plain film in 48 hours if the child remains asymptomatic
Answer: Overall survival is approximately 80% to 90%
37
A 6-week-old child presents with generalized seizures, a serum glucose of 30 mg/dL and concurrent hyperinsulinemia. This child’s first priority is which of the following?
A
Permanent central venous access and glucose infusion
B
Administration of cortisone and adrenocorticotropic hormone
C
Computerized tomographic scan of the abdomen to look for an islet cell adenoma
