PEDIATRIC SURGERY RECALLS 1

SECTION C 2015

1. visceral pain b. seldom done in children

A. Colicky abdominal c. antero posterior cross table lateral view to
B. Burning epigastric demonstrate air fluid level
C. Vague abdominal? d. routine ______(forgot the word) radiation is
D. Mild... relatively low and not cumulative.

2. Example of referred pain 16. 20 cc/kg volume resuscitation in children.

Answer: C. Abdominal pain from a pulmonary A. A magical number without scientific basis.
pathology B. Equivalent to 20% of cardiac output
(Sorry nakalimutan ko choices) C. Amt that nearly increase bp.
D. Almost always given to all pediactric patients
4. Apley's rule
Answer - the likelihood of organic pathology is 17. Clinical manifestation of Choledochal cyst?
directly proportional to the distance of pain from a. jaundice, fever, hepatomegaly
the umbilicus b. hepatomegaly, splenomegaly, acholic stool
(Nalimutan ko yung choices saka letter sorry) c. jaundice, abdominal pain, RUQ mass
d. jaundice, acholic stools, hepatomegaly
5. True in incidence of pyloric stenosis
a. increase in asians 18. PE findings of pyloric stenosis:
b. increase in male a. scaphoid abdomen
c. male has increased index of transmission to b. adbominal distention
offspring c. visible peristaltic wave
d. isolated disease
19. Biliary vomiting in malrotation is associated
9. 10 month old bb girl well with bright red blood with:
around stool a. Abdominal distention
A. Intussusception b. Abd fullnesss
B. Meckel's diverticulum c. Intrstinal loops
C. Volvulus d. Peristaltic wave
D. Anal fissure
20. 1 year old, down syndrome, sudden
11. Etiology of biliary atresia abdominal pain with vomiting. Healthy. Bloody
A. Virus stools. Slight abdominal distention with guarding.
B. maternal illness A. Delayed malrotation
C. No known b. Fenestrated duodenal atresia
D. Genetics c. Intussuception
15. abdominal radiograph in AP d. Intestinal atresia
a. almost universally done to demonstrate fecalith
 PEDIATRIC SURGERY RECALLS 2
SECTION C 2015

21. 2 year old girl down facie billous vominintg B.obesity

a.doundenal atresia C.chronic abdominal pain
b. intestinal atresia D.frequent stooling
c .malrotation
33. 8mos. Old, babyboy. W/ recent viral infection,
26. A condition that will less likely need further sick looking w/ blood & mucus in diarrhea?
investigation if diagnosed prenatally. A. Gastroenteritis
a. Duodenal atresia B. Intussusception
b. Intestinal atresia C. Midgut volvulus
c. CDH D. Anal fissure
d. Intrauterine growth restriction
34. In malrotation, timing of intervention is
27. Type 1 Choledochal cyst - choices: essential due to possible complication of:
A. Fusiform Cyst a. Midgut volvulus
B. Diverticular cyst b. Intestinal necrosis
C. Choledocolithiasis c. Dehydration
D. Caroli's Cyst d. Electrolyte imbalance

28. Etiology of biliary atresia. 36. Pedia. pathphysiology of intestinal atresia?

A. Probably viral in nature. a. completer resorption of ischemic segment b.
B. Linked to maternal illness during pregnancy. usually occurs in the 1st trimester c. etiology
C. Unlikely to occur more than once in the family. unknown d. not occuring with other anomalies
D. Purely Genetic.
37. Intestinal atresia as an isolated
29. Lost in the vomitus from pyloric stenosis? syndrome..which of the ff is assoc.with familial
A. Potassium occurence and other anomalies?
B. Chloride a.I
C. Bicarbonate b.II
D. Sodium c.IIIa
d.IIIb
30. Clinical manifestation of malrotation
A. Bilous vomiting 38. most common type of choledochal cyst?
B. Abd. Distention a.I
C. Loose stool b.II
D. Projectile vomiting c.III
32. In an older patient with malrotation,the usual d.IV
presenting symptom is
A.recurrent bilous vomiting 44. PE findings in pyloric stenosis.
 PEDIATRIC SURGERY RECALLS 3
SECTION C 2015

A. Scaphoid abdomen a. follows typical epigastric pain --> RLQ

B. Abdominal distention b. anorexia is seen in significantly obese children
C. Peristaltic wave c. high rate of perforation
D. Hypoactive bowel sound. d. vague pain

45. Preparation for pedia with abdominal pain.

A. Dress me slowly, im in a hurry
B. Common things are more common
C. How did we get here?
D. We have arrived

46. Examination of pedia patient w/ abd pain

A. Secondary survey is important
B. Examine on mother's lap even if it's awkward
C. Pount tenderness is not important and
frustrating
D. Doctors have cold hands, ...use ball of hands

47. Lab examination in children with abdominal

pain
A. It is use as adjunct to history taking in the
diagnosis of children with abdominal pain
B. It is helpful with the diagnosis in children with
abdominal pain (not sure)
C. Routine cbc and ua is indicated for dx of AA
D. It is helpful in the management rather than
diagnosis

48. Urinalysis is routinely done in cases of

ruptured AP
A. To assess irritative bladder infection due to
rupture pelvic AP
B. To r/o synchronous UTI especially in female
patients
C. ......because of low cost and nonivasiveness
D. Not important in GI diseases like AP

49. acute appendicitis in children