PAEDIATRICS NURSING
PAEDIATRIC GASTROINTESTINAL SYSTEM
1. oesophagus develops from......
a) Foregut
b) Mid gut
c) Hind gut
d) Fundus
Answer-a
2. Melena means (PSC)
a) Dark colored stools
b) Clay colored stools
c) Green colored stools
d) Golden colored stools
Answer- a
3. Hirschsprung disease is associated with (AIIMS)
a) Turners syndromebi
b) Down syndrome
c) Klinefelter syndrome
d) Patau syndrome
Answer-b
4. The characteristic feature of stool in hirschsprungs disease is (PSC)
a) Ribbon like stools
b) gelly like stools
c) Loose stools
d) Peasoup stool
Answer-a
rouble
5. Appendix is situated in (ESI)
a) Colon
b) caecum
c) Rectum
d) small intestine
Answer-b
6. Failure of obliteration may result in an omphalomesenteric fistula is
known as (ESI)
a) Meckels diverticulum
b) Hirschsprungs disease
c) Irritable bowel syndrome
d) Volvulus
Answer-a
7. Meckel's diverticulum is usually seen in (RRB)
a) lleocaecal valve
b) lleorectal valve
c) lleocolon valve
d) All
Answer-a
8. Which of the following is the most frequent causes of intestinal obstruction in
children between the ages of 3 months and 3 years. (RCC)
a) Intussusceptions
b) Pyloric stenosis
c) Hirschsprungs disease
d) TEF
Answer-a
9. The common site of upper GI bleeding is (DSSB)
a) Oesophagus
b) Pharynx
c) Mouth
d) Stomach
Answer-a
10. .............. is the common cause of upper Gastrointestinal bleeding (PSC)
a) Peptic ulcer diseases
b) Oesophageal varices
c) Mouth ulcer
d) Pancreatitis
Answers- a
11. Bilious projectile vomiting is seen in (JIPMER)
a) Pyloric stenosis
b) Hirschsprungs disease
c) Intussusceptions
d) Peptic ulcer
Answer- c
Non bilious projectile vomiting is pyloric stenosis.
12. Hematochezia is (PGIMER)
a) Passage of bright red blood per rectum
b) Passage of bright red blood per mouth
c) Passage of bright red blood per eyes
d) Haemoptysis
Answer-a
13. Currant jelly stools is seen in (PSC)
a) Volvulus
b) Intussusceptions
c) Hirschsprungs disease
d) Pyloric stenosis
Answer-b
14. Olive like mass in the upper abdomen is palpable in... (ESI)
a) pyloric stenosis
b) Intussusceptions
c) Hirschsprungs disease
d) Volvulus
Answer- a
15. Surgical treatment for pyloric stenosis is
a) Blalock Tausing procedure
b) Fredet ramstedt procedure
c) Heimlich procedure
d) Pott's operation
Answer-b
16. The most common abdominal surgical emergency in childhood is........
a) Pyloric stenosis
b) Meckel's diverticulum
c) Appendicitis
d) Pancreatitis
Answer-c
17. GERD is most commonly associated with (PSC)
a) Asthma
b) Pneumonia
c) Fever
d) Diarrhoea
Answer-a
18. An eating disorder characterized by the compulsive and excessive ingestion
of both food and non food substance is (JPHN)
a) Dyslexia
b) Pica
c) Dysphagia
d) Anorexia nervosa
Answer-b
19. Having extreme long intervals between defecation is (MSc ENTRANCE)
a) Constipation
b) Obstipation
c) Encopresis
d) Diarrhoea
Answer-b
20. Persistent wetting beyond an age at which normal bladder control is
expected to achieve? (PSC)
a) Constipation
b) Obstipation
c) Encopresis
d) Enuresis
Answer-d
21. Control of swallowing completes at the age of (DSSB)
a) 7 months
b) 6 months
c) 8 months
d) 9 months
Answer-b
22. Constipation with fecal incontinence is (PSC)
a) Encopresis
b) Anueresis
c) Micturition
d) None of theses
Answer-a
23. Passage of loose liquid or watery stools, more than 3 times per day
a) Acute gastroenteritis
b) Diarrhoea
c) Dysentery
d) Acute abdomen
Answer-b
24. Which type of food a nurse would advice for a child with
colostomy? (AIIMS)
a) High fibre fat
b) Low fat diet
c) High residue diet
d) Regular diet
Answer-b
25. Wheat should not be adviced for (PGIMER)
a) Celiac disease
b) Gluten enteropathy
c) Celiac sprue
d) All the above
Answer-d
26. Which of the following is not a feature of dehydration? (SCTIMST)
a) Thirst
b) Sunken eyes
C) Poor skin turgor
d) Elevated fontanelle
Answer-d
27. H type TEF is also known as (PSC)
a) Type II
b) Type III
c) Type IV
d) Type V
Answer-d
28. Inspissated putty like meconium plugging the lumen of terminal ileum
a) Meconium ileus
b) Meconium plug syndrome
c) Meckels diverticulum
d) Malrotation of gut
Answer-a
29. During physical examination of four month old infant with hirschsprung's
disease, the nurse would most likely to note which of the following
a) Scaphoid shaped abdomen
b) Weight less than expected height and age
c) Cyanosis
d) Hyper active deep tendon reflexes
Answer-b
30. Which of the following would indicate that an infant with TEF need
suctioning?
a) Brassy cough
b) Substernal retraction
c) Decreased activity level
d) Increased respiratory rate
Answer-b
31. False desire to pass stools is (DSSB)
a) Borborygmi
b) Tenesmus
c) Steatorrhea
d) Gibbus
Answer-b
32. When an infant with pyloric stenosis is admitted to a hospital, which of the
following will the nurse do first? (DHA)
a) Weigh the baby
b) Begin an IV infusion
c) Switch the infant to ORS
d) Orient the mother to hospital unit
Answer-a
33. While caring a child with imperforate anus, the nurse assesses the client's
urine output for (PGIMER)
a) Meconium
b) Blood
c) Bile
d) Acetone
Answer-a
34. Herniation of abdominal organ through a wide open umblicus is (PSC)
a) Umblical hernia
b) Exomphalos
c) Gastroschisis
d) None of these
Answer-b
35. Urinalysis report shows, specific gravity 1.028 which of the following
condition is suspected for the child? (PGIMER)
a) Dehydration
b) Water intoxication
c) Normal result
d) Shock
Answer-a
Urine specific gravity is more, ie concentrated urine.
36. Diarrhoea causes................(RAILWAY)
a) Metabolic acidosis
b) Metabolic alkalosis
c) Respiratory acidosis
d) Respiratory alkalosis
Answer-a
37. Commonest cause of abdominal pain in children is (JIPMER)
a) Porphyria
b) Worm colic
c) Lead poisoning
d) Appendicitis
Answer-b
38. Breast milk jaundice is due to (AIIMS)
a) Excess Ca2
b) Vit K excess
c) Iron excess
d) Hyaluronidase in milk
Answer-d
39. Celiac disease is due to sensitivity to......(PSC)
a) Milk
b) Maize
c) Wheat
d) Meat
Answer - c
40. A neonate is diagnosed with gastroschisis, which of the following would the
nurse expects to do first?
a) Weigh the neonate
b) Insert an orogastric tube
c) Prepare for immediate blood transfusion
d) Cover the abdomen with moistened sterile gauze
Answer-d
41. Which of the following would indicate that the infant with TEF needs
suctioning? (JIGMER)
a) Brassy cough
b) Substernal retractions
c) Decreased activity
d) Increased respiratory rate
Answer-b
42. Hirschprung's disease commonly found in which disease? (ESIC)
a) Turner's syndrome
b) Trisomy 21
c) VSD
d) Hydrocephalus
Answer- b
43. Herniation of abdominal viscera through the defect in the abdominal wall
to the umbilical cord is? (ESIC)
a) Exomphalos
b) gastroschisis
c) omphalocele
d) mickle's diverticulum
Answer - b
44. Bilious projectile vomiting is seen in(AIIMS)
a) Pyloric stenosis
b) Hirschsprungs disease
c) Intussusception
d) Peptic ulcer
Answer- c
(Nonbilious projectile vomitng is seen in pyloric stenosis)
45. Wheat should not be adviced for.........(PSC)
a) Celiac disease
b) Gluten Enteropathy
c) Celiac sprue
d) all the above
Answer- d
46. Clay coloured stool is seen in...........(AIIMS)
a) Volvulus
b) Haemorrhoids
c) Intussusception
d) Obstructive jaundice
Answer- d
47. Swensons procedure is performed for the correction of........(JIPMER)
a) Pyloric stenosis
b) Choledocal cyst
c) Biliary atresia
d) Hirshsprung disease
Answer- d
48. Most common type of TEF? (AIIMS)
a) Type 1
b) Type 2
c) Type 3
d) Type 4
Answer- c
49. A common feature of IBD in Paediatric patients is ? (JIPMER)
a) Growth failure
b) Cronic constipation
c) Obstruction
d) Burning Epigastric pain
Answer- a
50. Frothy saliva in mouth and nose and drooling in a new born indicate
(JIPMER)
a) TEF
b) Pyloric stenosis
c) Duodenal atresia
d) Volvulus
Answer- a
51. Herniation of intra abdominal contents through umbilical ring is termed
as ? (PGIMER)
a) Gastroschisis
b) Omphalocele
c) Umbilical hernia
d) Teratoma
Answer- a
52. Ribbon shaped stools is seen in ? (PSC)
a) Pyloric stenosis
b) Hirshsprungs disease
c) Intussusception
d) Volvulus
Answer- b
53. Concentration of KCl in ORS is........ (PSC)
a) 1.5 gm
b) 2.5 gm
c) 3.5 gm
d) 20
Answer- a
54. In which condition X-ray of abdomen reveals staircase pattern?
a) Pyloric stenosis
b) Short bowel syndrome
c) Hirschsprungs disease
d) Intussusception
Answer- d
55. Brownish vomitus with fecal odor indicates: (AIIMS)
a) Gastritis
b) Pyloric stenosis
c) Intussusception
d) Intestinal obstruction
Answer- d
56. An infant returns to the nursing unit following a surgical repair of cleft lip
on the right side. The best position to place the infant at this time is........
(JIPMER )
a) On the right side
b) Prone position
c) On the left side
d) Supine
Answer- c
