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Pediatric surgery

1. Bleeding from Meckel’s diverticulum is caused by:
a. ulceration
2. Blood color in case of bleeding from Meckel’s diverticulum is:
a. massive dark red (maroon)
3. In case of abdominal blunt trauma, immediate peritonitis is caused by:
a. intestinal perforation
4. Most reliable instrumental investigations, that gives full information in case of abdominal internal traumatic
bleeding is:
a. fibrogastroscopy
5. Surgical management in case of appendicular infiltrate with abscess is:
a. conservative treatment
6. What kind of management must be done during examination of child under 3 year, in case of suspicion of acute
a. total blood count should be done
7. During acute appendicitis blood changes include:
a. leukocytosis shift to left
8. Blumberg’s symptom is positive in case of:
a. peritonitis
9. The function of omphalomesenteric duct during embryogenesis is:
a. takes part in development of gastroduodenal tract
10. Major symptoms in diagnosis of acute appendicitis is:
a. abdominal pain
11. Surgical management in case of appendicle infiltrate with abscess is:
a. abscess opening, appendectomy
12. What is the most common age of acute appendicitis in children?
a. 6-14 years
b. 12-18 years
13. What is the cause of rare cases of acute appendicitis in neonates?
a. underdeveloped Hierlach’s valve
14. What specific signs are seen in newborns and neonates in case of peritonitis?
a. abdominal muscle distention
15. What is the cause of anterior abdominal wall and sex organ swelling in neonates?
a. Hirschsprung disease
16. Generally neonatal peritonitis is caused by:
a. Necrotize enterocolitis (NEC)
17. Absence of defecation in neonates can be caused by:
a. Hirschsprung disease
18. The most effective surgical treatment of Pyloric stenosis nowadays is with:
a. Ramstedt
19. Meconium obstruction is caused by dysfunction of:
a. small intestine
20. What type of diaphragmatic hernia is common in children?
a. congenital
21. What is the most common symptom in case of small intestinal and anal atresia?
a. absence of defecation
22. What type of radiologic imaging is used in case of small intestinal and anal atresia?
a. X-Ray with Vangenstein’s method
23. What is the management of noninflammable appendix discovery during operation?
a. Appendectomy
24. Contraindication for operation of Meckel’s diverticulum is:
a. diverticular bleeding
25. Patient has massive rectal bleeding, dark – red colored, no abdominal pain and vomiting. Anemia present. What
is the diagnosis?
a. Bleeding Meckel’s diverticulum
26. Meckel’s diverticulum is situated on:
a. ileum
27. The function of appendix in child’s organism is:
a. T and B lymphocyte production
28. Management of treatment in case of anal atresia is:
a. urgent operative
29. In what position must be the patient be examined in case of intestinal obstruction?
a. supine
30. 2-year old child has signs of gastrointestinal bleeding – melena. How should the examination be started?
a. gastroduodenoscopy
31. Intussusception in neonates is caused by:
a. intestinal peristaltic dysfunction
32. The most valuable diagnostic method for Hirschsprung disease is:
a. irigography with barium enema
33. In which area of gastrointestinal tract is seen ganglion deficit in case of Hirschsprung disease?
a. Colon
34. What is the main clinical sign of Hirschsprung disease?
a. chronic constipation
35. The most common symptom of reactive hydrocele is:
a. worsening general condition
b. or Scrotal reactive swelling – rather the second answer
36. The treatment of inguinal hernia incarceration is:
a. urgent operation
37. The incomplete obliteration of omphalomesenteric duct causes:
a. Meckel’s diverticulum
38. Operation of congenital inguinal hernia should be done at age of:
a. before 1 year
39. In case of possible esophageal atresia must be done:
a. contrast radiography
40. Aganglionic region is characteristic for:
a. Hirschsprung disease
41. Operative treatment is case of Hirschsprung disease is with:
a. soave operation
42. 5 year old boy came to hospital with diagnosis of chronic constipation, abdomen is slightly enlarged. Child have
problems with physical development. Intestinal loops are avelable. The possible diagnosis is:
a. Chronic form of Hirschsprung disease
43. The most important diagnostic method in case of large colon polyp is:
a. fibrocolonoscopy
44. What is the most common causing agent for duodenal ulcer?
a. Invasion of Helicobacter pylori
45. What is the most valuable diagnostic method in case of upper GI tract bleeding?
a. gastroduodenoscopy
46. Inguinal hernia is characterized with:
a. elastic extensions in inguinal area
47. What is the radical therapy in treatment of Hirschsprung disease?
a. operative treatment
48. Management of treatment in case of anal atresia?
a. urgent operative
49. The most common pathology in case of incomplete obliteration of omphalomesenteric duct is:
a. Meckel’s diverticulum
50. Management of surgery in case of discovery unchanged Meckel’s diverticulum during operation of gangrenous
appendicitis is:
a. non of above is correct (resection of diverticulum, resection of ileum with Meckels diverticulum,
resection of diverticulum during the operation should not be done)
51. What kind of obstruction can be caused by Meckel’s diverticulum?
a. Intussusception
52. The most common complication of Meckel’s diverticulum is:
a. Intestinal bleeding
53. Operative treatment for congenital hypertrophic pyloric stenosis is with:
a. Ramshtedt method
54. Neonate born 2 days ago has a bilious vomiting and two air filled levels in epigastric region. What is the
a. duodenal atresia
55. 4 week born boy, has vomiting after 2 weeks past delivery, with non-bilious mass. In the epigastric region is seen
stomach peristaltic, constipation, rare urination. Weight loss is 500gr. What is the possible diagnosis?
a. pyloric stenosis
56. A 13-year old girl visits your office with a 1-day history of abdominal pain. Which of the following findings is
most likely to be helpful in the initial evaluation?
a. location of pain
57. A lower gastrointestinal X-ray series is also called:
a. barium enema
58. Which test is used to detect melena:
a. stool occult blood study
59. Within eight hour after birth, it is noted that a baby has excessive salivation. A small, soft nasogastric tube is
inserted and the baby is taken to X-Ray to have a “babygram” done. The film shows the tube coiled in
esophagus. There is air in the gastrointestinal tract. What is it?
a. Esophageal atresia with Tracheo-esophageal fistula
60. cause of intussusception in children under 2y is:
a. Meckel’s diverticulum, polyp
61. Management of surgical treatment in case of intussusception depends on:
a. frequent vomiting
62. In case of incomplete result during conservative treatment of intestinal intussusception, is recommended:
a. laparotomy
b. operative intestinal reduction
63. The most common bacteria causing peptic and duodenal ulcer disease is:
a. Helicobacter pylori
64. The most rare surgical disease in children is:
a. malignant tumors
65. Pyloric stenosis is characterized with:
a. weight loss
66. The most common clinical symptom of Pyloric stenosis is:
a. vomiting
67. Defecation in case of pyloric stenosis is characterized with:
a. absence of defecation
68. What is the common localization of congenital diaphragmatic hernia?
a. left sided, bohdaleck
69. For diagnosis of diaphragmatic hernia is NOT used:
a. phlebography
70. Treatment of diaphragmatic hernia is:
a. operative
71. The best method for diagnosis esophageal pathology is:
a. esophagoscopy
72. Nonbilious vomiting is characteristic of:
a. pyloric stenosis
73. Two air filled levels in epigastric region on X-ray is characteristic of:
a. duodenal obstruction
74. Pyloric stenosis is characterized with:
a. nonbilious vomiting
75. On endoscoping imaging pyloric stenosis is characterized with:
a. pyloric sphincter does not open, mucous prolapse seen at the pylorus
76. Which of the following is not characteristic for pyloric stenosis:
a. bilious vomiting
77. Vomiting in case of pyloric stenosis is:
a. nonbilious
78. Peristaltic in case of pyloric stenosis is:
a. accelerated
79. The best diagnostic method for pyloric stenosis is:
a. ultrasound
80. The most common clinical symptom of Pyloric stenosis is:
a. Fountain like vomiting
81. Surgical management in case of perforated Appendicitis?
a. immediate operation