Q u i z / P r e t e s t [page 24]

231. A rectal polyp in a 3 year old boy is considered as :-   A. Adenomatous polyp B. Potentially malignant C. Papillomatous polyp D. Benign lesion E. Congenital in origin

232. A 48 hour mongol neonate vomits green material, the first thing to do is :-   A. Barium enema B. Acute abdomen series x-rays C. NG intubation D. Upper G.I. study E. Rectal examination

233. In a case of 2 day old girl with imperforate anus who passed meconeum through an opening below vagina, the treatment is :-   A. Pull through operation B. Anoplasty C. Antibiotic and wait and see D. Colostomy E. Cystostomy

234. A 2 year old admitted to the hospital with the complaint of repeated passing black loose stool and anemia, the most possible cause of bleeding is :-   A. Intussusception B. Anal fissure C. Meckel's diverticulum D. Rectal polyp E. Mid gut volvulus

235. เด็กชายไทยอายุ 1 วัน คลอดที่บ้าน น้ำหนัก 2,500 กรัม ไม่มีทวารหนัก แม่พามาโรงพยาบาลจุฬาลงกรณ์ สิ่งแรกที่แพทย์ของโรงพยาบาลควรกระทำคือ   A. ตรวจหา meconeum ในปัสสาวะ B. สวนปัสสาวะแล้วทำ fistulogram C. ส่งแผนก x-rays เพื่อทำ evertogram D. ทำ colostomy ทันที E. ใส่ NG tube เพื่อ exclude esophageal atresia

236. The best investigation for detection of Meckel's diverticulum ulcer is :-   A. Upper G.I. study B. Scanning for ectopic gastric mucosa C. Ba enema D. Laparoscopy E. Ultrasonography

237. The most common cause of rectal bleeding in a 7 day old neonate inChulalongkorn Hospital :-   A. Intussusception B. Volvulus neonatorum C. Rectal polyp D. N.E.C. E. Anal fissure

238. Neonatal duodenal obstruction is suspected when :-   A. Distended abdomen B. No meconeum passed C. Visible gastric peristalsis D. 25 c.c. green gastric aspirant E. 5 c.c. green gastric aspirant

239. Regarding right indirect inguinal hernia in 5 month boy, one of the following is correct :-   A. Disappeared spontaneously B. High incidence to be a sliding hernia C. Operation should be done when the boy is one year old D. Operation should done within 2 weeks after the 1st detection E. Very low incidence of obstruction

240. Correct management of a recto-sigmoid Hirschsprung's disease in 7 days old neonate with bile stained vomiting is :-   A. Daily enema B. Martin's operation C. Colostomy D. Swenson's operation E. Soave's operation

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