Pediatric Surgery Quiz Question Answers

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Pediatric Surgery Quiz Question Answers (Total 20 MCQs)

Pediatric Surgery Quiz (Medical) 20 Question Answers

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Question 1
What is the average interval between the operation & onset of post operative Intussusception?
A
10days
B
11days
C
12days
D
15days
Question 2
The following are classifications of Choledochal cyst except
A
cystic dilatation of extra hepatic duct.
B
fusiform dilatation of extrahepatic bile duct
C
Forme fruste choledochal cyst without Pancreato biliary maljunction
D
dilataion of pancreatic duct
Question 3
Long common channel in formation of Choledochal cyst is a result of
A
Pancreatobiliary maljunction
B
Maljunction between Pancreatic duct & hepatic duct
C
Maljunction between intra & extrahepatic ducts
D
maljunction between accessory & main pancreatic ducts 
Question 4
Treatment of choice for choledochal cyst is:
A
Complete excision of Choledochal cyst with roux-en-y hepaticojejunostomy
B
complete excision of choledochal cyst with roux -en -y porto enterostomy
C
cysto enterostomy
D
external drainage of cyst
Question 5
Idiopathic perforation of bile duct followed by bile ascitesis associated with all except:
A
gradually worsening abdominal distension
B
gradually increasing jaundice
C
episode of sepsis
D
high fever
Question 6
Hemolytic cholelithiasis in children is caused by all of the following except
A
hereditary spherocytosis
B
sickle cell anaemia
C
thalassemia
D
hyperlipidemia
Question 7
Consequences of Portal Hypertension in children are all of the following except:
A
bleeding esophageal varices
B
hypersplenism
C
ascites
D
pain abdomen
Question 8
The commonest cause of intrahepatic obstruction leading to portal hypertension in children is:
A
biliary atresia
B
congenital hepatic fibrosis
C
focal biliary cirrhosis
D
alphe-1 antitrypsin deficiency
Question 9
Budd-chiari syndrome is constituted by: all of the following except
A
hepatomegaly
B
ascites
C
cirrhosis
D
acute attack of repeated vomiting
Question 10
Absolute contraindication to liver transplantation are all of these except:
A
serology positive for HIV Virus
B
primary extrahepatic unresectable malignancy
C
malignancy metastasizing to liver
D
severe weight loss
Question 11
In children, the following part of liver is commonly used for liver transplantation :
A
left lateral segment of the liver of a living related adult donor
B
right lateral segment of a living related adult donor.
C
caudate lobe of a living related child donor
D
Left lobe of liver of an unrelated donor
Question 12
Transplantation procedural factors causal to primary non-function of transplanted liver iare all axcept:
A
prolonged cold ischemic storage(> 8-12 hrs.)
B
prolonged warm ischemic time at implantation
C
complex vascular anastomosis requiring surgical revision
D
low birth weight
Question 13
All of the following are major complications of pancreatic pseudocyst except:
A
Haemorrhage
B
rupture
C
infection
D
pain
Question 14
Persistent hypoglycemia of newborns is caused by all of the following Except :
A
Nesidioblastosis
B
glycogen storage disease
C
hypothyroidism
D
hyperthyroidism
Question 15
The abdominal wall defect in Gastroschisis is always situated :
A
to the right side of the umbilicus
B
to the left side of the umbilicus
C
to the superior aspect of the umbilicus
D
to the inferior aspect of the umbilicus
Question 16
A spigelian hernia develops :
A
at the junction of linea semilunaris , lateral border of rectus abdominis & the linea semicircularis
B
between the decussation of the fibres of internal oblique & transversus abdominis
C
between lateral border of erector spinae & latssimus dorsi
D
beneath the conjoint tendon
Question 17
Procedural laparoscopy in children is performed in all of the following except:
A
Fundoplication
B
Gastrostomy
C
esophagomyotomy
D
blunt trauma abdomen with features of ruptured spleen.
Question 18
Relation of a hernia sac with vas deferens & testicular artery is:
A
sac lies anterior & lateral to vessel & vas
B
sac lies posterior & medial to vessel & vas
C
sac lies superior & medial to vessel & vas
D
sac lies inferior & medial to vessel & vas
Question 19
Male to female ratio of congenital inguinal hernia is:
A
8:1
B
2:1
C
3:1
D
4:1
Question 20
Wilms' tumor is characterized by all of the following except:
A
blastemal component
B
fibrotic component
C
stromal component
D
epithelial component
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Pediatric Surgery Question Answers (Total 80 MCQs)

Pediatric Surgery Quiz (Medical) 80 Question Answers

Question 1
Typical prenatal ultrasound findings in a fetus with Congenital Diaphragmatic Hernia is all of the following except:
A
an echogenic chest mass
B
bowel loops within the chest
C
polyhydramnios
D
Decreased chest circumference of the fetus
Question 2
Surgical treatment of choice in meconium ileus is:
A
Bishop-koop chimney
B
Miculicz chimney
C
Santulli chimney
D
resection anastomosis
Question 3
Commonest cause of secondary intussusceptions in a child is:
A
Cystic fibrosis
B
acute gastroenteritis
C
rectal polyp
D
lactose intolerance
Question 4
Non-operative management of an intussusceptions are all of the following except:
A
Hydrostatic reduction
B
Pneumatic Reduction
C
Barium reduction
D
plain water rerduction
Question 5
Most recent classification of Ano Rectal Malformation is:
A
Krickenbeck classification
B
Wingspread classification
C
Karachi classification
D
Delhi classification
Question 6
Acceptable range of saturation of arterial blood oxygen in children with respiratory distress is:
A
85 -- 92%
B
80 -- 83%
C
98 - 99%
D
75 - 85%
Question 7
Increased pulmonary vascular resistance in Cogenital Diaphragmatic Hernia is caused by the following except:
A
increasrd muscularisation of pulmonary artery
B
lack of production of vasodilator peptides by the affected child.
C
reduced branching of pulmonary vessels
D
decreased overall cross-sectional area of the pulmonary vascular bed.
Question 8
Commonest Type of Esophageal atresia with tracheo esophageal fistula is:
A
Type A
B
Type B
C
Type C
D
Type D
Question 9
The VACTERL association does include all of the following except:
A
vertebral anomaly
B
cardiac anomalies
C
cerebral anomalies
D
renal anomalies
Question 10
Absorption of Cerebro spinal fluid occurs in:
A
Carotid Plexus
B
Ventricular wall
C
Choroid Plexus
D
Arachnoid villi
Question 11
Which variety of Ano rectal Malformation does not need any diverting colostomy:   
A
High ARM
B
Intermediate ARM
C
Low ARM
D
Both High & Intermediate ARM
Question 12
ECMO is not a supportive measure of treatment of :  
A
Persistent pulmonary hypertension of the newborn
B
Congenital Diaphragmatic Hernia
C
Meconium Aspiration syndrome
D
Ileal atresia
Question 13
Most important radiological test diagnostic of Posterior Urethral Valve is:
A
Micturating cysto urethrogram
B
Ultrasonography of the perineum
C
Retrograde Pyelography
D
Antegrade Urethrography
Question 14
Midgut vovulus in a case of malrotation is predisposed to by all except:
A
narrow midgut mesentery
B
non-fixation of the midgut
C
peristaltic movement of midgut
D
abnormal origin of the superior mesenteric artery.
Question 15
The most commonly injured part of the Urogenital system in blunt trauma abdomen in children is:
A
kidney
B
bladder
C
ureter
D
urethra
Question 16
Complications of gastric tube placement by gastrostomy are all of the following except:
A
leakage
B
bleeding
C
gastric perforation
D
gastric dilatation
Question 17
Modern ventilation techniques used in treatment of Congenital diaphragmatic hernia does not include:
A
High frequency oscillatory vemtilation
B
Maintenance of Positive end-expiratory pressure
C
Permissive Hypercapnia
D
High pressure mask ventilation
Question 18
During preliminary resuscitation of a child with CDH,the procedure which is absolutely contraindicated is:
A
Nasogastric Tube insertion
B
Intratracheal positive pressure ventilation
C
mask ventilation
D
Permissive hypercapnia.
Question 19
How much minimum margin is kept above the cone while doing a leveling colostomy?
A
3cm.
B
2.5cm.
C
4cm
D
5cm.
Question 20
Mainstay of non-operative management of meconium ileus is:
A
Urogeffin
B
gastrograffin
C
Barium solution
D
all of the above
Question 21
Harald Hirschsprung discovered
A
congenital megacolon
B
Iintestinal neuronal dysolasia type a
C
intestinal neuronal dysplasia type b
D
IHPS
Question 22
In a case of Exstrophy- Epispadias Complex, to carry out the procedure of Bladder Neck Repair, the minimum bladder caracity required is:
A
85 ml.
B
100 ml.
C
200 ml.
D
300 ml.
Question 23
The sine qua non of isolated Esophageal atresia is:
A
gasless abdpmen
B
abdominal distension
C
drooling of saliva
D
cyanosis
Question 24
Definitive treatmend of Hirschsprung'sdisease is:
A
Duhamel grob procedure
B
Martin's modification oof Duhamel procedure
C
Swenson operation
D
Rehbein procedure
Question 25
What is the earliest age for correction of palpable variety of Undescended Testis?
A
3 months
B
6 months
C
12 months
D
2 years
Question 26
Nonbilious vomiting in a newborn may be due to
A
Malrotation
B
jejunal atresia
C
duodenal atresia
D
pyloric atresia
Question 27
According to Revised Waterston risk classification, a baby with EA & TEF & with 1.5kg of birth weight but no cardiac anomaly belongs to:
A
group A
B
group B
C
group C
D
group D
Question 28
Active component of inhaled nitric oxide used in management of severe persistent pulmonary hypertension is:
A
adenyl cyclase
B
cyclic adenosine monophosphate
C
cyclic guanosine monophosphate
D
cyclic cytosine monophosphate
Question 29
In a case of Hirschsprung's disease which one of the following does not help in diagnosis:
A
Straight xray of the abdomen (in erect posture}
B
Barium enema xray of the colon & rectum in an unprepared gut with 24hrs. delayed film
C
Anal manometry
D
Fine needle aspiration cytology
Question 30
The commonest form of malignancy in children is:
A
Wilms' Tumour
B
Neuroblastoma
C
Rhabdomyosarcoma
D
Non Hodgkin's Lymphoma.
Question 31
A Child has presented at the OPD with a swelling in the coccygeal region posteriorto the anal opening. Per rectal digital examination shows its extension into the sacral hollow. Which of the following does not constitute a part of the Differential Diagnosis?
A
Post anal Dermoid
B
Anterior Meningo myelocoele
C
Sebaceous cyst
D
Sacro coccygeal Teratoma.
Question 32
Commonest type of esophageal atresia with trachea esophageal atresia:
A
esophageal atresia with lower pouch opening into the trachea
B
Isolated Esophageal atresia without trachea esophageal atresia
C
esophageal atresia with both the pouches opening into the trachea by separate fistulae.
D
esophageal atresia with proximal tracheo esophageal fistula.
Question 33
Exstrophy- Epispadias complex is repaired generally in:
A
One stage
B
Two stages
C
Three stages
D
Four Stages
Question 34
Radiologically, jejunoileal atresia is best diagnosed by:
A
air contrast swallow xray
B
ultrasonography
C
Straight Xray abdomen
D
Xray chest
Question 35
Earliest age for reconstruction of Cleft Palate is:
A
4 months
B
6 months
C
9 months
D
15 months
Question 36
Commonest form of malignant tumour of testis in children is:
A
Seminoma
B
Teratoma
C
Lymphoma
D
Interstitial cell tumour
Question 37
Investigation of choice for grading of renal traumain children is:
A
Ultrasonography
B
CT scan
C
MRI Scan
D
IVU
Question 38
The following is not an embryonic component of the diaphragm:
A
pleuroperitoneal membrane
B
septum transversum
C
esophageal mesentery
D
Neural tube mesoderm
Question 39
Postulated length of ultra-short segment Hirscvhsprung's disease is:
A
2 cm.
B
3 cm.
C
4 cm.
D
5 cm.
Question 40
A child of 3 months age has presented with history of repeated attacks of respiratory tract infection. His chest skiagram shows abnormal elevation of left dome of the diaphragm. Stomach shadow is seen to be inside the chest cavity. Differential diagnosis does not include:
A
Congenital cystic disease of the lung
B
Congenital diaphragmatic hernia
C
Eventration of the diaphragm
D
Anterior diaphragmatic hernia of Morgagni
Question 41
Proper size of Hegar's dilator at the age of 7months in a post-operative case of posterior sagittal anorectoplasty (PSARP) is:
A
12
B
13
C
14
D
15
Question 42
Commonest type of associated anomaly in Esophageal Atresia with Tracheo esophageal fistula is:  
A
cardiovascular anomalies
B
vertebral anomalies
C
anorectal anomalies
D
genitourinary anomalies
Question 43
In idiopathic hypertrophic pyloric stenosis , male infants are affected more than female infants in the ratio of:
A
4:1
B
3:1
C
2:1
D
5:1
Question 44
Associated anomalies in a case of Ano rectal malformation does not include:
A
Vertebral anomalies
B
Cardiac anomalies
C
Esophageal atresia with tracheo- esophageal fistula
D
Hepato biliary tract anomalies
Question 45
Liquid ventilation is performed with the help of
A
normal saline solution
B
Ringer's lactate solution
C
perfluorocarbon
D
0.45% normal saline solution
Question 46
Operative maneuvers in primary closure of long- gap esophageal atresia includes all of the following except
A
anastomosis under tension
B
tension-relieving procedures
C
flap technique
D
esophageal replacement
Question 47
Surfactant is produced by :
A
Type 1 pneumocytes
B
Type 2 pneumocytes
C
Type 3 pneumocytes
D
Type 4 pneumocytes
Question 48
The most famous scientist who has revolutionised the modern treatment of Ano rectal Malformation is:
A
Alberto Pena
B
Harald Hirschsprung
C
Marie Curie
D
Albert Einstein
Question 49
The best prenatal ultrasound indicator of Fetal Surgical therapy of CDH is:
A
fetal lung to head ratio
B
lung -liver ratio
C
lung- abdominal girth ratio
D
lung-spleen ratio
Question 50
Macrocystic variety of Congenital Cystic Adenomatoid Malformation of lung is defined to have cyst size:
A
> 5cm.
B
> 4cm.
C
> 6cm
D
> 3cm.
Question 51
Ano rectal Malformation is divided into the following main groups in modern literature:
A
High & Intermediate
B
High & Low
C
High, Intermediate & Low.
D
Intermediate & Low
Question 52
Modern Terminology for Intersex disorders of children is:
A
Disorders of penile differentiation
B
Disorders of gonadal differentiation
C
Disorders of sexual differentiation
D
Disorders of sexual maturation
Question 53
The definitive operation commonly used nowadays to treat Hirschsprung's Disease is:
A
Pena's operation
B
Duhamel's operation
C
Sistrunk's operation
D
Goodsall's operation
Question 54
In foetal surgery, access to the foetus can be gained by the following methods except:
A
Ultrasound- guided percutaneous intervention
B
Fetoscopically guided intervention
C
directly visualised intervention by hysterotomy
D
Vaginal delivery of the fetus.
Question 55
In U.K. the protocol for treatment of wilms' Tumour is known as:
A
SIOP Protocol
B
NWTS-1 Protocol
C
NWTS-2 Protocol
D
NWTS-3 Protocol
Question 56
In long gap Esophageal Atresia esophageal replacement is not done with:
A
Right Colon
B
Left Colon
C
Stomach
D
Bladder
Question 57
Most common cause of Uretero pelvic junction obstruction leading to unilateral hydronephrosis is:
A
Idiopathic Congenital stenosis
B
Extramural obstruction
C
Ureterocoele
D
Neoplasm of the ureter.
Question 58
Which one of these signs is not found in a case of abnormally raised intracranial pressure:
A
Papilloedema
B
Bulging anterior fontanelle
C
Sun-setting eyes
D
Normal consciousness level
Question 59
The commonest associated syndrome with duodenal atresia is:
A
Down's syndrome
B
Merizze's syndrome
C
VACTERL association
D
congenital heart diseases
Question 60
The common procedure of reconstruction of urethra in Coronal Hypospadias:
A
Denis Brown's operation
B
Asopa's procedure
C
Duckett's procedure
D
Snodgrass' procedure
Question 61
Normal intestinal rotation & fixation are divided into all the following stages except
A
Herniation
B
return to the abdomen
C
fixation
D
interloop adhesion of intestines
Question 62
Site of an ectopic testis does not include:
A
Superficial InguinaL ring
B
Perineum
C
Femoral triangle
D
Hasselbach's triangle
Question 63
Modern treatment of Hirschsprung's disease includes all except:
A
Primary Trans anal Endorectal pull through
B
Laparoscopic pull through
C
Original Duhamel procedure
D
Grob's modification of Duhamel's procedure.
Question 64
Highest incidence of intussusception is found in the age range:
A
5-9yrs
B
5-9months
C
6-8 months
D
10-12 months
Question 65
Which of the following syndromes does not include cleft lip/ palate:
A
Pierre Robin Syndrome
B
CHARGE Association
C
Down's Syndrome
D
Apert's Syndrome
Question 66
In a case of Persistent Cloaca, how many openings Are there in the patient's perineum?
A
One
B
Two
C
Three
D
Four
Question 67
During excision of lumbar meningo myelocoele, the neural tissue one must be careful about not injuring is :
A
Neural cluster
B
Neural placode
C
Neural fibres
D
Neural tissue
Question 68
Head circumference of a normal newborn is:
A
35 cm.
B
45 cm.
C
50 cm.
D
60 cm.
Question 69
Operation of choice for IHPS is:
A
Ramstedt's pyloromyotomy
B
resection of hypertrophic pylorus with anastomosis
C
pyloroplasty
D
gastrostomy
Question 70
Most important Radiological diagnostic test for intussusceptions is;
A
Straight x ray abdomen
B
ultrasonography
C
CT scan
D
MRI scan
Question 71
Commonest form of Congenital Diaphragmatic Hernia is:
A
Morgagni's hernia
B
Bochdalek 's Hernia
C
Maydl's Hernia
D
Richter's Hernia
Question 72
In FAST for abdominal trauma the following view is not routinely obtained:
A
Morrison's pouch
B
Left flank including perisplenic space
C
Sub-xiphoid space
D
Chest cavity
Question 73
CO2 is the preferred gas for Insufflation during laparoscopy because of the following reasons except:
A
it does not support combustion
B
it is soluble in plasma
C
even when absorbed in excess, can be excreted by excess of ventilation
D
it is toxic to some bacteria.
Question 74
Even after treatment , Prognosis of Ano Rectal Malformation in children depends mainly on :
A
Associated sacral & genito urinary anomalies
B
Associated cardiac anomalies
C
Associated renal anomalies
D
Associated limb anomalies
Question 75
Jejunoileal atresia type IIIb is knownas all of the following except:
A
Apple peel deformity
B
Christmas tree deformity
C
Maypole deformity
D
Tadpole deformity
Question 76
The following are sequelae of CDH except:
A
gastro esophageal reflux
B
Intestinal obstruction
C
growth retardation
D
hypoplasia of lung
Question 77
Grade 1 Vesico Ureteric Reflux is commonly treated with:
A
Long term antibiotics
B
Re implantation of concerned ureter
C
Cystoscopic injection of Deflux
D
Uretero-ureterostomy
Question 78
Most important post-operative late complication is:
A
Chronic constipation
B
Enterocolitis
C
Encopresis
D
nonresection of aganglionic segment
Question 79
Operation of choice for duodenal atresia is:
A
diamond shaped duodenoduodenostomy
B
excision of the stenotic duodenum & anastomosis
C
duodenotomy & web excision
D
Ladd's procedure
Question 80
Incidence pof gastrioc duplication is
A
4% of all GI duplications
B
5% of all GI duplications
C
6% of all GI duplications
D
2% of all GI duplications
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