PAEDIATRIC SURGERY: PRACTICE 1

                             SINGLE BEST OPTION SERIES

                     INSTRUCTION: SELECT THE BEST OPTION

1.      .       Expulsion of foul smelling stool after removal of the examining finger during digital rectal examination in a child with Hirschsprung disease, is known as:
   a.       Coiled tail sign
   b.      Tinel sign
   c.       Fountain’s sign
   d.      Prehn sign
   e.      Boas sign
   2.       Surgery to correct chordea is known as:
   a.       Meatoplasty
   b.       Orthoplasty
   c.       Urethroplasty
   d.      Scrotoplasty
   e.      Anorectoplasty.
   3.       Lower gastrointestinal endoscopy include the following series except:
   a.       Proctoscopy
   b.      Sigmoidoscopy
   c.       Colonoscopy
   d.      Proctosigmoidoscopy
   e.      None of the above
   4.       Wangestern-Rice invertogram is used classically to assess:
   a.       Gut malrotation
   b.      Anorectal malformation
   c.       Trachea-oesophageal fistula
   d.      Hypospadia
   e.      Gastric outlet obstruction
   5.       The following signs are correctly paired with their diagnosis on Barium enema investigation of lower intestinal obstruction except:
   a.       Coiled spring sign------intussusception.
   b.      Champagne glass appearance-----Hirschsprung disease
   c.       Cork screw appearance------gut malrotation.
   d.      None of the above
   e.      All of the above.
   6.       The classification of anorectal malformation into high, intermediate and low types is known as:
   a.       Melbourne classification
   b.      Salmon  Goodsall’s law
   c.       Kyle classification
   d.      Salter Harris classification
   e.      House-Brackmann grading
   7.       The alternative radiographic option to an invertogram is:
   a.       Open mouth view
   b.      Owen’s  view radiograph
   c.       Cross table lateral radiograph
   d.      Cone view
   e.      Lateral cervical spine
   8.       The classification of anorectal malformation into high, intermediate and low is based on relation to the:
   a.       Ischial spine
   b.      Perineal membrane
   c.       Levator ani
   d.      Perineal body
   e.      Scarpa fascia
   9.       Operative options for Hirschsprung disease include the following except:
   a.       Swenson’s operation
   b.      Duhamel’s operation
   c.       Soave’s operation
   d.      Ladd’s operation
   e.      None of the above
   10.   Management options for intussusceptions include the following except:
   a.       Air insufflations
   b.      Saline insufflations
   c.       Resection and end-to-end anastomosis
   d.      Posterior wall fixation
               e.   Rectosigmoidectomy 
                   

                   ANSWERS

1. C

2. b

3. e

4. b

5. d

6. a

7. c

8. c

9. d

10. e 

 

                                        REMEMBER
” Some people sin by not working diligently for six days whereas, others – because of greed, unbelief or powerlessness- sin by working also on a day of rest and worship. Either way of breaking this   command results in poverty.”   By  Vishal Mangalwadi.