PAEDIATRIC SURGERY: PRACTICE 2

                        SINGLE BEST OPTION SERIES
             
                 INSTRUCTION: SELECT THE BEST OPTION

1.    1.    In the management of anorectal malformation, which of the following is incorrect:
   a.       Pena’s operation is done at birth.
   b.      Colostomy is a first stage operation in the high type.
   c.       The high type require 2 stage operation
   d.      Posterior sagittal anorectoplasty is done when the child has attained weight of 10kg.
   e.      Anoplasty alone usually suffice for the low type.
   2.       Layers of an omphalocoele does not include:
   a.       Peritoneum
   b.      Wharton’s jelly
   c.       Yolk sack
   d.      Squamous epithelium
   e.      All of the above
   3.       Pentalogy of Cantrel is a constellation of the following except:
   a.       Extrophy of the bladder.
   b.      Diaphragmatic defect
   c.       Sternal defect
   d.      Epigastric omphalocoele
   e.      Ectopia cordis
   4.       Random blood sugar is needed to rule out the following in a child with anterior abdominal wall defect:
   a.       Prune belly syndrome
   b.      Caudal syndrome
   c.       Beckwith Wieldemann syndrome
   d.      Coloboma
   e.      Gastroschisis
   5.       Hypogastric omphalocole with extrophy of the bladder in a patient is a constellation in:
   a.       Klinefelter syndrome
   b.      Caudal syndrome
   c.       Pentalogy of Cantrel
   d.      Trisomy 13
   e.      Prune belly syndrome
   6.       Considering the most correct, orchidopexy is a management option in:
   a.       Beckwith Wieldemann syndrome
   b.      Prune belly syndrome
   c.       Edward syndrome
   d.      Isolated Omphalocolele
   e.      Isolated gastroschisis
   7.       The following will help to differentiate omphalocoele from gastroschisis except:
   a.       Age and parity of the mother
   b.      Incidence and cover
   c.       Location and associated anomalies
   d.      Level of alpha-fetoprotein
   e.      None of the above
   8.       Management options for unruptured omphalocoele does not include:
   a.       Primary closure
   b.      Dressing with sufratulle and o.5% sulphadiazine
   c.       Dressing with povidone iodine
   d.      Dressing with honey
   e.      The first line of management is repair of ventral hernia
   9.   Steps in treatment of ruptured omphalocoele include the following order:
   a.       Silo---gradual return of abdominal contents----primary closure
   b.      Primary closure----silo---gradual return of abdominal contents
   c.       Gradual return of abdominal contents---silo----primary closure.
   d.      None of the above
   e.      All of the above.
   10.   The commonest site of arrest of parasympathetic nerve migration in Hirschsprung disease is the:
   a.       Rectosigmoid area
   b.      Jejuno-ileal area
   c.       Gastroduodenal area
   d.      Anorectal area
   e.      Transverse colon.
   
   
   ANSWERS
   1. a
   2. d
   3. a
   4. c
   5. b
   6. b
   7. e
   8. e
   9. a
   10. a
   
   
   

                                           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.