PedSx review

A 2-month-old boy was brought to the hospital because his parent noticed empty Rt scrotum. Physical examination showed a palpable testis at Rt groin around external inguinal ring.
What is the next management?

• Rt orchiopexy

• Laparoscopic examination

• Observation

• Exploration of Rt groin

A 6-month-old girl was brought to the clinic. Her parents told that the patient did not have a vagina. Physical examination was as depicted. What is the diagnosis?

• Cloacal malformation

• Imperforated hymen

• Vaginal atresia

• Labial fusion

Which condition is NOT associated with this patient?

• Duodenal atresia

• Cryptorchidism

• Intestinal malrotation

• Preterm birth

An 8-year-old boy presented with acute scrotal pain and nausea for four hours. Physical examination showed a blue dot sign.
What is the most likely diagnosis?

• Testicular torsion

• Torsion of testicular appendage

• Epididymitis

• Scrotal hematoma

Which condition is NOT associated with this patient?

• Jejunoileal atresia

• Pentalogy of Cantrell

• Beckwith-Weideman Syndrome

• Edward syndrome

A previously healthy 2-year-old boy presented with painless massive hematochezia.
He had acute anemia which required 2 units of PRC transfusion.
Which embryonic structure is the cause of this disease derived from?

• Urachus

• Allantois

• Omphalomesenteric duct

• Median umbilical ligament

A term female newborn was born with a history of polyhydramnios during materal ANC. At birth, physical examination was unremarkable. An orogastric tube can be passed without stuck. 10 ml of bile was obtained. A plain abdominal radiograph was done.
What is the most likely diagnosis?

• Esophageal atresia

• Duodenal atresia

• Jejunal atresia

• Ileal atresia

A previously healthy 6-week-old male baby presented with gradual jaundice. Acholic stool was observed. Liver function test showed direct hyperbilirubinemia.
If biliary atresia is suspected, which investigation is for the definitive diagnosis?

• Upper abdominal ultrasonography

• DISIDA Scan

• Liver biopsy

• Intraoperative cholangiogram

Which is NOT a finding for Hirschsprung disease in Barium enema?

• Transitional zone

• Complete evacuation of contrast in 24 hr

• Jejunization

• Saw tooth appearance

A 6-month-old boy presented with colicky abdominal pain 3 days PTA. His mother noticed abdominal distension last night. The pain gradually increased in frequency. This morning he had bilious vomiting and passed bloody stool. Abdominal ultrasonography was as depicted. Pneumatic reduction was done and successful in 1 attempt.

What is the most common cause of the condition in this patient?

• GI tract Polyp

• Meckel's diverticulum

• Duplication cyst

• Lymphoid tissue