Updated A+ Questions and Answers
Review
• What are the diagnostics for Gastroesophageal Reflux Disease
(GERD)? -✓✓Primarily clinical; consider pH probe, upper GI, and
endoscopy if refractory.
• What is the treatment for Pyloric Stenosis? -✓✓IV fluids, correct
electrolytes, and pyloromyotomy.
• What are the common etiologies of Acute Gastroenteritis? -✓✓Viral
(rotavirus, norovirus), bacterial (Salmonella, Shigella, E. coli), and
parasitic (Giardia).
• What are the signs of Constipation in children? -✓✓Infrequent stools,
painful defecation, stool withholding behaviors, encopresis.
• What is a key diagnostic tool for Intussusception? -✓✓Ultrasound
(target sign).
• What are the diagnostic tests for Celiac Disease? -✓✓Tissue
transglutaminase IgA, total IgA level, small bowel biopsy
(confirmatory).
, • What is the treatment for Lactose Intolerance? -✓✓Lactose-free diet
and lactase enzyme supplementation.
• What are the presentations of Inflammatory Bowel Disease (IBD)? -
✓✓Chronic diarrhea, blood in stool, weight loss, delayed puberty,
extraintestinal symptoms.
• What are the common presentations of Hepatitis (Viral)? -✓✓Jaundice,
dark urine, fatigue, RUQ pain.
• What is the treatment for Biliary Atresia? -✓✓Kasai portoenterostomy
and liver transplant if progressive.
• What are the characteristics of Infantile Colic? -✓✓Crying >3 hrs/day,
3 days/week, for 3 weeks; otherwise healthy infant.
• What is the management for Functional Abdominal Pain? -
✓✓Reassurance, address stressors, CBT if severe.
• What are the red flags in GI assessment? -✓✓Bilious vomiting, GI
bleeding, weight loss/poor growth, severe abdominal distention,
persistent vomiting in neonate, bloody stools with systemic symptoms.