Question 1-3 of 47
Theme: Paediatric gastrointestinal disorders
A. Liver transplant
B. Rectal biopsy
C. Roux-en-Y portojejunostomy
D. Ramstedt pyloromyotomy
E. Abdominal CT scan
F. Upper GI contrast study
G. Laparotomy and formation of stoma
H. Laparotomy
I. Colonoscopy
J. Gastroscopy
What is the best management option for these children? Each option may be used once, more than
once or not at all.
1. A male infant, born at term appears well following delivery. Six hours later, he is noted to
have bilious vomiting by the paediatricians. On examination he seems well and his
abdomen is soft and non tender.
2. A 2 month old baby presents with jaundice. He has an elevated conjugated bilirubin level.
Diagnosis is confirmed by cholangiography during surgery.
3. A male infant, born at term by normal vaginal delivery is well. However, 72 hours
following delivery, he has still not passed meconium. On examination, his abdomen is soft
and not particularly distended. He has a normally sited anus.
Submit answer
Question 4 of 47
What is the most common abdominal emergency in children under 1 year of age?
, Appendicitis
Intussusception
Intestinal malrotation
Pyloric stenosis
Mid gut volvulus
Submit answer
Question 5-7 of 47
Theme: Paediatric gastrointestinal disorders
A. Duodenal atresia
B. Hypertrophy of the pyloric sphincter
C. Budd Chiari Syndrome
D. Intussceception
E. Oesophageal atresia
F. Congenital diaphragmatic hernia
G. Cystic fibrosis
H. Intestinal malrotation
I. Gastroenteritis
Please select the most likely diagnosis for the scenario given. Each option may be used once, more
than once or not at all.
5. A two week old child is brought to the emergency department by his parents. He was slow
to establish on feeds but was discharged home three days following delivery. During the
past 7 hours he has been vomiting and the vomit is largely bile stained. On examination he
has a soft, scaphoid abdomen.
6. A 4 week old baby is developing well and develops profuse and projectile vomiting after
feeds. He has been losing weight and the vomit is described as being non bilious.
, 7. A 1 day old child is born by emergency cesarean section for foetal distress. On examination
he has decreased air entry on the left side of his chest and a displaced apex beat. Abdominal
examination demonstrates a scaphoid abdomen but is otherwise unremarkable.
Submit answer
Question 8 of 47
A 1-day-old baby girl is noted to become profoundly cyanotic whilst feeding and crying. A diagnosis
of congenital heart disease is suspected. What is the most likely cause?
Transposition of the great arteries
Coarctation of the aorta
Patent ductus arteriosus
Hypoplastic left heart
Ventricular septal defect
Submit answer
Question 9 of 47
A 6 month old boy is brought to the clinic by his mother. She is concerned that his testes are not
located into the scrotum. She has noticed them only when he is in the bath, but not at any other
time. What is the most likely underlying diagnosis?
Retractile testis
Ectopic testis
Theme: Paediatric gastrointestinal disorders
A. Liver transplant
B. Rectal biopsy
C. Roux-en-Y portojejunostomy
D. Ramstedt pyloromyotomy
E. Abdominal CT scan
F. Upper GI contrast study
G. Laparotomy and formation of stoma
H. Laparotomy
I. Colonoscopy
J. Gastroscopy
What is the best management option for these children? Each option may be used once, more than
once or not at all.
1. A male infant, born at term appears well following delivery. Six hours later, he is noted to
have bilious vomiting by the paediatricians. On examination he seems well and his
abdomen is soft and non tender.
2. A 2 month old baby presents with jaundice. He has an elevated conjugated bilirubin level.
Diagnosis is confirmed by cholangiography during surgery.
3. A male infant, born at term by normal vaginal delivery is well. However, 72 hours
following delivery, he has still not passed meconium. On examination, his abdomen is soft
and not particularly distended. He has a normally sited anus.
Submit answer
Question 4 of 47
What is the most common abdominal emergency in children under 1 year of age?
, Appendicitis
Intussusception
Intestinal malrotation
Pyloric stenosis
Mid gut volvulus
Submit answer
Question 5-7 of 47
Theme: Paediatric gastrointestinal disorders
A. Duodenal atresia
B. Hypertrophy of the pyloric sphincter
C. Budd Chiari Syndrome
D. Intussceception
E. Oesophageal atresia
F. Congenital diaphragmatic hernia
G. Cystic fibrosis
H. Intestinal malrotation
I. Gastroenteritis
Please select the most likely diagnosis for the scenario given. Each option may be used once, more
than once or not at all.
5. A two week old child is brought to the emergency department by his parents. He was slow
to establish on feeds but was discharged home three days following delivery. During the
past 7 hours he has been vomiting and the vomit is largely bile stained. On examination he
has a soft, scaphoid abdomen.
6. A 4 week old baby is developing well and develops profuse and projectile vomiting after
feeds. He has been losing weight and the vomit is described as being non bilious.
, 7. A 1 day old child is born by emergency cesarean section for foetal distress. On examination
he has decreased air entry on the left side of his chest and a displaced apex beat. Abdominal
examination demonstrates a scaphoid abdomen but is otherwise unremarkable.
Submit answer
Question 8 of 47
A 1-day-old baby girl is noted to become profoundly cyanotic whilst feeding and crying. A diagnosis
of congenital heart disease is suspected. What is the most likely cause?
Transposition of the great arteries
Coarctation of the aorta
Patent ductus arteriosus
Hypoplastic left heart
Ventricular septal defect
Submit answer
Question 9 of 47
A 6 month old boy is brought to the clinic by his mother. She is concerned that his testes are not
located into the scrotum. She has noticed them only when he is in the bath, but not at any other
time. What is the most likely underlying diagnosis?
Retractile testis
Ectopic testis
