CMN 568 Unit 4 questions with
complete solutions
When @\does @\malrotation @\occur? @\- @\correct @\Answers @\✔✔ @\-at @\about @\the @\10th @\week @\
of @\gestation
What @\is @\a @\malrotation? @\- @\correct @\Answers @\✔✔ @\-a @\congenital @\abnormality @\that @\
occurs @\during @\the @\embryonic @\phase @\of @\development @\when @\the @\midgut @\retracts @\into
@\the @\abdominal @\cavity. @\The @\midgut @\rotates @\counterclockwise
When @\do @\infants @\typically @\become @\symptomatic @\with @\a @\malrotation? @\- @\correct @\
Answers @\✔✔ @\-at @\3 @\weeks @\of @\life
What @\is @\the @\classic @\sign @\of @\a @\malrotation? @\- @\correct @\Answers @\✔✔ @\-bilious @\
vomitting
How @\is @\a @\malrotation @\diagnosed? @\- @\correct @\Answers @\✔✔ @\-upper @\GI @\study
What @\are @\some @\radiologic @\findings @\that @\are @\indicative @\of @\a @\malrotation? @\- @\correct
@\Answers @\✔✔ @\-corkscrew @\appearance @\with @\barium @\swallow; @\Signs @\of @\obstruction @\
(air-fluid @\levels) @\may @\be @\present, @\along @\with @\an @\abnormal @\gas @\pattern @\at @\the @\
stomach @\and @\duodenum.
What @\is @\pyloric @\stenosis? @\- @\correct @\Answers @\✔✔ @\-results @\from @\hypertrophy @\of @\the
@\pyloric @\sphincter @\(muscle @\in @\the @\distal @\stomach), @\which @\leads @\to @\poor @\gastric @\
emptying @\into @\the @\duodenum.
When @\does @\pyloric @\stenosis @\usually @\present? @\- @\correct @\Answers @\✔✔ @\-At @\2-4 @\weeks
@\of @\age
What @\are @\the @\symptoms @\of @\pyloric @\stenosis? @\- @\correct @\Answers @\✔✔ @\-vomiting @\that
@\becomes @\projectile; @\typically @\occurs @\immediately @\after @\feeding, @\is @\nonbilious, @\and @\
the @\infant @\is @\hungry @\after @\vomiting. @\The @\parents @\may @\also @\report @\constipation, @\
excessive @\crying @\and @\weight @\loss, @\or @\failure @\to @\gain @\weight
What @\can @\delay @\symptoms @\of @\pyloric @\stenosis? @\- @\correct @\Answers @\✔✔ @\-
breastfeeding
What @\is @\pyloric @\stenosis @\usually @\mistaken @\for? @\- @\correct @\Answers @\✔✔ @\-reflux @\or @\
formula @\intolerance
, What @\is @\the @\hallmark @\finding @\of @\pyloric @\stenosis? @\- @\correct @\Answers @\✔✔ @\-an @\
olive-shaped @\mass @\in @\RUQ
What @\are @\typical @\lab @\and @\radiologic @\findings @\of @\a @\baby @\with @\pyloric @\stenosis? @\- @\
correct @\Answers @\✔✔ @\-hypochloremia, @\metabolic @\alkalosis, @\Hypokalemia. @\KUB @\imaging @\
reveals @\a @\dilated @\gastric @\silhouette. @\An @\ultrasound @\typically @\reveals @\a @\thickened @\and
@\elongated @\pylorus, @\measuring @\greater @\than @\4 @\mm.
What @\is @\intussusception? @\- @\correct @\Answers @\✔✔ @\-involves @\the @\invagination @\of @\a @\
section @\of @\the @\intestine @\into @\itself. @\The @\most @\frequent @\site @\is @\at @\the @\terminal @\
ileum.
What @\is @\often @\a @\predisposing @\factor @\of @\intussusception? @\- @\correct @\Answers @\✔✔ @\-A
@\recent @\viral @\illness, @\mesenteric @\lymphadenitis, @\Henoch-Schonlein @\purpura, @\and @\cystic @\
fibrosis
What @\is @\the @\typical @\age @\of @\onset @\of @\idiopathic @\intussusception? @\- @\correct @\Answers
@\✔✔ @\-6 @\to @\18 @\months, @\with @\an @\average @\age @\of @\7 @\to @\8 @\months
If @\intussusception @\occurs @\beyond @\36 @\mths, @\it @\is @\typically @\due @\to @\a @\physical @\
abnormality @\such @\as? @\- @\correct @\Answers @\✔✔ @\-meckel's @\diverticulum @\or @\polyps
Is @\intussusception @\more @\common @\in @\girls @\or @\boys? @\- @\correct @\Answers @\✔✔ @\-boys
What @\is @\the @\classic @\presentation @\of @\intussusception? @\- @\correct @\Answers @\✔✔ @\-colicky
@\abdominal @\pain, @\recent @\viral @\illness @\with @\some @\vomiting @\and @\perhaps @\diarrhea. @\
The @\child @\begins @\to @\have @\episodes @\of @\colicky @\abdominal @\pain, @\draws @\up @\the @\
knees @\or @\stiffens @\the @\legs @\for @\a @\brief @\period, @\and @\then @\becomes @\quiet @\for @\
several @\minutes. @\The @\series @\of @\events @\recurs, @\typically @\every @\15 @\to @\20 @\minutes, @\
and @\continues @\for @\several @\hours. @\The @\child @\may @\have @\blood @\in @\his @\or @\her @\stools,
@\prompting @\the @\"currant @\jelly" @\descriptor
What @\is @\typically @\present @\on @\palpation @\with @\intussusception? @\- @\correct @\Answers @\✔✔
@\-A @\sausage @\shaped @\mass @\typically @\in @\the @\right @\lower @\quad
What @\interventions @\should @\be @\considered @\when @\intussusception @\is @\suspected? @\- @\
correct @\Answers @\✔✔ @\-consult @\a @\pediatric @\surgeon. @\Initiate @\intravenous @\hydration @\and
@\order @\an @\air-contrast @\enema. @\Consider @\an @\abdominal @\ultrasound @\as @\well
What @\will @\often @\diagnose @\and @\cure @\intussusception? @\- @\correct @\Answers @\✔✔ @\-an @\air
@\contrast @\enema
What @\are @\contraindication @\s @\to @\an @\air @\contrast @\enema? @\- @\correct @\Answers @\✔✔ @\-
perforation, @\shock, @\and @\peritonitits
complete solutions
When @\does @\malrotation @\occur? @\- @\correct @\Answers @\✔✔ @\-at @\about @\the @\10th @\week @\
of @\gestation
What @\is @\a @\malrotation? @\- @\correct @\Answers @\✔✔ @\-a @\congenital @\abnormality @\that @\
occurs @\during @\the @\embryonic @\phase @\of @\development @\when @\the @\midgut @\retracts @\into
@\the @\abdominal @\cavity. @\The @\midgut @\rotates @\counterclockwise
When @\do @\infants @\typically @\become @\symptomatic @\with @\a @\malrotation? @\- @\correct @\
Answers @\✔✔ @\-at @\3 @\weeks @\of @\life
What @\is @\the @\classic @\sign @\of @\a @\malrotation? @\- @\correct @\Answers @\✔✔ @\-bilious @\
vomitting
How @\is @\a @\malrotation @\diagnosed? @\- @\correct @\Answers @\✔✔ @\-upper @\GI @\study
What @\are @\some @\radiologic @\findings @\that @\are @\indicative @\of @\a @\malrotation? @\- @\correct
@\Answers @\✔✔ @\-corkscrew @\appearance @\with @\barium @\swallow; @\Signs @\of @\obstruction @\
(air-fluid @\levels) @\may @\be @\present, @\along @\with @\an @\abnormal @\gas @\pattern @\at @\the @\
stomach @\and @\duodenum.
What @\is @\pyloric @\stenosis? @\- @\correct @\Answers @\✔✔ @\-results @\from @\hypertrophy @\of @\the
@\pyloric @\sphincter @\(muscle @\in @\the @\distal @\stomach), @\which @\leads @\to @\poor @\gastric @\
emptying @\into @\the @\duodenum.
When @\does @\pyloric @\stenosis @\usually @\present? @\- @\correct @\Answers @\✔✔ @\-At @\2-4 @\weeks
@\of @\age
What @\are @\the @\symptoms @\of @\pyloric @\stenosis? @\- @\correct @\Answers @\✔✔ @\-vomiting @\that
@\becomes @\projectile; @\typically @\occurs @\immediately @\after @\feeding, @\is @\nonbilious, @\and @\
the @\infant @\is @\hungry @\after @\vomiting. @\The @\parents @\may @\also @\report @\constipation, @\
excessive @\crying @\and @\weight @\loss, @\or @\failure @\to @\gain @\weight
What @\can @\delay @\symptoms @\of @\pyloric @\stenosis? @\- @\correct @\Answers @\✔✔ @\-
breastfeeding
What @\is @\pyloric @\stenosis @\usually @\mistaken @\for? @\- @\correct @\Answers @\✔✔ @\-reflux @\or @\
formula @\intolerance
, What @\is @\the @\hallmark @\finding @\of @\pyloric @\stenosis? @\- @\correct @\Answers @\✔✔ @\-an @\
olive-shaped @\mass @\in @\RUQ
What @\are @\typical @\lab @\and @\radiologic @\findings @\of @\a @\baby @\with @\pyloric @\stenosis? @\- @\
correct @\Answers @\✔✔ @\-hypochloremia, @\metabolic @\alkalosis, @\Hypokalemia. @\KUB @\imaging @\
reveals @\a @\dilated @\gastric @\silhouette. @\An @\ultrasound @\typically @\reveals @\a @\thickened @\and
@\elongated @\pylorus, @\measuring @\greater @\than @\4 @\mm.
What @\is @\intussusception? @\- @\correct @\Answers @\✔✔ @\-involves @\the @\invagination @\of @\a @\
section @\of @\the @\intestine @\into @\itself. @\The @\most @\frequent @\site @\is @\at @\the @\terminal @\
ileum.
What @\is @\often @\a @\predisposing @\factor @\of @\intussusception? @\- @\correct @\Answers @\✔✔ @\-A
@\recent @\viral @\illness, @\mesenteric @\lymphadenitis, @\Henoch-Schonlein @\purpura, @\and @\cystic @\
fibrosis
What @\is @\the @\typical @\age @\of @\onset @\of @\idiopathic @\intussusception? @\- @\correct @\Answers
@\✔✔ @\-6 @\to @\18 @\months, @\with @\an @\average @\age @\of @\7 @\to @\8 @\months
If @\intussusception @\occurs @\beyond @\36 @\mths, @\it @\is @\typically @\due @\to @\a @\physical @\
abnormality @\such @\as? @\- @\correct @\Answers @\✔✔ @\-meckel's @\diverticulum @\or @\polyps
Is @\intussusception @\more @\common @\in @\girls @\or @\boys? @\- @\correct @\Answers @\✔✔ @\-boys
What @\is @\the @\classic @\presentation @\of @\intussusception? @\- @\correct @\Answers @\✔✔ @\-colicky
@\abdominal @\pain, @\recent @\viral @\illness @\with @\some @\vomiting @\and @\perhaps @\diarrhea. @\
The @\child @\begins @\to @\have @\episodes @\of @\colicky @\abdominal @\pain, @\draws @\up @\the @\
knees @\or @\stiffens @\the @\legs @\for @\a @\brief @\period, @\and @\then @\becomes @\quiet @\for @\
several @\minutes. @\The @\series @\of @\events @\recurs, @\typically @\every @\15 @\to @\20 @\minutes, @\
and @\continues @\for @\several @\hours. @\The @\child @\may @\have @\blood @\in @\his @\or @\her @\stools,
@\prompting @\the @\"currant @\jelly" @\descriptor
What @\is @\typically @\present @\on @\palpation @\with @\intussusception? @\- @\correct @\Answers @\✔✔
@\-A @\sausage @\shaped @\mass @\typically @\in @\the @\right @\lower @\quad
What @\interventions @\should @\be @\considered @\when @\intussusception @\is @\suspected? @\- @\
correct @\Answers @\✔✔ @\-consult @\a @\pediatric @\surgeon. @\Initiate @\intravenous @\hydration @\and
@\order @\an @\air-contrast @\enema. @\Consider @\an @\abdominal @\ultrasound @\as @\well
What @\will @\often @\diagnose @\and @\cure @\intussusception? @\- @\correct @\Answers @\✔✔ @\-an @\air
@\contrast @\enema
What @\are @\contraindication @\s @\to @\an @\air @\contrast @\enema? @\- @\correct @\Answers @\✔✔ @\-
perforation, @\shock, @\and @\peritonitits
