Formative Evaluation
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11. A 2.8-kg. neonate with excessive salivation develops respiratory distress. Attempts to pass an orogastric catheter fail because the catheter coils in the back of the throat. A chest film is obtained and shows right upper lobe atelectasis and a gasless abdomen. The most likely diagnosis is :
 
A. Proximal esophageal atresia without a fistula
B. Proximal esopahgeal atresia with a distal tracheoesophageal (TE) fistula
C. "H-type" TE fistula
D. Esophageal atresia with both proximal and distal TE fistula
E. Congenital esophageal stricture
12. Neonates with necrotizing enterocloitis (NEC) may demonstrate all of the following
findings on abdominal films except :
 
A. Pneumatosis intestinalis
B. Portal vein air
C. Pneumoperitoneum
D. Colovesical fistula
E. Fixed and thickened bowel loops
13. The most common type of congenital diaphragmatic hernia is caused by :
 
A. A defect in the central tendon
B. Eventration of the diaphragm in the fetus
C. A defect through the space of Larrey
D. An abnormally wide esophageal hiatus
E. A defect through the pleuroperitoneal fold
14. The calorie-nitrogen ratio for an infant should be
 
A. 75 : 1
B. 100 : 1
C. 50 : 1
D. 150 : 1
E. 25 : 1
15. All of the following conditions are derived from the primitive embryologic foegut except :
 
A. Bronchogenic cyst
B. Cystic adenomatoid malformation
C. Gastric duplication
D. Mesenteric cyst
E. Pulmonary sequestration
16. Anomaly ã´µèÍ仹Õé·Õ辺ÃèÇÁ¡Ñº imperforate anus ä´éºèÍ·ÕèÊØ´
 
A. Down syndrome
B. Esophageal atresia with tracheoesophageal fistula
C. Cardiac anomaly
D. Vertebral anomaly
E. Radial dysplasia of forearm
17. ¤ÇÒÁ¾Ô¡ÒÃáµè¡Óà¹Ô´ã´µèÍ仹Õé·ÕèäÁèÊÒÁÒöÇÔ¹Ô¨©ÑÂä´éµÑé§áµè·ÒáÂѧÍÂÙè㹤ÃÃÀìÁÒôÒ
 
A. Congenital diaphragmatic hernia
B. Imperforate anus
C. Duodenal atresia
D. Jejunal atresia
E. Ureteropelvic junction obstruction
18. Duodenal obstruction äÁè¹èÒ¨Ðà¡Ô´¨Ò¡ÊÒà˵شѧµèÍ仹Õé
 
A. Preduodenal portal vein
B. Vascular accident ·ÓãËéà¡Ô´ atresia
C. Intestinal malrotation
D. Intussusception
E. Annular pancreas
19. à´ç¡ÍÒÂØ 2 Çѹ ´Ù´¹ÁáÅéÇÍÒà¨Õ¹ áÅÐÂѧäÁè¶èÒ meconium àÅ µÃǨ¾º mild icteric, abdomen distend, rectal exam ä´é meconium ¨Ó¹Ç¹àÅ硹éÍ plain x-ray abdomen ¾º bowel dilation ·ÑèÇæ ä» ¡ÒÃÇÔ¹Ô¨©ÑÂâä
 
A. Duodenal atresia
B. Ileal atresia
C. Midgut volvulus
D. Hirschsprung's disease
E. Biliary atresia
20. ã¹à´ç¡ newborn ·ÕèÁÕàÅ×Í´ÍÍ¡·Ò§·ÇÒÃ˹ѡ ÊÒà˵طÕèäÁè¹èÒ¨Ðà»ç¹ä»ä´é ä´éá¡è
 
A. NEC (Neontal necrotizing enterocolitis)
B. Anal fissure
C. Mid gut volvulus
D. Rectal polyp
E. ¡Å×¹àÅ×Í´áÁèà¢éÒä»ÃÐËÇèÒ§¤ÅÍ´
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