Formative Evaluation
[page 13]
121. Projectile vomiting in a first-born male infant indicates the presence of
 
A. Klinefelter's syndrome
B. Annular pancreas
C. Malrotation
D. Pyloric stenosis
E. Meconium ileus
122. The most common site for a duplication of the GI tract is the
 
A. Stomach
B. Duodenum
C. Ileum
D. Colon
E. Rectum
123. Varicocele
 
A. Occurs mainly on the left
B. Is more prominent when standing
C. Usually dispaaears by the age of 40
D. Usually indicates renal tumor
E. A, B and C are correct
124. Which of the following is (are) characteristic of cystic hygroma?
 
A. May occur in mediastinum
B. Commences in the third decade of life
C. May undergo sudden enlargement
D. Is treated by lymphovenous drainage
E. A and C are correct
125. Thyroglossal duct cysts
 
A. Are treated by partial thyroidectomy
B. Are found laterally in the neck
C. Originate from the midgut
D. First appear before five years of age
E. C and D are correct
126. Before the correction of a tracheoesophageal fistula, which of the following may be indicated?
 
A. Sump catheter in upper pouch
B. 10 ml of Lipiodol to visualize defect
C. Gastrostomy
D. Trendelenburg position
E. A and C are correct
127. Imperforate anus
 
A. Affects males and females equally
B. Is characterized in females by the rectal pouch usually ending below the levator muscles (low)
C. Is treated initially by colostomy if the rectum ends above the levator muscles (high)
D. Is accompanied in high lesions by continence in about 50% of cases after surgery
E. All are correct
128. To induce vomiting at home in a child who has ingested a poison, the recommended agent of choice would be
 
A. Copper sulfate
B. Mustard in warm water
C. Apomorphine
D. Fluid extract of ipecac
E. Syrup of ipecac
129. A nine-year-old boy who injured his groin while sledding is brought to the emergency room complaining of pain in the left scrotum. Elevation of his left testis, which is swollen and painful, does not relieve the pain. Which of the following statements about the boy's disorder is true?
 
A. It probably is epididymitis
B. It probably is orchitis
C. It probably is testicular torsion
D. Surgery is rarely required
E. Bed rest and sitz baths consitute proper therapy
130.

The child shown below has been brought to the emergency room because of an inability to urinate. The most likely diagnosis is

A. Priapism
B. Balanitis
C. Balanoposthitis
D. Phimosis
E. Paraphimosis
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