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Formative Evaluation
[page 17]

161.

Which of the following pthological entities best expresses the cause of pulmonary complications with tracheo-Esophageal fistula? :

	A.	Relfux salivary juice from the blind pouch into the trachea
	B.	Direct passage of salivary juice into the lower trachea above the carina
	C.	No aspiration is involved, however, pulmonary hypoplasia is a common associated condition
	D.	Reflux of gastric juice from the stomach into the trachea via a lower end fistula
	E.	A and D are correct

162.

If on the flat plate there is no air in the stomach of the suspected neonate, one May :

	A.	Only observe the child since surgery is not necessary
	B.	Not be as concerned with a severe chemical peritonitis but still worry about relfux aspiration
	C.	Neither

163.

The repair of a T-E fistula should involve all the following, EXCEPT :

	A.	Haight type anastomosis
	B.	Simple ligature of fistula tract
	C.	Division of the azygos vein
	D.	Closure of membraneous tracheal defect
	E.	All of the above

164.

Pyloric stenosis is a disease characterized by all of the following, EXCEPT :

	A.	Decresed pyloro-muscular ganglion cells
	B.	First born males
	C.	Projectile vomiting at 5 to 6 weeks of age
	D.	Olive shaaaped mass in the right upper quadrant
	E.	Surgical mortality rate of 5 per cent

165.

The congenital defect most frequently associated with a persistent omphalomesenteric duct is :

	A.	Gastroschisis
	B.	Omphalocele
	C.	Persistent urachus
	D.	Meckel's diverticulus
	E.	None of the above

166.

What per cent of children with Meckel's diverticular disease present before the age of one?:

	A.	10 per cent
	B.	33 per cent
	C.	66 per cent
	D.	99 per cent

167.

The covering over an omphalocele is :

	A.	Skin
	B.	Amniotic membrane
	C.	Chorionic membrane
	D.	None of the above

168.

Which of the following may be utilized to treat a large omphalocele?:

	A.	Primary closure of skin after amniotic membrane excision
	B.	Silver nitrate application to the amniotic membrane
	C.	Benzalkonium chloride application to the amniotic membrane
	D.	Development of skin flaps
	E.	All of the above

169.

If in the repair of an omphalocele, tension is required to replace the abdominal viscera, which of the following will most likely lead to the patient's demise?:

	A.	Respiratory embarrassment
	B.	Inferior vena cava compression and decreased venous return
	C.	Renal shunt down
	D.	Prolonged paralytic ileus with electrolyte deficiency and starvation
	E.	All are equal

170.

The ladd procedure is for which of the following congenital aomalies?:

	A.	Persistent urachus
	B.	Gastroschisis
	C.	Intestinal atresia
	D.	Malrotation of cecum and peritoneal bands
	E.	Intussusception

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