Formative Evaluation
[page 24]
231. A rectal polyp in a 3 year old boy is considered as :-
 
A. Adenomatous polyp
B. Potentially malignant
C. Papillomatous polyp
D. Benign lesion
E. Congenital in origin
232. A 48 hour mongol neonate vomits green material, the first thing to do is :-
 
A. Barium enema
B. Acute abdomen series x-rays
C. NG intubation
D. Upper G.I. study
E. Rectal examination
233. In a case of 2 day old girl with imperforate anus who passed meconeum through an opening below vagina, the treatment is :-
 
A. Pull through operation
B. Anoplasty
C. Antibiotic and wait and see
D. Colostomy
E. Cystostomy
234. A 2 year old admitted to the hospital with the complaint of repeated passing black loose stool and anemia, the most possible cause of bleeding is :-
 
A. Intussusception
B. Anal fissure
C. Meckel's diverticulum
D. Rectal polyp
E. Mid gut volvulus
235. à´ç¡ªÒÂä·ÂÍÒÂØ 1 Çѹ ¤ÅÍ´·ÕèºéÒ¹ ¹éÓ˹ѡ 2,500 ¡ÃÑÁ äÁèÁÕ·ÇÒÃ˹ѡ áÁè¾ÒÁÒâç¾ÂÒºÒŨØÌÒŧ¡Ã³ì ÊÔè§áá·Õèá¾·Âì¢Í§âç¾ÂÒºÒŤÇáÃзӤ×Í
 
A. µÃǨËÒ meconeum ã¹»ÑÊÊÒÇÐ
B. Êǹ»ÑÊÊÒÇÐáÅéÇ·Ó fistulogram
C. Êè§á¼¹¡ x-rays à¾×èÍ·Ó evertogram
D. ·Ó colostomy ·Ñ¹·Õ
E. ãÊè NG tube à¾×èÍ exclude esophageal atresia
236. The best investigation for detection of Meckel's diverticulum ulcer is :-
 
A. Upper G.I. study
B. Scanning for ectopic gastric mucosa
C. Ba enema
D. Laparoscopy
E. Ultrasonography
237. The most common cause of rectal bleeding in a 7 day old neonate inChulalongkorn Hospital :-
 
A. Intussusception
B. Volvulus neonatorum
C. Rectal polyp
D. N.E.C.
E. Anal fissure
238. Neonatal duodenal obstruction is suspected when :-
 
A. Distended abdomen
B. No meconeum passed
C. Visible gastric peristalsis
D. 25 c.c. green gastric aspirant
E. 5 c.c. green gastric aspirant
239. Regarding right indirect inguinal hernia in 5 month boy, one of the following is correct :-
 
A. Disappeared spontaneously
B. High incidence to be a sliding hernia
C. Operation should be done when the boy is one year old
D. Operation should done within 2 weeks after the 1st detection
E. Very low incidence of obstruction
240. Correct management of a recto-sigmoid Hirschsprung's disease in 7 days old neonate with bile stained vomiting is :-
 
A. Daily enema
B. Martin's operation
C. Colostomy
D. Swenson's operation
E. Soave's operation

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