Practice question answers congenital GI disorders
Practice question answers Congenital GI disorders Updated: 03/01/2019 © Jun Wang, MD, PhD 1. B. Presentation of choke after suckling is suggestive for esophageal atresia or tracheoesophageal fistula . Failure of passing nasogastric tube to stomach is consistent with esophageal atresia . Image studies reveal blind end of esophagus without contrast in trachea ruled out tracheoesophageal fistula . Diaphragmatic hernia has abdominal organs in chest. Esophageal duplication has rounded fluid/soft tissue density on radiograph, not blind end. Vacterl syndrome has at least three of the following disorders: V ertebral abnormalities, A norectal abnormalities, C ardiac defects, T racheo E sophageal fistula, R enal anomalies, and L imb deformities. 2. D. Coughing and choking with feed and recurrent bilateral pneumonia since birth is highly suggestive of tracheoesophageal fistula , as confirmed by the H-shaped contrast distribution. Also see discussion of question 1. 3. E. Trach...