Pediatric Surgery — Flashcards

Flashcard 11: According to modified Bell staging, presence of signs of generalized peritonitis and definitive ascitis is classified as stage _____

Answer: IIIA

Flashcard 12: If biliary atresia is confirmed by cholangiogram, a _____ procedure (hepatoportoenterostomy) should be performed

Answer: Kasai

Flashcard 13: In proximal jejunoileal atresia, abdominal distension is _____

Answer: less

Flashcard 14: In distal jejunoileal atresia, abdominal distension is _____

Answer: more

Flashcard 15: What is the classification of jejunoileal atresia characterized by multiple segments of atresia (often resembling a "string of sausages")?

Answer: Type IV

Extra: Grosfeld Classification of Jejunoileal Atresia: • Type I: Mucosal web with intact bowel wall and mesentery. • Type II: Two blind ends connected by a fibrous cord; mesentery is intact. • Type IIIa: Two blind ends separated by a V-shaped mesenteric defect. • Type IIIb: "Apple-peel" or "Christmas tree" deformity (distal bowel wraps around a single perfusing artery). • Type IV: Multiple atresias (resembling a "string of sausages").

Flashcard 16: The ideal time for an isolated cleft lip sx is _____ months

Answer: 3-6

Flashcard 17: Type _____ of tracheoesophageal fistula consists of proximal and distal fistula

Answer: D

Flashcard 18: During laparoscopy for a unilateral non-palpable testis, if the spermatic vessels and vas deferens are seen exiting the internal inguinal ring, what is the diagnosis and the next step?

Answer: Diagnosis: Inguinal undescended testis Next step: Inguinal exploration and orchidopexy

Flashcard 19: What type of jejunoileal atresia is characterized by an internal mucosal diaphragm with an intact bowel wall and mesentery?

Answer: Type I

Extra: Jejunoileal Atresia Classification (Grosfeld): • Type I: Mucosal diaphragm/web; bowel wall and mesentery are intact. • Type II: Two blind ends connected by a fibrous cord; mesentery intact. • Type IIIa: Disconnected blind ends with a V-shaped mesenteric defect. • Type IIIb: "Apple-peel" or "Christmas tree" deformity; distal bowel supplied by a single vessel (usually ileocolic). • Type IV: Multiple atresias ("string of sausages").

Flashcard 20: _____ is a procedure by which the airway is secured before the infant is separated from the placenta

Answer: Ex utero intrapartum treatment procedure (EXIT)