Chapter·SurgeryPediatric Surgery

Hirschsprung's DiseaseDownloads

10Questions
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Sample Questions

1

A male infant presented with distension of abdomen shortly after birth with delayed passage of meconium. Subsequently a full-thickness biopsy of the rectum was performed. The rectal biopsy is likely to show:

ALack of ganglion cells

BFibrosis of submucosa

CThickened muscularis propria

DHyalinization of the muscular coat

2

Hirschsprung disease is confirmed by ?

ARectal biopsy

BPer/Rectal examination

CRectal manometry

DX-ray abdomen

3

A newborn baby presented with a failure to pass meconium in the immediate postnatal period. The pediatrician also notices visible yet ineffective peristalsis, and abdominal distention. A radiological contrast enema demonstrated a narrow conical segment and a dilated proximal bowel. A diagnosis of Hirschsprung disease was made. Which of the following is a cause of the condition in the patient?

APersistence of embryonic structures in the bowel wall

BCongenital obstruction due to external factors

CFailure of migration of neural crest cells

DAbnormal peristalsis due to neural dysfunction

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