Neonatology MCQ- Q27

 

PEDIATRIC MCQ  SECTION  Neonatology -   Q27

 

 

27. A baby boy born at term has not passed meconium by 36 hours of age. There is no visible anorectal malformation on direct inspection, he has vomited several times, and his abdomen appears distended. An abdominal radiograph shows multiple dilated small bowel loops and barium enema shows a narrow, unused colon (micro colon) what is your diagnosis?

A. Duodenal atresia
B. Tef
C. Esophageal atresia
D. Cystic fibrosis
E. Anal atresia

ANSWER= Ans D
Explain:- In cystic fibrosis, meconium ileus causing gastrointestinal obstruction is common affecting 10% of newborns. Duodenal atresia and esophageal atresia are typically not present with a distended abdomen. Tef doesn't have these symptoms.

                                       

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