Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map


Pediatric Rounds Review Questions

A Child with an Abdominal Mass

Riad M Rahhal, MD, Ahmad Charaf Eddine, MD, and Warren Bishop, MD

Dr Rahhal is a fellow, Division of Pediatric Gastroenterology, Department of Pediatrics;
Dr Charaf Eddine is a resident, Department of Pediatrics; and Dr. Bishop is an
associate professor, Division of Pediatric Gastroenterology, Department of Pediatrics;
all are at the University of Iowa, Iowa City, IA.


The questions below are based on the February 2006 Pediatric Rounds article, “A Child with an Abdominal Mass”


Choose the single best answer for each question.

1. A 3-week-old African-American girl presents with decreased oral intake and progressive abdominal distension over the previous 7 days. Her physical examination reveals a left-sided abdominal mass that is dull to percussion. All of the following provide helpful clues to narrow the differential diagnosis EXCEPT:
  1. Patient’s age
  2. Patient’s ethnicity
  3. Patient’s sex
  4. Mass location
  5. Dullness to percussion
Click here to compare your answer.

2. A 1-year-old boy is found to have a mid-abdominal mass on routine check-up. Which of the following findings would suggest an underlying malignant process?

  1. Dysuria
  2. Anxiety
  3. Regurgitation
  4. Pallor
  5. Diarrhea
Click here to compare your answer.

Questions 3 and 4 refer to the following case study: A 12-year-old patient presents to the general pediatric clinic with fatigue, pallor, and weight loss over the previous 3 months. Physical examination reveals a white female in no apparent distress with mild tachycardia and otherwise normal vital signs. She has prominent generalized lymphadenopathy and petechiae over her trunk and legs. A firm, nontender mass is palpable in the mid-abdominal region.

3. All of the following should be included in this patient’s initial evaluation EXCEPT:
  1. Abdominal ultrasound
  2. Complete blood count
  3. Electrolytes
  4. Urinalysis
  5. Urine culture
Click here to compare your answer.


4. The complete blood count reveals a hemoglobin level of 7 g/dL and a platelet count of 24 x 103/µL with a normal leukocyte count and differential. Which of the following tests should this patient undergo based on these laboratory findings?

  1. Magnetic resonance imaging of the spine
  2. Bone marrow aspirate
  3. Urine pregnancy test
  4. Serum alpha-fetoprotein
  5. Urine homovanillic acid level
Click here to compare your answer.

5. A 6-year-old child is found to have a cystic abdominal mass arising from the terminal ileum on ultrasound during evaluation for abdominal pain. At surgery, a 10- cm long tubular mass with direct communication with the intestinal lumen is discovered and resected. Which of the following best describes this lesion?

  1. Most often involves the colon
  2. High incidence of malignancy
  3. An acquired condition
  4. May contain heterotopic mucosa
  5. Rarely asymptomatic
Click here to compare your answer.


 

Click here to read “A Child with an Abdominal Mass”
(Requires Adobe Acrobat Reader)



 Top



Check our archive to test your knowledge in other pediatric cases:

Pediatric Rounds Review Questions Archives



If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing.

Download Adobe Acrobat Reader


 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2008, Turner White Communications
Updated 1/04/08 • kkj