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Pediatric Rounds Review Questions

A 10-Month-Old Infant with Progressive Abdominal Distension

Hande Kaymakcalan, MD

Dr. Kaymakcalan is in private practice in Istanbul, Turkey.

The questions below are based on the October 2003 Pediatric Rounds article, “A 10-Month-Old Infant with Progressive Abdominal Distension.”

Choose the single best answer for each question.

1. What is the most common clinical presentation of mesenchymal hamartoma?
  1. Decreased appetite
  2. Growth failure
  3. Pallor
  4. Rapidly enlarging mass
  5. Respiratory distress
Click here to compare your answer.

2. Which one of the following laboratory findings is often associated with mesenchymal hamartoma?

  1. Elevated serum a-fetoprotein level
  2. Elevated serum ß–human chorionic gonadotropin level
  3. Erythrocytosis
  4. Leukopenia
  5. Thrombocytosis
Click here to compare your answer.

3. Which one of the following is the most informative imaging study for a hepatic mass?
  1. Computed tomographic scan with contrast
  2. Magnetic resonance angiography
  3. Magnetic resonance imaging
  4. Nuclear scanning
  5. Ultrasonography
Click here to compare your answer.

4. What is the treatment of choice for mesenchymal hamartoma?

  1. Chemotherapy
  2. Corticosteroid therapy
  3. Observation
  4. Radiotherapy
  5. Surgical resection
Click here to compare your answer.


Click here to read “A 10-Month-Old Infant with Progressive Abdominal Distension” (Requires Adobe Acrobat Reader)


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

Pediatric Rounds Review Questions Archives

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Updated 1/04/08 • kkj