1.

A baby boy 3 days taken to the emergency room rs with complaints can not defecate with vomiting
green complaints of vomiting arise when given breast milk. Physical symptoms are bloating in the upper
abdomen, the abdomen is not tense, tympanic. Diagnosis?

a. Atresia jejenum

b. Pancreas anulare

c. Atresia duodeni

d. Pyloric stenosis hypertrophy

e. Oesphagus atresia

2. On the radiological examination of intestinal atresia obtained in the picture> 6 bubbles then the
kelainannna there are

a. Atresia duodeni

b. Ileal atresia

c. Atresia jejenum

d. Atresia caecum

e. Atresia rectum

3. A 10-day-old male baby was taken by his mother to the hospital with complaints of flatulence since 5
days after birth, first time when he was 3 days old, little by little, greenish and not bowel since 4 days
ago. Complaints are accompanied by vomiting that does not spray. Babies born normally, vaginal delivery
BBL, 2.7 KG. 49cm body length On examination of colon in loop, there is a narrowing of the distal colon
segment. What is the most likely diagnosis?

a. Diverticles

b. Duodenal stenosis

c. Anorectal stenosis

d. Hircprung disease

e. Invagination

4. A 5-day-old baby is taken to the emergency room with complaints of vomiting every time he feeds.
Birth weight of a baby is 2450gr. In the examination of contents found the patient. Hypersalivation
Radiological examination shows a single bubble sign. What are the possible causes of complaints in this
patient? on
a. Oesophageal obstruction

b. Duodenal obstruction

c. Jejenal obstruction

d. Obstruction of ileum

e. Protrusion of intestinal mucosa

5. Mr. Mahmud, 35, complained of a lump in the groin. Lumps can come in and out when straining lumps
can be felt until the scrotum, diagnosis of the patient.

a. Lateral ingunal hernia

b. Medial inguinal hernian

c. Ireponibel hernia

d. Incarcerated hernias

e. Strangular hernia

6. A baby who is 6 years old is brought by her mother to the emergency room with complaints of
flatulence since 3 days ago There is a history of meconium evacuation more than 24 hours after birth.
Since the age of 4 months, the mother felt that the baby's bowel movements were less smooth, only 3
times a day and assisted by laxatives. Babies have not eaten anything except breast milk and occasionally
added formula because the mother feels that her baby has less intake. On physical examination, there
are vital signs of DBN, babies in kakesia, darm steifung), contour + darm). At the time of digital rectal
examination, the feces are sprayed with liquid consistency. The right diagnosis for the idatas case is

a. Morbus hirchprung

b. Functional contipation

c. Atresia ani

d. Invagination

e. Ileal parality

7. An. Rina, aged 6 years, was brought by a doctor with complaints of abdominal pain and bloody bowel
movements since 6 hours ago. CHAPTER appears blackish blood with gel-like mucus Since 1 day before
the child has a fever and coughs with a mild cold. On physical examination, feel the mass until the
sausage in the lower right abdomen. shows a picture of intestinal folds like a donut. The correct
diagnosis is USG Abdomen

a. Diverticulitis
b. Morbus hirchprung

c. Volvulus

d. Hypertrophic pylorus stenosis

e. Intusception

8. Tutu babies are 1 month old, come to the ER brought by their mother because they vomited since 2
days ago. In addition, babies also experience diarrhea for 2 days. Previously there were no similar
complaints. Tutu babies are born prematurely vaginal, weighing 2800 grams. According to the mother, at
birth there is no problem with the baby. In addition to breast milk, the mother also gave formula milk
because it was felt that ASL was only slightly since the baby was 2 weeks old. From physical examination
it was found that the child appeared to be lethargic, pulse was 90x / minute, temperature was 380cm,
breathing was 40x / minute. From physical examination, there is a stomach that looks bloated, intestinal
contour (), erythema in the abdominal wall) decreased bowel sounds. The most likely diagnosis in this
case is

a. Necotizing enterocoloiti

b. Moorbus hisrchprung

c. Atresia ani

d. Ileus paralitik

e. Invaginasi

9. 8 months old baby comes with complaints of flatulence. A history of meconium exceeds 24 hours.
Since 6 months non-fluent CHAPTER 3- 4x / day assisted by narcotic drugs. Normal vital signs, health
condition, there is a description of peristalticus, sound metallic sound, liquid rectal plug and spray,
diagnosis

a. Hircprung disease

b. Functional constipation

c. Atresia ani

d. Ileus paralaitik

e. Invagination

10. An. A 2-year-old man was taken by his mother to the polyclinic with the back of his stomach a day
ago. Complaints begin with green vomiting, abdominal pain, and rifak when removing the wind and not
defecating. On examination, it was found CM, HR 122x / minute, RR 18x / minute, Suhtu 37,50c, localis
abdominal status: inspection of convex abdomen. Palpation is not palpable mass, muscular defans (+),
auscultation tympanic percussion pain intestinal noise increases, what is the possibility of the disease in
the patient? physical

a. Atresia ani

b. Volvulus

c. Morbus Hircprung

d. Necrotizing enterocolitis

e. Intusseption

11. The baby is 3 years old and has enough months, 300 gr BBL. During pregnancy there is no history of
drinking herbs or drugs. There is a lump in the abdomen with the base of the umbilicus, but a lump of 8
cm, a lump in the form of an abdominal organ that is coated with peritoneum Is this a possible diagnosis
in this patient?

a. Gastroskisiz

b. Abdominal tumor

c. Omfalokel

d. Hernia diagrframatica

e. Umbilical hernia

12. Bay which is born with an extra abdominal bowel picture with a peritoneal membrane called a.
Omphalocel

b. Gastroschizis

c. Invagination

d. Hernia

e. Rectal-anal malformation

13. An. 12-year-old Kitaro was brought to his parents complaining of a lump in the left fold. Lumps can
still be in and out and not painful, bumps out when the patient strains. Sometimes palpable to the pubic
sac, what is the possible diagnosis of the patient?

a. lateral cutaneous inguinal hernia

b. Hernia inguinal medial sinistra

c. Hernia irponibek
d. Hernia strangulata

e. Hernia inkarserata

14. On physical examination, palpation of invagination disease is obtained

a. Timpani

b. Pain press

c. Sausage cellphone, dance's sign

d. Sausage shape, dance's sign, tenderness

e. Colic pain, sausage shap

15. Types of invagination, namely

a. Ile-colic, ilea-ilea-colic, colonic and ileo-lleal

b. lleo-colic, ileo-ileo-colic, colloidal and ileo-ileal

c. Ileo-colic, ileo-ileo-colic, colonic and ileo-ileal, ileal-ileo colic

d. Colic-ileo, ileo-ilea-colic, colicic and ileo-ileal

e. Colic-colic, ileo-ileo-colic, colicolic and ileo-ileal

16. The extension of the letter "t" in VACTERL is

a. Tonsil

b. Tracheoesofhageal fistula

c. Trachea

d. Tracheoesofhageal defect

e. Tracheostomy

17. In the case of emergency surgery for children with congenital digestive disorders, namely

a. Airway obstruction, displacement lung volume, pulmonary parencymal

b. Insufficiency. Obstruction of breathing, displacement lung volume malformation

c. Intestinal obstruction, malrotation, intestinal perforation

d.Omphalocele gastroschisis ruptures, gastroschiesis

e. Gastroschiesis, airway obstruction, perforetion intestinal

18. The length of EMCO is

a. Extra Corporeal Membrane Oxygenation

b. Extra cardiac membrane oxygenation

c. Extra corpus membrane oxygenation

d.Esophagus cardiac membrane oxygenation

e.Esofagus corporeal membrane oxygenation

19. In cases of difficult labor and necrosis found in the lining of the intestine usually found in disease

a. Invagination

b. Intusepsi

c. Duodenalis necrosis

d. Malformation entercolitis

e. Necrotizing enterocolitis

20. Management of the spigelian hernia is

a. USG

b. Plain X-Ray photo

c. Operation

d. antibiotics

e. Laparostomy