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CASE · Q14

NICU

A term neonate develops bilious emesis on day 2 of life. Abdominal X-ray shows a 'double bubble' sign with no distal gas. What is the most likely diagnosis?

A.Malrotation with midgut volvulus
B.Duodenal atresia
C.Hirschsprung disease

CASE · Q07

NICU

A 28-week preterm infant on day 7 develops abdominal distension, bloody stools, and pneumatosis intestinalis on KUB. What is the most appropriate next step?

A.Continue feeds, add probiotics
B.NPO, OG decompression, IV antibiotics
C.Immediate exploratory laparotomy

CASE · Q01

NICU

A 35-week infant of a diabetic mother has coughing and desaturation with feeds. An orogastric tube meets resistance at 9–10 cm; imaging shows the tube coiled in the upper mediastinum with air throughout the bowel. Most likely diagnosis?

A.Pure esophageal atresia, no fistula
B.EA with distal TE fistula
C.Isolated H-type TE fistula
D.Duodenal atresia
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