USMLE Forum Archives - USMLE Step 2 CK - Pediatric
Pediatric
Brainlab - 12-01-06 18:14
A 4 day-old preterm male neonate is being managed in the neonatal intensive care unit. He was born in the 34th week of gestation via lower segment caesarian section. On the first day of life, he developed tachypnea, grunting and nasal flaring. Chest X-ray showed a ground glass appearance of both lungs. He underwent endotracheal intubation and therapy with intravenous fluids, positive pressure ventilation, and intravenous antibiotics. He consequently showed remarkable improvement; however, he is currently beginning to have increased gastric residues. What is the most likely cause for this child's increased gastric residues?
A. Tracheo-esophageal fistula
B. Necrotizing enterocolitis
C. Duodenal atresia
D. Meconium aspiration syndrom
E. Pyloric stenosis
Brainlab - 12-01-06 18:14
A 4 day-old preterm male neonate is being managed in the neonatal intensive care unit. He was born in the 34th week of gestation via lower segment caesarian section. On the first day of life, he developed tachypnea, grunting and nasal flaring. Chest X-ray showed a ground glass appearance of both lungs. He underwent endotracheal intubation and therapy with intravenous fluids, positive pressure ventilation, and intravenous antibiotics. He consequently showed remarkable improvement; however, he is currently beginning to have increased gastric residues. What is the most likely cause for this child's increased gastric residues?
A. Tracheo-esophageal fistula
B. Necrotizing enterocolitis
C. Duodenal atresia
D. Meconium aspiration syndrom
E. Pyloric stenosis
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#1
Re: Pediatric TheOne - 12-01-06 19:46 correct answer is B,
Necrotizing enterocolitis (NEC) is more common in preterm infants.
#2
Re: Pediatric
Brainlab - 12-01-06 21:54 You are right (as always :-) )
I am very interested, have you passed all USMLE exams or may be you are resident now?
Thanks for very interesting, useful and cognitive website!
#3
Re: Pediatric TheOne - 12-01-06 22:17 I have passed all the steps except for step 3 which I'm planning to take soon.
Now I'm in the "Stagnation Period", waiting for some interviews, which is really annoying and stressful.
Last, I'm glad with your posts, they are good and challenging; Keep the good work.
#4
Re: Pediatric Brainlab - 12-01-06 23:46 I suppose your score in Step 1 and 2 was 99.
Good luck in Step 3 and interviews!
#5
Re: Pediatric TheOne - 12-02-06 00:01 Unfortunatly no, I studied so fast for the tests and pass all of them in less than 6 months. So couldn't score 99, only in the 90's... ;-)
Wish you all the best on your tests.
#6
Re: Pediatric brainy - 12-02-06 20:42 i do not know why but i cannot buy your story TheOne....something doesn't fit....
#7
Re: Pediatric brainy - 12-02-06 21:01 now I KNOW WHAT IS IT!!!!!!!!!!!!
but anyway we appreciate your teaching everywhere in the world.
thank you!
#8
Re: Pediatric TheOne - 12-02-06 22:02 i do not know why but i cannot buy your story TheOne....something doesn't fit....
now I KNOW WHAT IS IT!!!!!!!!!!!!
but anyway we appreciate your teaching everywhere in the world.
thank you!
Can I know what's the problem?
#11
Re: Pediatric Brainlab - 12-02-06 22:28 Hi Brainy!
Would you please, enlighten me on two questions?
What story are you talking about?
What do you mean when wrote "everywhere in the world"?
#12
Re: Pediatric brainy - 12-02-06 22:57 nothing guys
sorry for the confusion...
please do not pay attention
sorry
#13
Re: Pediatric TheOne - 12-02-06 23:00 No worries brainy... :-)
BTW, i'm on the voice chat if you wanna join me.
#15
Re: Pediatric bingousmle - 07-28-10 07:30 the patient here has developed the earliest signs of necrotising enterocolitis that is delayed gastric emptying, indeed he is predisposed to develop this condition due to respiratory distress of the newborn
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