USMLE Forum Archives - USMLE Step 2 CK - peds 5
peds 5
bingousmle - 09-30-10 18:01
A 5-month-old child regularly regurgitates a large portion of her feeds. A pH probe study showed significant periods of low esophageal pH. The child has normal growth, and no other significant past medical history. The best management at this point is
a. Barium swallow and upper GI series
b. Oral reflux medications
c. Esophageal manometry
d. Close observation only
e. Surgical correction with fundoplication
bingousmle - 09-30-10 18:01
A 5-month-old child regularly regurgitates a large portion of her feeds. A pH probe study showed significant periods of low esophageal pH. The child has normal growth, and no other significant past medical history. The best management at this point is
a. Barium swallow and upper GI series
b. Oral reflux medications
c. Esophageal manometry
d. Close observation only
e. Surgical correction with fundoplication
The correct answer and explanation will be available after you answer.
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#3
Re: peds 5 babbu5508 - 10-11-10 09:56 My answer is: c.
A pH probe study showed significant periods of low esophageal pH...do esophageal manometry to check the LES
#14
Re: peds 5 sudha2015 - 04-14-11 01:00 A 5-month-old child regularly regurgitates a large portion of her feeds. A pH probe study showed significant periods of low esophageal pH. The child has normal growth, and no other significant past medical history
d
#17
Re: peds 5 sudha2015 - 04-16-11 11:17 A pH probe study showed significant periods of low esophageal pH. The child has normal growth, and no other significant past medical history. The best management at this point is
close observation only
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