CGRN Pediatric Gastroenterology 2

Question 1

Which finding is most concerning for eosinophilic esophagitis (EoE) in a school-age child?

Accepted Answer

Recurrent food impaction and dysphagia

Answer

EoE presents with food impaction and dysphagia in children and adolescents due to eosinophilic infiltration causing esophageal remodeling.

Question 2

In pediatric Crohn's disease, which complication is more common than in adult-onset disease?

Accepted Answer

Growth failure and delayed puberty

Answer

Chronic inflammation and corticosteroid use in pediatric Crohn's disease impairs growth hormone axis, leading to growth failure and delayed puberty.

Question 3

Which is the first-line treatment for H. pylori eradication in pediatric patients according to NASPGHAN guidelines?

Accepted Answer

Triple therapy: PPI + amoxicillin + clarithromycin or metronidazole

Answer

NASPGHAN recommends PPI-based triple therapy (PPI + amoxicillin + clarithromycin or metronidazole) as first-line H. pylori eradication in children.

Question 4

A nurse is preparing a 7-year-old for upper endoscopy. Which age-appropriate preparation strategy is most effective?

Accepted Answer

Use play therapy and age-appropriate explanation of the procedure

Answer

Age-appropriate preparation using play therapy and simple explanations reduces procedural anxiety and improves cooperation in school-age children.

Question 5

Which type of rectal bleeding pattern in an infant most suggests allergic proctocolitis?

Accepted Answer

Small amounts of blood-streaked mucus in a well-appearing, breastfed infant

Answer

Allergic proctocolitis presents with blood-streaked mucus in a well-appearing infant, most commonly due to cow's milk protein allergy transmitted through breast milk.

CGRN - Certified Gastroenterology Registered Nurse Practice Test

CGRN - Certified Gastroenterology Registered Nurse Practice Test

CGRN Pediatric Gastroenterology 2