CGRN Pediatric Gastroenterology

Question 1

Which finding differentiates pyloric stenosis from GERD in a 4-week-old infant?

Accepted Answer

Projectile non-bilious vomiting after feeding

Answer

Bilious vomiting with abdominal distension

Answer

Bloody mucousy stools

Answer

Watery diarrhea after feeding

Question 2

Which pediatric GI condition is characterized by absence of ganglion cells in the distal colon?

Accepted Answer

Hirschsprung disease

Answer

Intussusception

Answer

Meckel's diverticulum

Answer

Celiac disease

Question 3

The classic triad of intussusception in a toddler includes colicky abdominal pain, vomiting, and which other finding?

Accepted Answer

Currant-jelly stools

Answer

Watery diarrhea

Answer

Bilious emesis

Answer

High fever above 40°C

Question 4

An infant with necrotizing enterocolitis (NEC) on X-ray will most likely show which finding?

Accepted Answer

Pneumatosis intestinalis

Answer

Intraluminal air-fluid levels only

Answer

Calcified meconium

Answer

Dilated stomach with no distal gas

Question 5

Which condition should be ruled out first in a child presenting with painless rectal bleeding and a Meckel's scan?

Accepted Answer

Meckel's diverticulum with ectopic gastric mucosa

Answer

Hemorrhoids

Answer

Anal fissure

Answer

Juvenile polyp

Question 6

At what age should the CGRN nurse anticipate that pediatric colonoscopy requires general anesthesia rather than conscious sedation?

Accepted Answer

Typically children under 12 years require general anesthesia or deep sedation

Answer

All pediatric patients regardless of age require general anesthesia

Answer

Only neonates require general anesthesia

Answer

Age is not a factor; weight is the only determinant