Facharzt FMH Kinderchirurgie Practice Questions - Facharzt FMH für Kinderchirurgie Spécialiste FMH en chirurgie pédiatrique Exam - Facharzt FMH Kinderchirurgie Practice Questions - Facharzt FMH für Kinderchirurgie Spécialiste FMH en chirurgie pédiatrique Exam

Question 1

A full-term male newborn presents immediately after birth with excessive frothing, drooling of saliva from the mouth, and choking episodes during his first attempt at feeding. A 10-French Replogle tube is passed through the nose but arrests firmly at 9 cm from the nares. A chest and abdominal radiograph confirms the curled catheter in the upper blind esophageal pouch and shows normal gas distribution throughout the stomach and intestines. What is the most crucial initial preoperative management step prior to definitive surgical repair of this Gross Type C esophageal atresia with distal tracheoesophageal fistula?

Continuous low-intermittent suction to the upper esophageal pouch via a double-lumen Replogle catheter, head-of-bed elevation to 30–45 degrees, and an urgent echocardiogram to evaluate aortic arch anatomy and associated anomalies Immediate emergent endotracheal intubation with positive pressure ventilation and placement of a surgical gastrostomy tube within 2 hours of birth Administration of high-volume water-soluble contrast through the nasogastric tube under fluoroscopy to define the exact distance to the carina Aggressive bag-valve-mask manual ventilation to maintain alveolar expansion while transferring the infant to the operating theater

Correct Answer:

Question 2

A 2-day-old infant with Gross Type C esophageal atresia and distal tracheoesophageal fistula is scheduled for open repair. The surgical plan includes a right muscle-sparing posterolateral thoracotomy via the 4th intercostal space. The pediatric surgical team deliberately utilizes an extrapleural approach rather than entering the pleural space. What is the primary surgical advantage of the extrapleural technique in neonatal esophageal atresia repair?

It significantly eliminates the risk of postoperative anastomotic stricture formation at the esophageal reconstruction site It contains any potential postoperative anastomotic leak within the extrapleural space, preventing a catastrophic tension pneumothorax or empyema It allows complete visualization of the contralateral left bronchus and thoracic duct without vascular dissection It completely eliminates the necessity for identifying and dividing the azygos vein during mediastinal exposure

Correct Answer:

It contains any potential postoperative anastomotic leak within the extrapleural space, preventing a catastrophic tension pneumothorax or empyema

Question 3

A 4-month-old infant presents with a history of recurrent coughing, choking, and cyanotic episodes during liquid feedings, accompanied by two hospital admissions for right upper lobe aspiration pneumonia. Abdominal distension during crying is also noted. A high-index suspicion for an isolated H-type (Gross Type E) tracheoesophageal fistula is raised. What is the diagnostic investigation of choice, and what is the standard definitive surgical approach for this condition?

Upper gastrointestinal contrast swallow in the supine position; median sternotomy with cardiopulmonary bypass Chest computed tomography angiography; left 5th intercostal posterolateral thoracotomy Prone pull-back tube esophagogram or simultaneous tracheobronchoscopy/esophagoscopy; right cervical incision for fistula division Blind nasogastric dye injection with methylene blue; exploratory laparotomy and transdiaphragmatic transhiatal ligation

Correct Answer:

Prone pull-back tube esophagogram or simultaneous tracheobronchoscopy/esophagoscopy; right cervical incision for fistula division

Question 4

A newborn is diagnosed with isolated pure esophageal atresia without tracheoesophageal fistula (Gross Type A). Plain radiography shows a coiled Replogle catheter in the upper mediastinum and a completely gasless, scaphoid abdomen. Fluoroscopic and endoscopic assessment reveals an esophageal gap of 4 vertebral bodies (long-gap esophageal atresia). What is the contemporary evidence-based primary management strategy to achieve native esophageal preservation before contemplating stomach or colon interposition?

Immediate emergency cervical esophagostomy (spit fistula) and permanent Roux-en-Y jejunal transposition within 48 hours of birth Urgent high-tension primary end-to-end anastomosis over a rigid metal bougie at 24 hours of life Transdiaphragmatic gastric transposition (gastric pull-up) performed during the first week of life Placement of a feeding gastrostomy with continuous upper pouch suction, allowing spontaneous somatic elongation and delayed primary anastomosis at 2–3 months (or staged dynamic traction via the Foker technique)

Correct Answer:

Placement of a feeding gastrostomy with continuous upper pouch suction, allowing spontaneous somatic elongation and delayed primary anastomosis at 2–3 months (or staged dynamic traction via the Foker technique)

Question 5

A 38-week male infant is born following a pregnancy complicated by an antenatal diagnosis of left-sided congenital diaphragmatic hernia (CDH). In the delivery room, he exhibits severe respiratory distress, cyanosis, and a scaphoid abdomen with bowel sounds auscultated over the left hemithorax. What is the fundamental principle of immediate neonatal delivery room resuscitation for this patient?

Immediate endotracheal intubation avoiding bag-mask ventilation, gentle lung-protective ventilation (peak inspiratory pressure <25 cmH2O, permissive hypercapnia), and placement of a wide-bore nasogastric sump tube Vigorous high-pressure bag-mask ventilation with 100% oxygen to force open the collapsed left lung before attempting intubation Emergent bedside thoracostomy tube placement in the left 5th intercostal space to decompress the herniated bowel Immediate emergency transfer to the operating theater for subcostal laparotomy within the first 60 minutes of life

Correct Answer:

Question 1

Exam overview

About this Exam

Prepare with the Facharzt FMH Kinderchirurgie Practice Questions - Facharzt FMH für Kinderchirurgie Spécialiste FMH en chirurgie pédiatrique Exam practice quiz. This question bank includes 100 questions covering infant, surgical, abdominal, right, and presents. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

More details

Additional Information

Facharzt FMH Kinderchirurgie Practice Questions - Facharzt FMH für Kinderchirurgie Spécialiste FMH en chirurgie pédiatrique Exam

This practice set contains 100 questions from the matching question bank and focuses on infant, surgical, abdominal, right, and presents. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

Quiz information

Frequently Asked Questions

The complete question count is available after full access is unlocked.

No fixed duration is currently configured for this quiz.

Question explanations are included where they are available in the quiz content, helping you review the reasoning after answering.

Yes. You can retake the practice test again as you continue studying during your available access period.

After your access is confirmed, you can continue into the complete practice exam from this quiz flow.

Unless explicitly stated otherwise, this page provides independent practice material for study and exam preparation and is not the official examination itself.

Keep studying

Correct Answer:

Correct Answer:

Correct Answer:

Correct Answer:

Correct Answer:

About this Exam

Additional Information

Facharzt FMH Kinderchirurgie Practice Questions - Facharzt FMH für Kinderchirurgie Spécialiste FMH en chirurgie pédiatrique Exam

Frequently Asked Questions

Related Questions

Facharzt Allgemeinmedizin Practice Questions - Facharztprüfung Allgemeinmedizin und Familienmedizin (Austria) Exam

Facharzt FMH Allgemeine Innere Medizin Practice Questions - Facharzt FMH für Allgemeine Innere Medizin Spécialiste FMH en médecine interne générale Exam

Facharzt FMH Anästhesiologie Practice Questions - Facharzt FMH für Anästhesiologie Spécialiste FMH en anesthésiologie Specialista FMH in anestesiologia Exam

Facharzt FMH Chirurgie Practice Questions - Facharzt FMH für Chirurgie Spécialiste FMH en chirurgie Exam

Facharzt FMH Dermatologie und Venerologie Practice Questions - Facharzt FMH für Dermatologie und Venerologie Spécialiste FMH en dermatologie et vénéréologie Exam

Facharzt FMH Gynäkologie und Geburtshilfe Practice Questions - Facharzt FMH für Gynäkologie und Geburtshilfe Spécialiste FMH en gynécologie et obstétrique Exam