Pediatric Gastroenterology (digestive diseases in children) MCQs

Pediatric Gastroenterology MCQs

  1. What is the most common cause of abdominal pain in children?
    a) Appendicitis
    b) Gastroenteritis
    c) Constipation
    d) Peptic ulcer disease

    Answer: b) Gastroenteritis

  2. Which condition is characterized by the presence of blood in the stool and abdominal pain in infants?
    a) Intussusception
    b) Hirschsprung disease
    c) Gastroesophageal reflux disease
    d) Celiac disease

    Answer: a) Intussusception

  3. What is the most common symptom of gastroesophageal reflux disease (GERD) in infants?
    a) Vomiting
    b) Diarrhea
    c) Constipation
    d) Abdominal distension

    Answer: a) Vomiting

  4. Which of the following is a common cause of chronic diarrhea in children?
    a) Lactose intolerance
    b) Appendicitis
    c) Peptic ulcer
    d) Hernia

    Answer: a) Lactose intolerance

  5. What is the hallmark of celiac disease in children?
    a) Abdominal pain
    b) Failure to thrive
    c) Diarrhea
    d) Constipation

    Answer: b) Failure to thrive

  6. Which condition is characterized by the inability to digest gluten?
    a) Crohn’s disease
    b) Celiac disease
    c) Ulcerative colitis
    d) Irritable bowel syndrome

    Answer: b) Celiac disease

  7. A child presents with jaundice, dark urine, and pale stools. What is the likely diagnosis?
    a) Hepatitis
    b) Appendicitis
    c) Intussusception
    d) Gastroenteritis

    Answer: a) Hepatitis

  8. Which of the following is a common sign of dehydration in children?
    a) Dry mouth
    b) Frequent urination
    c) Increased appetite
    d) Increased weight

    Answer: a) Dry mouth

  9. Which condition presents with recurrent abdominal pain and changes in bowel habits in children?
    a) Irritable bowel syndrome
    b) Crohn’s disease
    c) Ulcerative colitis
    d) Appendicitis

    Answer: a) Irritable bowel syndrome

  10. What is the standard initial management for a child with acute gastroenteritis?
    a) Antibiotics
    b) Intravenous fluids
    c) Oral rehydration solutions
    d) Surgery

    Answer: c) Oral rehydration solutions

  11. Which of the following is a common symptom of appendicitis in children?
    a) Right lower quadrant pain
    b) Left upper quadrant pain
    c) Diffuse abdominal pain
    d) Chest pain

    Answer: a) Right lower quadrant pain

  12. A 5-year-old child presents with a failure to thrive, diarrhea, and abdominal pain. What is the likely diagnosis?
    a) Celiac disease
    b) Peptic ulcer disease
    c) Acute appendicitis
    d) Gastroesophageal reflux disease

    Answer: a) Celiac disease

  13. Which condition is associated with the presence of “currant jelly” stools in children?
    a) Intussusception
    b) Gastroenteritis
    c) Constipation
    d) Ulcerative colitis

    Answer: a) Intussusception

  14. What is the primary diagnostic test for diagnosing celiac disease?
    a) Abdominal ultrasound
    b) Endoscopy with biopsy
    c) X-ray
    d) Blood culture

    Answer: b) Endoscopy with biopsy

  15. Which of the following is a common treatment for chronic constipation in children?
    a) Laxatives
    b) Antibiotics
    c) Antacids
    d) Anti-inflammatory drugs

    Answer: a) Laxatives

  16. A child with chronic abdominal pain, weight loss, and bloody diarrhea is most likely suffering from:
    a) Crohn’s disease
    b) Gastroesophageal reflux disease
    c) Hepatitis
    d) Lactose intolerance

    Answer: a) Crohn’s disease

  17. Which test is used to evaluate liver function in children?
    a) Liver biopsy
    b) Complete blood count
    c) Liver function tests
    d) Urinalysis

    Answer: c) Liver function tests

  18. Which condition is commonly associated with a protruding abdominal mass in infants?
    a) Umbilical hernia
    b) Inguinal hernia
    c) Intussusception
    d) Appendicitis

    Answer: a) Umbilical hernia

  19. What is the most common cause of jaundice in newborns?
    a) Breast milk jaundice
    b) Hemolytic disease of the newborn
    c) Hepatitis
    d) Biliary atresia

    Answer: a) Breast milk jaundice

  20. Which condition involves inflammation of the large intestine and rectum, causing bloody diarrhea?
    a) Ulcerative colitis
    b) Crohn’s disease
    c) Irritable bowel syndrome
    d) Appendicitis

    Answer: a) Ulcerative colitis

  21. Which condition is often indicated by the presence of greasy, foul-smelling stools in children?
    a) Cystic fibrosis
    b) Hepatitis
    c) Gastroenteritis
    d) Intussusception

    Answer: a) Cystic fibrosis

  22. What is a common cause of acute abdominal pain in children after eating?
    a) Acute appendicitis
    b) Gastroesophageal reflux disease
    c) Constipation
    d) Acute pancreatitis

    Answer: b) Gastroesophageal reflux disease

  23. Which of the following is a common symptom of hepatic encephalopathy in children?
    a) Altered mental status
    b) Jaundice
    c) Hepatomegaly
    d) Ascites

    Answer: a) Altered mental status

  24. A child with failure to thrive, recurrent abdominal pain, and weight loss might have:
    a) Crohn’s disease
    b) Gastroesophageal reflux disease
    c) Hepatitis
    d) Intestinal obstruction

    Answer: a) Crohn’s disease

  25. What is the main dietary recommendation for a child diagnosed with lactose intolerance?
    a) Avoid dairy products
    b) Increase fiber intake
    c) Reduce protein intake
    d) Avoid gluten-containing foods

    Answer: a) Avoid dairy products

  26. Which condition is characterized by inflammation of the pancreas in children?
    a) Acute pancreatitis
    b) Chronic pancreatitis
    c) Hepatitis
    d) Gastroenteritis

    Answer: a) Acute pancreatitis

  27. Which diagnostic procedure is used to evaluate gastrointestinal bleeding in children?
    a) Endoscopy
    b) X-ray
    c) MRI
    d) Urinalysis

    Answer: a) Endoscopy

  28. Which condition often presents with recurrent vomiting and is associated with a history of feeding difficulties?
    a) Gastroesophageal reflux disease
    b) Acute appendicitis
    c) Gastroenteritis
    d) Constipation

    Answer: a) Gastroesophageal reflux disease

  29. Which condition is characterized by the abnormal development of the bile ducts leading to cholestasis in infants?
    a) Biliary atresia
    b) Hepatitis
    c) Jaundice
    d) Cystic fibrosis

    Answer: a) Biliary atresia

  30. What is the most common gastrointestinal manifestation of cystic fibrosis in children?
    a) Meconium ileus
    b) Gastroesophageal reflux disease
    c) Intussusception
    d) Appendicitis

    Answer: a) Meconium ileus

  31. Which of the following is a common sign of peptic ulcer disease in children?
    a) Abdominal pain
    b) Constipation
    c) Jaundice
    d) Frequent urination

    Answer: a) Abdominal pain

  32. What is the primary treatment for an infant with gastroesophageal reflux disease?
    a) Acid suppression therapy
    b) Antibiotics
    c) Surgery
    d) Anti-inflammatory medications

    Answer: a) Acid suppression therapy

  33. Which condition is characterized by an abnormality in the development of the gastrointestinal tract, often leading to obstruction?
    a) Intestinal atresia
    b) Hernia
    c) Appendicitis
    d) Diverticulitis

    Answer: a) Intestinal atresia

  34. Which of the following is a common complication of untreated celiac disease in children?
    a) Osteoporosis
    b) Obesity
    c) Hyperthyroidism
    d) Diabetes

    Answer: a) Osteoporosis

  35. What is a common finding in the stool of children with giardiasis?
    a) Greasy stools
    b) Blood
    c) Mucus
    d) Dark color

    Answer: a) Greasy stools

  36. Which condition is commonly associated with an abdominal mass and symptoms of bowel obstruction in children?
    a) Intussusception
    b) Appendicitis
    c) Hepatitis
    d) Constipation

    Answer: a) Intussusception

  37. Which condition often presents with chronic diarrhea and is associated with a lack of digestive enzyme production?
    a) Pancreatic insufficiency
    b) Lactose intolerance
    c) Gastroenteritis
    d) Hepatitis

    Answer: a) Pancreatic insufficiency

  38. Which diagnostic test is most useful for evaluating suspected biliary tract obstruction in children?
    a) Ultrasound
    b) MRI
    c) X-ray
    d) CT scan

    Answer: a) Ultrasound

  39. A child with abdominal pain, diarrhea, and a recent history of travel is most likely suffering from:
    a) Traveler’s diarrhea
    b) Appendicitis
    c) Constipation
    d) Celiac disease

    Answer: a) Traveler’s diarrhea

  40. What is the primary dietary management for a child with celiac disease?
    a) Gluten-free diet
    b) Low-fat diet
    c) High-protein diet
    d) Low-sodium diet

    Answer: a) Gluten-free diet

  41. Which condition can present with abdominal pain and is commonly associated with a history of recent viral infection?
    a) Mesenteric adenitis
    b) Hepatitis
    c) Crohn’s disease
    d) Ulcerative colitis

    Answer: a) Mesenteric adenitis

  42. Which condition is characterized by the presence of gallstones and can lead to abdominal pain and jaundice?
    a) Cholecystitis
    b) Hepatitis
    c) Appendicitis
    d) Gastroenteritis

    Answer: a) Cholecystitis

  43. Which of the following is a common finding in the stool of a child with a parasitic infection?
    a) Worms
    b) Blood
    c) Mucus
    d) Greasy appearance

    Answer: a) Worms

  44. A child presenting with abdominal pain, vomiting, and signs of dehydration might be experiencing:
    a) Gastroenteritis
    b) Hepatitis
    c) Peptic ulcer disease
    d) Constipation

    Answer: a) Gastroenteritis

  45. Which of the following conditions is associated with the presence of hepatic steatosis in children?
    a) Non-alcoholic fatty liver disease
    b) Celiac disease
    c) Crohn’s disease
    d) Lactose intolerance

    Answer: a) Non-alcoholic fatty liver disease

  46. What is the first-line treatment for a child with acute gastroenteritis?
    a) Oral rehydration therapy
    b) Antibiotics
    c) Antacids
    d) Surgery

    Answer: a) Oral rehydration therapy

  47. Which condition often presents with abdominal pain and is associated with a history of ingestion of a corrosive substance?
    a) Corrosive gastritis
    b) Gastroesophageal reflux disease
    c) Appendicitis
    d) Constipation

    Answer: a) Corrosive gastritis

  48. Which test is used to diagnose Helicobacter pylori infection in children?
    a) Urea breath test
    b) Liver biopsy
    c) Endoscopy
    d) X-ray

    Answer: a) Urea breath test

  49. Which of the following is a common symptom of a peptic ulcer in children?
    a) Epigastric pain
    b) Constipation
    c) Frequent urination
    d) Jaundice

    Answer: a) Epigastric pain

  50. Which condition can cause recurrent abdominal pain and is often associated with stress or anxiety in children?
    a) Irritable bowel syndrome
    b) Crohn’s disease
    c) Ulcerative colitis
    d) Hepatitis

    Answer: a) Irritable bowel syndrome