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MCQs Hirschsprungs disease.pptx
1. MCQ
• A three-year-old male child presents with history of
constipation and abdominal distension for the last two
years. The plain radiograph of abdomen reveals fecal
matter containing distended bowel loops. A barium enema
study done subsequently shows a transition zone at the
rectosigmoid junction with reversal of rectosigmoid
ratio. The most probable diagnosis is: (AIIMS/03)
A. Anal atresia
B. Malrotation of the gut
C. Hirschsprung's disease
D. Congenital megacolon
2. MCQ
• A three-year-old male child presents with history of
constipation and abdominal distension for the last two
years. The plain radiograph of abdomen reveals fecal
matter containing distended bowel loops. A barium enema
study done subsequently shows a transition zone at the
rectosigmoid junction with reversal of rectosigmoid
ratio. The most probable diagnosis is: (AIIMS/03)
A. Anal atresia
B. Malrotation of the gut
C. Hirschsprung's disease
D. Congenital megacolon
3. MCQ
• Regarding mild Hirschsprung's disease in an infant is true:
(LB24th/1153) (AIIMS 99)
A. Normal manometry excludes diagnosis
B. Large ganglion on histology is present
C. Suction rectal biopsy is done
D. Barium enema is essential for diagnosis
4. MCQ
• Regarding mild Hirschsprung's disease in an infant is true:
(LB24th/1153) (AIIMS 99)
A. Normal manometry excludes diagnosis
B. Large ganglion on histology is present
C. Suction rectal biopsy is done
D. Barium enema is essential for diagnosis
5. TEACHING POINT
Hirschsprung's disease- Caused by absence of ganglion cells in the neural
plexus of the intestinal wall, together with hypertrophy of the nerve trunk.
• Usually involves the rectum and lower sigmoid colon
There is contracted nonperistaltic segment with a dilated hypertrophied
segment of normal colon above it.
CAF- More common in males and associated with Down's syndrome
• Presentation is usually on 3rd postnatal day but may be
• Delayed pasage of meconium beyond the first 24 hours of life together
with abdominal distension following feeds and bilous vomiting
• Chronic constipation starting in the first few weeks of life Diagnosis isby
full thickness rectal biopsy
• Treatment usually requires an emergency defunctioning stoma shortly
after birth and major reconstructive procedure later, when child's of
greater than 10 kg.
One stagee procedures are Duhamel's operation and Swenson's operation
6. MCQ
• True about Hirschsprung's disease: (LB24th/1153) (AIIMS 97)
A. Autosomal dominant
B. Loss of ganglion cell from myenteric plexus
C. Loss of ganglion cell from submucous plexus
D. More common in females
7. MCQ
• True about Hirschsprung's disease: (LB24th/1153) (AIIMS 97)
A. Autosomal dominant
B. Loss of ganglion cell from myenteric plexus
C. Loss of ganglion cell from submucous plexus
D. More common in females
8. MCQ
• Investigation of choice to diagnose Hirschsprung's disease is :
(AIIMS/03)
A. Rectal manometry
B. Barium enema
C. Rectal biopsy
D. Laparotomy
9. MCQ
• Investigation of choice to diagnose Hirschsprung's disease is :
(AIIMS/03)
A. Rectal manometry
B. Barium enema
C. Rectal biopsy
D. Laparotomy
10. MCQ
• Aganglionic part of Hirschsprung's disease the common part involved:
(LB24th/1153) (UP 95)
A. Duodenum
B. Ilium
C. Jejunum
D. Rectum
11. MCQ
• Aganglionic part of Hirschsprung's disease the common part involved:
(LB24th/1153) (UP 95)
A. Duodenum
B. Ilium
C. Jejunum
D. Rectum
12. MCQ
• Etiology of Hirschsprung's disease is: (LB24th/1153) (AZIMS 86)
A. Abesence of Meissner's plexus
B. Absence of mesenteric plexus
C. Absence of both
D. None of above
13. MCQ
• Etiology of Hirschsprung's disease is: (LB24th/1153) (AZIMS 86)
A. Abesence of Meissner's plexus
B. Absence of mesenteric plexus
C. Absence of both
D. None of above
14. MCQ
• A three-year-old male child presents with history of constipation and
abdominal distension for the last two years. The plain radiograph of
abdomen reveals fecal matter containing distended bowel loops. A
barium enema study done subsequently shows a transition zone at the
rectosigmoid junction with reversal of rectosigmoid ratio. The most
probable diagnosis is: (AIIMS/03)
A. Anal atresia
B. Malrotation of the gut
C. Hirschsprung's disease
D. Congenital megacolon.
15. MCQ
• A three-year-old male child presents with history of constipation and
abdominal distension for the last two years. The plain radiograph of
abdomen reveals fecal matter containing distended bowel loops. A
barium enema study done subsequently shows a transition zone at the
rectosigmoid junction with reversal of rectosigmoid ratio. The most
probable diagnosis is: (AIIMS/03)
A. Anal atresia
B. Malrotation of the gut
C. Hirschsprung's disease
D. Congenital megacolon.
16. MCQ
• Investigation of choice to diagnose Hirschsprung's disease is :
(AIIMS/03)
A. Rectal manometry
B. Barium enema
C. Rectal biopsy
D. Laparotomy
17. MCQ
• Investigation of choice to diagnose Hirschsprung's disease is :
(AIIMS/03)
A. Rectal manometry
B. Barium enema
C. Rectal biopsy
D. Laparotomy
18. MCQ
• Hirschspurung's disease: (LB24th / 1154) (AIIMS 91)
A. Females>males
B. Appear on 3rd day
C. Anorectal biopsy can be done in doubtful cases
D. Rx is by recurrent oral dilation
19. MCQ
• Hirschspurung's disease: (LB24th / 1154) (AIIMS 91)
A. Females>males
B. Appear on 3rd day
C. Anorectal biopsy can be done in doubtful cases
D. Rx is by recurrent oral dilation
20. MCQ
• Dilated segment in Hirschsprung's disease is: (LB/1027) (AIIMS 99)
A. Proximal to aganglionic segment
B. Distal to aganglionic segment
C. Whole bowel is dilated
D. Itself is aganglionic
21. MCQ
• Dilated segment in Hirschsprung's disease is: (LB/1027) (AIIMS 99)
A. Proximal to aganglionic segment
B. Distal to aganglionic segment
C. Whole bowel is dilated
D. Itself is aganglionic
22. MCQ
• The operative treatment in Hirschsprung's disease is only undertaken
when child: (LB / 1028) (PGI 79, TN 89)
A. Is 2 years of age
B. Is at least 8 kg in weight and thriving
C. Has no distention of abdomen
D. Has failed to respond to conservative treatment
23. MCQ
• The operative treatment in Hirschsprung's disease is only undertaken
when child: (LB / 1028) (PGI 79, TN 89)
A. Is 2 years of age
B. Is at least 8 kg in weight and thriving
C. Has no distention of abdomen
D. Has failed to respond to conservative treatment
24. MCQ
• Following procedures (except one) are done for correction of
Hirschsprung's disease: (LB24th/1155) (JIPMER 91, AIIMS 87)
A. Duhamel's
B. Soave's
C. Swenson's
D. Bayar's
25. MCQ
• Following procedures (except one) are done for correction of
Hirschsprung's disease: (LB24th/1155) (JIPMER 91, AIIMS 87)
A. Duhamel's
B. Soave's
C. Swenson's
D. Bayar's
26. MCQ
• When rectal washouts are given to Hirschsprung's disease the
following fluid is used: (LB24th/1155) (KARN 95)
A. 5% dextrose
B. Normal saline
C. Soap solution
D. Tap water
27. MCQ
• When rectal washouts are given to Hirschsprung's disease the
following fluid is used: (LB24th/1155) (KARN 95)
A. 5% dextrose
B. Normal saline
C. Soap solution
D. Tap water
28. MCQ
• True about Hirschsprung's disease: (LB24th/1153) (AIIMS 97)
A. Autosomal dominant
B. Loss of ganglion cell from myenteric plexus
C. Loss of ganglion cell from submucous plexus
D. ore common in females
29. MCQ
• True about Hirschsprung's disease: (LB24th/1153) (AIIMS 97)
A. Autosomal dominant
B. Loss of ganglion cell from myenteric plexus
C. Loss of ganglion cell from submucous plexus
D. ore common in females
30. MCQ
• Regarding mild Hirschsprung's disease in an infant is true:
(LB24th/1153) (AIIMS 99)
A. Normal manometry excludes diagnosis
B. Large ganglion on histology is present
C. Suction rectal biopsy is done
D. Barium enema is essential for diagnosis
31. MCQ
• Regarding mild Hirschsprung's disease in an infant is true:
(LB24th/1153) (AIIMS 99)
A. Normal manometry excludes diagnosis
B. Large ganglion on histology is present
C. Suction rectal biopsy is done
D. Barium enema is essential for diagnosis
32. MCQ
• Diagnostic of Hirschsprung's disease is: (LB24th l 1154) (UPSC 87,
88)
A. Barium enema
B. Rectal examinations
C. Manometry
D. Rectal biopsy
33. MCQ
• Diagnostic of Hirschsprung's disease is: (LB24th l 1154) (UPSC 87,
88)
A. Barium enema
B. Rectal examinations
C. Manometry
D. Rectal biopsy
34. MCQ
• Dilated segment in Hirschsprung's disease is: (LB/1027) (AIIMS 99)
A. Proximal to aganglionic segment
B. Distal to aganglionic segment
C. Whole bowel is dilated
D. Itself is aganglionic
35. MCQ
• Dilated segment in Hirschsprung's disease is: (LB/1027) (AIIMS 99)
A. Proximal to aganglionic segment
B. Distal to aganglionic segment
C. Whole bowel is dilated
D. Itself is aganglionic
36. MCQ
• The operative treatment in Hirschsprung's disease is only undertaken
when child: (LB / 1028) (PGI 79, TN 89)
A. Is 2 years of age
B. Is at least 8 kg in weight and thriving
C. Has no distention of abdomen
D. Has failed to respond to conservative treatment
37. MCQ
• The operative treatment in Hirschsprung's disease is only undertaken
when child: (LB / 1028) (PGI 79, TN 89)
A. Is 2 years of age
B. Is at least 8 kg in weight and thriving
C. Has no distention of abdomen
D. Has failed to respond to conservative treatment
38. MCQ
• Following procedures (except one) are done for correction of
Hirschsprung's disease: (LB24th/1155) (JIPMER 91, AIIMS 87)
A. Duhamel's
B. Soave's
C. Swenson's
D. Bayar's
39. MCQ
• Following procedures (except one) are done for correction of
Hirschsprung's disease: (LB24th/1155) (JIPMER 91, AIIMS 87)
A. Duhamel's
B. Soave's
C. Swenson's
D. Bayar's
40. MCQ
• When rectal washouts are given to Hirschsprung's disease the
following fluid is used: (LB24th/1155) (KARN 95)
A. 5% dextrose
B. Normal saline
C. Soap solution
D. Tap water
41. MCQ
• When rectal washouts are given to Hirschsprung's disease the
following fluid is used: (LB24th/1155) (KARN 95)
A. 5% dextrose
B. Normal saline
C. Soap solution
D. Tap water
42. MCQ
• Hirschspurung's disease: (LB24th / 1154) (AIIMS 91)
A. Females>males
B. Appear on 3rd day
C. Anorectal biopsy can be done in doubtful cases
D. Rx is by recurrent oral dilation
43. MCQ
• Hirschspurung's disease: (LB24th / 1154) (AIIMS 91)
A. Females>males
B. Appear on 3rd day
C. Anorectal biopsy can be done in doubtful cases
D. Rx is by recurrent oral dilation
44. MCQ
• Hirschsprung's disease is best diagnosed by: (Karnataka 08)
A. Full thickness rectal biopsy
B. Partial thickness rectal biopsy
C. Pressure studies
D. Barium enema
45. MCQ
• Hirschsprung's disease is best diagnosed by: (Karnataka 08)
A. Full thickness rectal biopsy
B. Partial thickness rectal biopsy
C. Pressure studies
D. Barium enema
46. MCQ
• True about Hirschsprung's disease A/E (DNB Dec 07)
A. Aganglionic colon
B. Presents with decreased passage of shoot
C. Never associated with Down's syndrome
D. Thickening of nerve seen
47. MCQ
• True about Hirschsprung's disease A/E (DNB Dec 07)
A. Aganglionic colon
B. Presents with decreased passage of shoot
C. Never associated with Down's syndrome
D. Thickening of nerve seen
48. MCQ
• Regarding Hirschsprung's disease which is true?
A. More in females
B. Presentation within 3 days
C. Rectal biopsy diagnostic (KAR-1 992-93)
D. Regular dilatation effective
49. MCQ
• Regarding Hirschsprung's disease which is true?
A. More in females
B. Presentation within 3 days
C. Rectal biopsy diagnostic (KAR-1 992-93)
D. Regular dilatation effective
50. MCQ
• The fluid used for bowel wash in Hirschpsung's disease is
A. Tap water
B. Normal saline
C. Soap water
D. Glycerol (JIP - 1991)
51. MCQ
• The fluid used for bowel wash in Hirschpsung's disease is
A. Tap water
B. Normal saline
C. Soap water
D. Glycerol (JIP - 1991)
52. MCQ
• In Hirschsprung's disease, the defect lies in
A. Parasympathetic ganglia
B. Sympathetic ganglia
C. Spinal cord
D. Smooth muscle
53. MCQ
• In Hirschsprung's disease, the defect lies in
A. Parasympathetic ganglia
B. Sympathetic ganglia
C. Spinal cord
D. Smooth muscle
54. MCQ
• Which is not true of Hirschsprung's disease?
A. Anal sphincter normal
B. Reduced ganglion cells
C. More in males
D. Diagnosed by biopsy
55. MCQ
• Which is not true of Hirschsprung's disease?
A. Anal sphincter normal
B. Reduced ganglion cells
C. More in males
D. Diagnosed by biopsy
56. MCQ
• In Hirschsprung's disease there is
A. Deficiency of acetylcholine
B. Deficiency of ganglion cells
C. Absence of ganglion cells
D. All of the above
57. MCQ
• In Hirschsprung's disease there is
A. Deficiency of acetylcholine
B. Deficiency of ganglion cells
C. Absence of ganglion cells
D. All of the above
60. MCQ
• Following are true of clinical picture of Hirschsprung's disease except
A. Failure to pass meconium in 24 hrs
B. Lax anal sphincter
C. Visible peristalsis
D. Empty rectum
61. MCQ
• Following are true of clinical picture of Hirschsprung's disease except
A. Failure to pass meconium in 24 hrs
B. Lax anal sphincter
C. Visible peristalsis
D. Empty rectum
62. MCQ
• Diagnostic of Hirschsprungs disease is ---- 3.72aaaII
A. Barium enema (JIPMER 87)
B. Rectal examination
C. Manometry
D. Rectal biopsy
63. MCQ
• Diagnostic of Hirschsprungs disease is ---- 3.72aaaII
A. Barium enema (JIPMER 87)
B. Rectal examination
C. Manometry
D. Rectal biopsy
64. MCQ
• Which is true regarding Hirschsprungs disease – ---- 3.72aaaII (AIIMS
91)
A. More in females
B. Presentation within 3 days
C. Regular dilatation is effective
D. Rectal biopsy diagnostic
65. MCQ
• Which is true regarding Hirschsprungs disease – ---- 3.72aaaII (AIIMS
91)
A. More in females
B. Presentation within 3 days
C. Regular dilatation is effective
D. Rectal biopsy diagnostic
66. MCQ
• operative treatment in Hirschsprung's diseas is only undertaken when
child ----3.73aaaII (PGI79, TN89,
A. Is 2 years of age
B. Is at least 8 kg in weight and thriving
C. Has no distension of abdomen
D. Has failed to respond to conservative treatment
67. MCQ
• operative treatment in Hirschsprung's diseas is only undertaken when
child ----3.73aaaII (PGI79, TN89,
A. Is 2 years of age
B. Is at least 8 kg in weight and thriving
C. Has no distension of abdomen
D. Has failed to respond to conservative treatment
68. MCQ
• When rectal washouts are given to Hirshsprung's disease, the following
flifluid is used ----3.73aaaII (Karn 95)
A. 5% dextrose
B. Normal saline
C. Soap solution
D. Tap water
69. MCQ
• When rectal washouts are given to Hirshsprung's disease, the following
flifluid is used ----3.73aaaII (Karn 95)
A. 5% dextrose
B. Normal saline
C. Soap solution
D. Tap water
70. MCQ
• Hirschprung's disease is treated by - ---3.74aaaII
A. Colostomy
B. Excision of a ganglionic segment
C. Colectomy
D. Sodium chloride wash
71. MCQ
• Hirschprung's disease is treated by - ---3.74aaaII
A. Colostomy
B. Excision of a ganglionic segment
C. Colectomy
D. Sodium chloride wash
72. MCQ
• Absence of myenteric ganglion is seen in-----3.74aaaII
A. Crohn's disease
B. Ulcerative colitis
C. Hirschprung's disease
D. Intussusception
73. MCQ
• Absence of myenteric ganglion is seen in-----3.74aaaII
A. Crohn's disease
B. Ulcerative colitis
C. Hirschprung's disease
D. Intussusception
74. MCQ
• Investigation of choice in hirschsprug's disease is - ---3.74aaaII
(PGI98)
A. Rectal manometry
B. Rectal examination
C. Rectal biopsy
D. Ba enema
75. MCQ
• Investigation of choice in hirschsprug's disease is - ---3.74aaaII
(PGI98)
A. Rectal manometry
B. Rectal examination
C. Rectal biopsy
D. Ba enema
76. MCQ
• True about Hirschsprung's disease ------3.75aaaII (PGI01)
A. Pathology of myenteric plexus of Auerbach
B. Blood in stools
C. May involve small intestine rarely
D. Involved segment of intestine is dilated
E. Present only in infant & children-----3.75aaaII
77. MCQ
• True about Hirschsprung's disease ------3.75aaaII (PGI01)
A. Pathology of myenteric plexus of Auerbach
B. Blood in stools
C. May involve small intestine rarely
D. Involved segment of intestine is dilated
E. Present only in infant & children-----3.75aaaII
78. MCQ
• Hirchprung's disease - ---3.76aaaII
A. Is seen in infants and children only
B. Absence of ganglia in involved segement
C. The involved segment is the dilated colon
D. Bleeding PR is a presenting feature
E. urgery is used in therapy
79. MCQ
• Hirchprung's disease - ---3.76aaaII
A. Is seen in infants and children only
B. Absence of ganglia in involved segement
C. The involved segment is the dilated colon
D. Bleeding PR is a presenting feature
E. urgery is used in therapy
80. MCQ
• Which of these are associated with increased risk of colorectal ca - ---
3.76aaaII (PG101)
A. More intake of animal fat
B. Aspirin
C. Ulcerative colitis
D. Amoebic colitis
E. Polyps
81. MCQ
• Which of these are associated with increased risk of colorectal ca - ---
3.76aaaII (PG101)
A. More intake of animal fat
B. Aspirin
C. Ulcerative colitis
D. Amoebic colitis
E. Polyps
82. MCQ
• Hirschprung's disease true are ----3.78aaaII (PGIJune 06)
A. Sometimes found in adult
B. Dilated segment involved
C. Auerbach's plexus absent
D. Sometimes involve small intestine
E. Bleeding PR is usual presentation.
83. MCQ
• Hirschprung's disease true are ----3.78aaaII (PGIJune 06)
A. Sometimes found in adult
B. Dilated segment involved
C. Auerbach's plexus absent
D. Sometimes involve small intestine
E. Bleeding PR is usual presentation.
84. MCQ
• Duhamel operation is done in -----3.105aaaII (JIPMER 81,
A. Congenital pyloric stenosis UPSC 89)
B. Hiatus hernia
C. Achlasia cardia
D. Hirschsprung's disease
85. MCQ
• Duhamel operation is done in -----3.105aaaII (JIPMER 81,
A. Congenital pyloric stenosis UPSC 89)
B. Hiatus hernia
C. Achlasia cardia
D. Hirschsprung's disease
86. MCQ
• Aganglionic segment is encountered in which pt of colon in case of
Hirchsprung's disease -----10.14 / aims pgmee questions - nov., 1999
A. Distal to dilated segment
B. In whole colon
C. Proximal to dilated segment
D. In dilated segment
87. MCQ
• Aganglionic segment is encountered in which pt of colon in case of
Hirchsprung's disease -----10.14 / aims pgmee questions - nov., 1999
A. Distal to dilated segment
B. In whole colon
C. Proximal to dilated segment
D. In dilated segment