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Kaplan Qbank USMLE



Author7 Posts
  #1

A baby is born to an immigrant from third world country who did not hv prenatal care.the baby has significant respiratory problems n dies minutes after birth,autopsy demonstrate intestine within thoracic cavity,most likely accounts for these findings?

a.heterotopia

b.hypertrophic pyloric stenosis

c.large sliding hernia

d.maldevelopment of the lungs

e.partial absence of diaphragm


  #2

e.grin...i have done this q before and i got it wrong then

  #3

grin nod h4db!smiling face

i wonder even after 3 days just one post?


  #4

E


  #5

d. cong. disphragmatic hernia leads to pulm hypoplasia

  #6

E
i hav seen this case


  #7

sorry for late reply!

Explanation:
The correct answer is E. In some infants, there is a weakness or partial-to-total absence of
the diaphragm (often on the left) which, if sufficiently large, can permit herniation of
abdominal contents into the thorax. Small defects are usually surgically correctable, but large
ones may cause rapidly lethal respiratory embarrassment in the newborn.
Maldevelopment of the lungs (choice D) is a result rather than the cause of this baby's problems.









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