Amedco - Quiz

September JPGN Article


A   - The DBPCFC is the gold?standard test, but impractical in the clinical setting.
B   - Confounding factors causing placebo symptoms are easy to recognize and accounted for when analyzing results in open challenges.

A   - Levels of cow’s milk specific IgE are elevated in CMPA, regardless of presenting symptoms.
B   - Gastrointestinal manifestations of CMPA have various etiologies (most of which are still unproven), but IgE is nearly always negative.
C   - Positive skin prick tests always make performing the DBPCFC unnecessary.
D   - Elevated levels of cow’s milk specific IgG and IgA could indicate CMPA.

A   - Vomiting and reflux symptoms can be reliably interpreted even when performing an open food challenge.
B   - Constipation is a typical CMPA symptom.
C   - Excessive crying and fussing, when connected to feeding as perceived by the parents, is a likely to be caused by CMPA.
D   - Diarrhea is a typical CMPA symptom.

A   - Extensively hydrolyzed formulas are well tolerated in gastrointestinally manifested (DBPCFC proven) non-IgE mediated CMPA.

A   - CT scan of the Pelvis
B   - Endoscopic Anorectal Ultrasound

A   - Exam under anesthesia and placement of non?cutting setons
B   - Exam under anesthesia and fistulectomy.
C   - Exam under anesthesia and injection with fibrin glue.

A   - Immunomodulators
B   - Antibiotics
C   - Biologics (infliximab)
D   - Enteral Therapy

A   - Induction of fistula closure
B   - Maintenance of fistula closure
C   - Adjuvant to surgery