Anorectal Malformation – Board-Style Questions

What this deck covers

Anorectal Malformation in 20 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 20 cases, in order

1. Before deciding
2. Something in the urine
3. A track on the skin
4. One way out
5. A mass in a girl
6. The lateral film
7. Two separate ends
8. What predicts control
9. Why image the spine
10. Antibiotics
11. When to repair
12. Keeping it open
13. Closing the stoma
14. The commonest problem
15. Clean for school
16. In Down syndrome
17. Three things together
18. A catheter stops short
19. Not seen on the scan
20. The outlook

Diagnoses and management options tested

Across the 20 cases you are asked to choose between options such as: Arrange an MRI of the pelvis before anything else, An infection of the bladder from the delivery, A high lesion that needs a colostomy first, A cloaca, with one opening for all three tracts, A tumour of the ovary, Whether the bowel above is twisted, So stool cannot pass down into the bladder, The length of his stoma, A tumour of the spinal cord, To treat the meconium that was in his urine, Not before school age, Nothing, since it will stretch with normal stools, Only after he is dry at night, Hard, infrequent stools rather than leakage.

Clinical pearls from this deck

• Give the fistula a day to speak before choosing the operation.
• Meconium in the urine means the rectum is talking to the bladder.
• Meconium on the skin means the rectum is near the skin: fix it from below.
• Count the openings in a girl: one means cloaca.
• A pelvic mass in a cloaca is a vagina full of urine until proved otherwise.
• The prone film asks one question: how far is the rectum from the skin?

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Neonatology case decks · pediatric reference values.