Meckel Diverticulum – Board-Style Questions

What this deck covers

Meckel diverticulum in 18 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 18 cases, in order

1. Built like the bowel
2. Where to look
3. The exact bleeding point
4. Before the tracer study
5. Scan normal, story typical
6. Too old for the usual
7. Obstructed, never operated on
8. A normal appendix
9. Discharge from the navel
10. The other tissue
11. Which operation
12. Found by chance
13. Inside the sac
14. Numbers for the parents
15. A positive scan, but not Meckel
16. A red lump that will not settle
17. A falsely negative study
18. Sudden peritonitis

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Serosa and fat without any lining cells, Antimesenteric distal ileum, near the ileocaecal valve, In the stomach, from a stress erosion of its lining, A glass of milk just before injection, Laparoscopic exploration to inspect the bowel, A lymphoid follicle swollen after a viral illness, The ligament of Treitz in an abnormal position, Close and treat with intravenous antibiotics alone, A patent vitellointestinal duct, Endometrium, Simple ligation and division of the narrow neck only, Leave it, as it has caused no symptoms, A hernia of Littre, It is rare, affecting 1 in 10,000, and all cause symptoms.

Clinical pearls from this deck

• Meckel is a true diverticulum: every layer is present.
• Look on the antimesenteric distal ileum, near the valve.
• Meckel bleeding comes from an ulcer in the ileum beside it.
• Before the tracer study, an H2 blocker lifts sensitivity.
• Negative scan but a classic story: look laparoscopically.
• Older child, small bowel intussusception: think Meckel.

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 Gastroenterology Board Questions case decks · pediatric reference values.