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Anatomy · Embryology: gut rotation
Sample itemFailure of the embryonic midgut to return to the abdominal cavity results in bowel herniation covered by a membrane at the umbilicus. What is this defect?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Omphalocele
Omphalocele results from failure of midgut return and is covered by peritoneum and amnion. Gastroschisis is a paraumbilical wall defect without a covering membrane.
Option by option
A. Umbilical hernia of infancy
Infant umbilical hernia passes through a closed cord ring and is skin covered.
B. Gastroschisis
Gastroschisis lacks a protective sac and is usually right of the umbilicus.
C. Omphalocele (correct)
Correct. Membrane-covered herniation through the umbilical ring is omphalocele.
D. Meckel diverticulum
Meckel diverticulum is a vitelline-duct remnant in ileum.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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