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Pediatrics · Gastroenterology: intussusception
Sample itemWhich imaging and treatment option can reduce uncomplicated ileocolic intussusception in a stable child?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Air or contrast enema under imaging guidance
In stable uncomplicated ileocolic intussusception, an image-guided pneumatic or contrast enema can both diagnose and reduce the intussusception. Peritonitis or perforation requires surgery.
Option by option
A. Immediate total colectomy
Colectomy is not routine first-line treatment.
B. Air or contrast enema under imaging guidance (correct)
Correct. Enema reduction is a standard nonsurgical treatment in selected cases.
C. Routine tonsillectomy
Tonsillectomy is unrelated.
D. Oral proton-pump inhibitor
Acid suppression does not reduce intussusception.
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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