Gastroenterology: Meckel diverticulum: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Gastroenterology: Meckel diverticulum

Sample item

A 2-year-old has painless, large-volume rectal bleeding. Which investigation is most useful?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Technetium-99m pertechnetate scan

Meckel diverticulum follows the rule of 2s: 2 percent of the population, 2 feet from the ileocaecal valve, 2 inches long, and presents under 2 years. Bleeding comes from ectopic gastric mucosa, which takes up pertechnetate. Treatment is surgical resection.

Option by option

  • A. Upper GI endoscopy

    Upper endoscopy does not see the ileum.

  • B. Barium enema

    Barium enema is not the test of choice.

  • C. Stool culture

    Stool culture does not explain painless bleeding.

  • D. Technetium-99m pertechnetate scan (correct)

    Correct. The scan detects ectopic gastric mucosa.

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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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is D, Technetium-99m pertechnetate scan. Meckel diverticulum follows the rule of 2s: 2 percent of the population, 2 feet from the ileocaecal valve, 2 inches long, and presents under 2 years.

Why is "Upper GI endoscopy" not the answer?

Upper endoscopy does not see the ileum.

Why is "Barium enema" not the answer?

Barium enema is not the test of choice.

Why is "Stool culture" not the answer?

Stool culture does not explain painless bleeding.

What concept does this question test?

It tests Gastroenterology: Meckel diverticulum in Pediatrics. Bleeding comes from ectopic gastric mucosa, which takes up pertechnetate. Treatment is surgical resection.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gastroenterology: Meckel diverticulum?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.