Repeated USMLE Questions- Medical Question of the Day- 35

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Q- A 2-year-old boy is brought to the emergency room by his mother. She tells you that her boy has been crying since she picked him up yesterday from the daycare.  She thinks that he has abdominal pain. He vomited twice, and he didn’t want to eat breakfast. There is no history of fever, rashes, or any prior illnesses. On examination, there is diffuse abdominal tenderness.

Laboratory tests are significant for amylase of 1500 and lipase of 2500.

What is the most likely etiology of this boy’s condition?

A – Trauma

B-  Viral infection

C – Cystic fibrosis

D – Gallstones

E – Congenital annular pancreas

Answer and Explanation
Abdominal trauma is the most common cause of acute pancreatitis in children. Daycare is a common place for blunt trauma to kids while playing and fighting with each other. Toddlers often cannot verbalize pain, so they present with crying, vomiting, and refusal to eat.
Viral infection can cause pancreatitis, but is more common in older children and usually follows a viral illness. Cystic fibrosis causes chronic pancreatic insufficiency, not acute pancreatitis with very high enzymes. Gallstones are common cause in adults, rare in a 2-year-old. Annular pancreas typically presents with duodenal obstruction and vomiting in infancy, not acute pancreatitis.

The correct answer is A

Key takeaway:
👉 In toddlers with acute pancreatitis, trauma is the most common etiology and should always be considered.

 

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43 thoughts on “Repeated USMLE Questions- Medical Question of the Day- 35”

  1. Thank you Dr Kona

  2. Thank you Dr Warsame

  3. Thank you Dr Navnath

  4. Thank you Dr Tareq

  5. Thank you Dr Mustafa

  6. Thank you Dr David

  7. Thank you Dr Rachael

  8. Thank you Dr Revilla

  9. Thank you Dr Plakolli

  10. Thank you Dr Eshghabadi

  11. Thank you Dr Patel

  12. Thank you Dr Ayman

  13. Thank you Dr Emad

  14. Thank you Dr Memuna

  15. Thank you Dr Abdul Samad

  16. Thank you Dr Mohammad

  17. Thank you Dr Gurmani

  20. Congenital annular pancreas

  21. Cystic fibrosis

  25. A trauma

  26. Cystic fibrosis

  27. congenital annular pancreas

  28. congenital annular pancreas

  29. Cystic fibrosis

  30. A- trauma

  31. A – Trauma

  32. Cystic fibrosis

  33. Congenital annular pancreas

  34. Congenital annular pancreas

  35. A – Trauma

  36. A – Trauma

  37. The Answer is E Congenital annular pancreas,
    Inflammation of the pancreas, commonly causes high levels of amylase and lipase in the bloodstream,

  38. Congenital annular pancreas

  39. Thank you Dr Sam

  40. Thank you Dr Bharath

  41. Congenital annular pancreas

  43. Cystic fibrosis

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