weekly question 19/7/2026

[Admin]

You are called to the neonatal intensive care unit to evaluate a 16-hour-old girl with progressive abdominal distention and respiratory distress requiring 6L HFNC. On examination she has a distended abdomen with a palpable mass above the umbilicus. An abdominal radiograph demonstrates a rounded hypoechoic mass extending from the pelvis to the upper abdomen. There has been no urine output since birth despite intravenous fluids for the last 4 hours. The genitourinary examination is shown below. What is the best next step in her management?



a Diverting colostomy for anorectal malformation

b Suprapubic bladder catheterization

c Incision of the imperforate hymen

d Watchful waiting

e Placement of vaginostomy tube

 

[Ismailmohamed]

C

 

[Kawtar]

You are called to the neonatal intensive care unit to evaluate a 16-hour-old girl with progressive abdominal distention and respiratory distress requiring 6L HFNC. On examination she has a distended abdomen with a palpable mass above the umbilicus. An abdominal radiograph demonstrates a rounded hypoechoic mass extending from the pelvis to the upper abdomen. There has been no urine output since birth despite intravenous fluids for the last 4 hours. The genitourinary examination is shown below. What is the best next step in her management?

View attachment 15055

a Diverting colostomy for anorectal malformation

b Suprapubic bladder catheterization

c Incision of the imperforate hymen

d Watchful waiting

e Placement of vaginostomy tube

b

 

[Sharon]

E

 

[Radwan suleiman abukarsh]

B

 

[Mudasir]

C