GERD and Peptic Ulcer Disease USMLE Step 1 Practice Question
A newborn male presents with coughing, choking, and cyanosis during the first feeding. Maternal history notable for polyhydramnios. Vital signs show HR 160 bpm, RR 58/min, SpO2 88% on room air. Physical examination reveals excessive drooling and abdominal distension. Attempt to pass an orogastric tube meets resistance at 10 cm. Chest X-ray shows coiled tube in the proximal esophagus with no gastric gas bubble. Which of the following is the most likely diagnosis?
Answer choices
- AAnnular pancreas
- BHirschsprung disease
- CEsophageal atresia with distal tracheoesophageal fistulaCorrect answer
- DHypertrophic pyloric stenosis
- EDuodenal atresia
- FLaryngotracheoesophageal cleft
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