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General Surgery · Paediatric surgery
Sample itemWhich feature is most characteristic of intussusception in an infant?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Intermittent colicky pain with red currant jelly stool
Intussusception causes episodic severe pain as bowel telescopes into itself and may progress to vomiting, lethargy, abdominal mass, and red currant jelly stool from mucosal ischemia; urgent reduction is needed.
Option by option
A. Persistent painless jaundice from birth
Neonatal jaundice has different causes and timing.
B. Isolated chronic cough
Chronic cough does not describe bowel telescoping.
C. Symmetric hand arthritis
Symmetric hand arthritis is not a paediatric surgical obstruction presentation.
D. Intermittent colicky pain with red currant jelly stool (correct)
Correct: episodic pain with bloody mucus is a classic intussusception clue.
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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