Question 1

A 2-month-old spits up after feeding but gains weight well. Diagnosis?*

A. Pyloric stenosis

B. GER

C. NEC

D. Sepsis

Question 2

Infant with GER should be fed:*

A. Large feeds

B. Upright position

C. Prone sleeping

D. Solid foods

Question 3

Warning sign NOT typical for GER:*

A. Poor weight gain

B. Forceful vomiting

C. Irritability

D. Spitting up

Question 4

Best initial management:*

A. Surgery

B. Upright after feeds

C. Steroids

D. IV fluids

Question 5

GER becomes concerning when:*

A. Baby smiles

B. Baby spits small amounts

C. Blood in vomit

D. Sneezing

Question 6

GERD vs GER distinguished by:*

A. Spitting only

B. Feeding refusal/poor growth

C. Burping

D. Hiccups

Question 7

Severe GER may cause:*

A. Apnea

B. Cyanosis

C. Stridor

Question 8

Formula-fed baby with GER—first change:*

A. Switch to soy

B. Switch to hydrolyzed formula

C. Stop feeds

D. Give antibiotics

Question 9

GER infants should sleep:*

A. On stomach

B. On side

C. On back

D. Sitting up

Question 10

A baby with GER vomits green fluid. What now?*

A. Normal

B. Urgent evaluation

C. Switch formula

D. Delay feeding

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