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MBBS QUESTION #10157
Question 1
A neonate presents with excessive frothing at the mouth, choking on feeds, and inability to pass a nasogastric tube into the stomach. This is most consistent with a failure of proper division of the foregut by the tracheoesophageal septum, resulting in:
  • Tracheo-esophageal fistula with esophageal atresia✔️
  • Pyloric stenosis
  • Duodenal atresia
  • Meckel's diverticulum
Correct Answer Explanation
Incomplete division of the foregut by the tracheoesophageal septum results in a spectrum of tracheoesophageal fistula/esophageal atresia anomalies, presenting with feeding difficulty, choking, and an NG tube that coils in a blind esophageal pouch on X-ray.