OA with TOF — RACP Paediatrics MCQ

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ModerateNeonatalOA with TOFRACP Paediatrics

A newborn has excessive drooling and choking. NG tube cannot pass beyond 10 cm. CXR: tube coiled in upper pouch. Gas in stomach. What is the diagnosis?

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Correct answer: E — OA with TOF

NG tube coiling in upper pouch + gas in stomach = OA with distal TOF (type C, ~85%). Nil by mouth, continuous pouch suction, upright position, surgical repair.

Reference: RCH Melbourne – 2023 – OA/TOF CPG