skip to main content

Necrotising enterocolitis — MCCQE Part 1 MCQ

Instant feedback + full explanation. One question, done properly.

HardNeonatal DistressNecrotising enterocolitisMCCQE Part 1

A premature neonate (28 weeks, 1100g) at 3 days of life has feeding intolerance, abdominal distension, bloody stools. AXR: pneumatosis intestinalis and portal venous gas. Most appropriate initial management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — NPO, OG decompression, IV antibiotics, and surgical consultation

NEC: pneumatosis + portal venous gas = stage IIB (Bell). NPO, OG tube, broad-spectrum antibiotics (ampicillin/gentamicin/metronidazole). Serial XRs. Surgical indications: pneumoperitoneum, clinical deterioration.

Reference: CPS NEC Guidelines