Arab Board Surgery Final Written

Practice session

A 5-week-old first-born male infant presents with progressive non-bilious, projectile vomiting immediately after feeds, accompanied by persistent hunger. On physical examination, a mobile, firm 'olive-sized' mass is palpable in the right upper epigastrium. Arterial blood gas and serum chemistry demonstrate hypochloremic, hypokalemic metabolic alkalosis. What is the mandatory management sequence before performing a Ramstedt pyloromyotomy?

Loading your practice session…