{"id":3456,"date":"2022-07-25T20:45:10","date_gmt":"2022-07-25T20:45:10","guid":{"rendered":"https:\/\/staycurrentmd.wpengine.com\/pediatricsurgery\/?p=3456"},"modified":"2022-08-19T13:01:48","modified_gmt":"2022-08-19T13:01:48","slug":"ea-tef-quiz","status":"publish","type":"post","link":"https:\/\/staycurrent.md\/pediatricsurgery\/ea-tef-quiz\/","title":{"rendered":"EA\/TEF Quiz"},"content":{"rendered":"<script>\n                            if (window.qmn_quiz_data === undefined) {\n                                    window.qmn_quiz_data = new Object();\n                            }\n                    <\/script><script>window.qmn_quiz_data[\"2\"] = {\"quiz_id\":\"2\",\"quiz_name\":\"Esophageal Atresia \\\/ Tracheo-esophageal Fistula\",\"disable_answer\":\"0\",\"ajax_show_correct\":\"0\",\"progress_bar\":0,\"contact_info_location\":\"0\",\"qpages\":[],\"skip_validation_time_expire\":0,\"timer_limit_val\":\"0\",\"disable_scroll_next_previous_click\":0,\"disable_first_page\":0,\"enable_result_after_timer_end\":0,\"enable_quick_result_mc\":1,\"end_quiz_if_wrong\":0,\"form_disable_autofill\":0,\"disable_mathjax\":0,\"enable_quick_correct_answer_info\":0,\"quick_result_correct_answer_text\":\"Correct! You have selected correct answer.\",\"quick_result_wrong_answer_text\":\"Wrong! You have selected wrong answer.\",\"quiz_processing_message\":\"\",\"quiz_limit_choice\":\"Limit of choice is reached.\",\"not_allow_after_expired_time\":0,\"scheduled_time_end\":false,\"error_messages\":{\"email_error_text\":\"Not a valid e-mail address!\",\"number_error_text\":\"This field must be a number!\",\"incorrect_error_text\":\"The entered text is not correct!\",\"empty_error_text\":\"Please complete all required fields!\",\"url_error_text\":\"The entered URL is not valid!\",\"minlength_error_text\":\"Required atleast %minlength% characters.\",\"maxlength_error_text\":\"Maximum %maxlength% characters allowed.\",\"recaptcha_error_text\":\"ReCaptcha is missing\"},\"question_list\":{\"10\":{\"question_id\":\"10\",\"quiz_id\":\"2\",\"question_name\":\"\",\"answer_array\":\"a:5:{i:0;a:3:{i:0;s:23:\\\"Immediately after Birth\\\";i:1;d:0;i:2;i:0;}i:1;a:3:{i:0;s:15:\\\"Within 24 hours\\\";i:1;d:0;i:2;i:0;}i:2;a:3:{i:0;s:15:\\\"Within 72 hours\\\";i:1;d:10;i:2;i:1;}i:3;a:3:{i:0;s:11:\\\"In the NICU\\\";i:1;d:0;i:2;i:0;}i:4;a:3:{i:0;s:17:\\\"None of the above\\\";i:1;d:0;i:2;i:0;}}\",\"answer_one\":\"\",\"answer_one_points\":\"0\",\"answer_two\":\"\",\"answer_two_points\":\"0\",\"answer_three\":\"\",\"answer_three_points\":\"0\",\"answer_four\":\"\",\"answer_four_points\":\"0\",\"answer_five\":\"\",\"answer_five_points\":\"0\",\"answer_six\":\"\",\"answer_six_points\":\"0\",\"correct_answer\":\"0\",\"question_answer_info\":\"The operation of a stable patient with Type C Esophageal Atresia \\\/ Tracheoesophageal fistula\\u00a0 is not an emergency. It may be operated on within the first 72 hours of life (e.g. if born Friday and stable OR may be scheduled for Monday).\",\"comments\":\"1\",\"hints\":\"\",\"question_order\":\"1\",\"question_type\":\"0\",\"question_type_new\":\"0\",\"question_settings\":\"a:11:{s:8:\\\"required\\\";i:0;s:12:\\\"answerEditor\\\";s:4:\\\"text\\\";s:14:\\\"question_title\\\";s:106:\\\"Operative management of a newborn with Type C Esophageal Atresia \\\/ Tracheoesophageal Fistula should occur:\\\";s:14:\\\"featureImageID\\\";s:0:\\\"\\\";s:15:\\\"featureImageSrc\\\";s:0:\\\"\\\";s:11:\\\"matchAnswer\\\";s:6:\\\"random\\\";s:8:\\\"autofill\\\";s:0:\\\"\\\";s:10:\\\"limit_text\\\";s:1:\\\"0\\\";s:23:\\\"limit_multiple_response\\\";s:1:\\\"0\\\";s:17:\\\"file_upload_limit\\\";s:1:\\\"0\\\";s:16:\\\"file_upload_type\\\";s:0:\\\"\\\";}\",\"category\":\"\",\"deleted\":\"0\",\"deleted_question_bank\":\"0\",\"answers\":[[\"Immediately after Birth\",0,0],[\"Within 24 hours\",0,0],[\"Within 72 hours\",10,1],[\"In the NICU\",0,0],[\"None of the above\",0,0]]},\"11\":{\"question_id\":\"11\",\"quiz_id\":\"2\",\"question_name\":\"\",\"answer_array\":\"a:5:{i:0;a:3:{i:0;s:20:\\\"H- or N-type fistula\\\";i:1;d:0;i:2;i:0;}i:1;a:3:{i:0;s:47:\\\"Pure tracheoesophageal fistula TEF (no atresia)\\\";i:1;d:0;i:2;i:0;}i:2;a:3:{i:0;s:18:\\\"EA with distal TEF\\\";i:1;d:10;i:2;i:1;}i:3;a:3:{i:0;s:20:\\\"EA with proximal TEF\\\";i:1;d:0;i:2;i:0;}i:4;a:3:{i:0;s:31:\\\"EA with proximal and distal TEF\\\";i:1;d:0;i:2;i:0;}}\",\"answer_one\":\"\",\"answer_one_points\":\"0\",\"answer_two\":\"\",\"answer_two_points\":\"0\",\"answer_three\":\"\",\"answer_three_points\":\"0\",\"answer_four\":\"\",\"answer_four_points\":\"0\",\"answer_five\":\"\",\"answer_five_points\":\"0\",\"answer_six\":\"\",\"answer_six_points\":\"0\",\"correct_answer\":\"0\",\"question_answer_info\":\"<p style=\\\"font-weight: 400\\\"><u>(source: Pearls &amp; Tricks in Pediatric surgery, chapter by C. M. Bence &amp; D. R. Lal, Division of Pediatric Surgery, The Medical College of Wisconsin):<\\\/u>\\u00a0 H- or N-type fistula (4%), Pure tracheoesophageal fistula TEF (no atresia)\\u00a0(7%), EA with distal TEF (85%), EA with proximal TEF (2%), EA with proximal and distal TEF (2%)<\\\/p>\",\"comments\":\"1\",\"hints\":\"\",\"question_order\":\"1\",\"question_type\":\"0\",\"question_type_new\":\"0\",\"question_settings\":\"a:11:{s:8:\\\"required\\\";i:0;s:12:\\\"answerEditor\\\";s:4:\\\"text\\\";s:14:\\\"question_title\\\";s:51:\\\"The most common form of esophageal atresia (EA) is:\\\";s:14:\\\"featureImageID\\\";s:0:\\\"\\\";s:15:\\\"featureImageSrc\\\";s:0:\\\"\\\";s:11:\\\"matchAnswer\\\";s:6:\\\"random\\\";s:8:\\\"autofill\\\";s:0:\\\"\\\";s:10:\\\"limit_text\\\";s:1:\\\"0\\\";s:23:\\\"limit_multiple_response\\\";s:1:\\\"0\\\";s:17:\\\"file_upload_limit\\\";s:1:\\\"0\\\";s:16:\\\"file_upload_type\\\";s:0:\\\"\\\";}\",\"category\":\"\",\"deleted\":\"0\",\"deleted_question_bank\":\"0\",\"answers\":[[\"H- or N-type fistula\",0,0],[\"Pure tracheoesophageal fistula TEF (no atresia)\",0,0],[\"EA with distal TEF\",10,1],[\"EA with proximal TEF\",0,0],[\"EA with proximal and distal TEF\",0,0]]},\"12\":{\"question_id\":\"12\",\"quiz_id\":\"2\",\"question_name\":\"\",\"answer_array\":\"a:5:{i:0;a:3:{i:0;s:64:\\\"is drooling and has abnormal respiratory sounds at one hour old.\\\";i:1;d:10;i:2;i:1;}i:1;a:3:{i:0;s:96:\\\"was large for gestational age, has crepitus at his collar bone, and is not moving his right arm.\\\";i:1;d:0;i:2;i:0;}i:2;a:3:{i:0;s:64:\\\"has a temperature of 100.9 and high heart and respiratory rates.\\\";i:1;d:0;i:2;i:0;}i:3;a:3:{i:0;s:55:\\\"was born at 34 weeks gestation and has low blood sugar.\\\";i:1;d:0;i:2;i:0;}i:4;a:3:{i:0;s:42:\\\"who has a cyanotic heart disease at birth.\\\";i:1;d:0;i:2;i:0;}}\",\"answer_one\":\"\",\"answer_one_points\":\"0\",\"answer_two\":\"\",\"answer_two_points\":\"0\",\"answer_three\":\"\",\"answer_three_points\":\"0\",\"answer_four\":\"\",\"answer_four_points\":\"0\",\"answer_five\":\"\",\"answer_five_points\":\"0\",\"answer_six\":\"\",\"answer_six_points\":\"0\",\"correct_answer\":\"0\",\"question_answer_info\":\"\",\"comments\":\"1\",\"hints\":\"\",\"question_order\":\"1\",\"question_type\":\"0\",\"question_type_new\":\"0\",\"question_settings\":\"a:11:{s:8:\\\"required\\\";i:0;s:12:\\\"answerEditor\\\";s:4:\\\"text\\\";s:14:\\\"question_title\\\";s:122:\\\"What is the most typical presentation of a newborn with Esophageal Atresia with a Tracheoesophageal Fistula? A baby who\\u2026\\\";s:14:\\\"featureImageID\\\";s:0:\\\"\\\";s:15:\\\"featureImageSrc\\\";s:0:\\\"\\\";s:11:\\\"matchAnswer\\\";s:6:\\\"random\\\";s:8:\\\"autofill\\\";s:0:\\\"\\\";s:10:\\\"limit_text\\\";s:1:\\\"0\\\";s:23:\\\"limit_multiple_response\\\";s:1:\\\"0\\\";s:17:\\\"file_upload_limit\\\";s:1:\\\"0\\\";s:16:\\\"file_upload_type\\\";s:0:\\\"\\\";}\",\"category\":\"\",\"deleted\":\"0\",\"deleted_question_bank\":\"0\",\"answers\":[[\"is drooling and has abnormal respiratory sounds at one hour old.\",10,1],[\"was large for gestational age, has crepitus at his collar bone, and is not moving his right arm.\",0,0],[\"has a temperature of 100.9 and high heart and respiratory rates.\",0,0],[\"was born at 34 weeks gestation and has low blood sugar.\",0,0],[\"who has a cyanotic heart disease at birth.\",0,0]]},\"13\":{\"question_id\":\"13\",\"quiz_id\":\"2\",\"question_name\":\"\",\"answer_array\":\"a:5:{i:0;a:3:{i:0;s:3:\\\"30%\\\";i:1;d:0;i:2;i:0;}i:1;a:3:{i:0;s:3:\\\"20%\\\";i:1;d:0;i:2;i:0;}i:2;a:3:{i:0;s:3:\\\"10%\\\";i:1;d:0;i:2;i:0;}i:3;a:3:{i:0;s:2:\\\"5%\\\";i:1;d:0;i:2;i:0;}i:4;a:3:{i:0;s:12:\\\"less than 3%\\\";i:1;d:10;i:2;i:1;}}\",\"answer_one\":\"\",\"answer_one_points\":\"0\",\"answer_two\":\"\",\"answer_two_points\":\"0\",\"answer_three\":\"\",\"answer_three_points\":\"0\",\"answer_four\":\"\",\"answer_four_points\":\"0\",\"answer_five\":\"\",\"answer_five_points\":\"0\",\"answer_six\":\"\",\"answer_six_points\":\"0\",\"correct_answer\":\"0\",\"question_answer_info\":\"\",\"comments\":\"1\",\"hints\":\"\",\"question_order\":\"1\",\"question_type\":\"0\",\"question_type_new\":\"0\",\"question_settings\":\"a:11:{s:8:\\\"required\\\";i:0;s:12:\\\"answerEditor\\\";s:4:\\\"text\\\";s:14:\\\"question_title\\\";s:127:\\\"Spontaneous intrauterine fetal demise occurs in how many % of cases with esophageal atresia\\\/ tracheoesophaeal fistula (EA\\\/TEF)?\\\";s:14:\\\"featureImageID\\\";s:0:\\\"\\\";s:15:\\\"featureImageSrc\\\";s:0:\\\"\\\";s:11:\\\"matchAnswer\\\";s:6:\\\"random\\\";s:8:\\\"autofill\\\";s:0:\\\"\\\";s:10:\\\"limit_text\\\";s:1:\\\"0\\\";s:23:\\\"limit_multiple_response\\\";s:1:\\\"0\\\";s:17:\\\"file_upload_limit\\\";s:1:\\\"0\\\";s:16:\\\"file_upload_type\\\";s:0:\\\"\\\";}\",\"category\":\"\",\"deleted\":\"0\",\"deleted_question_bank\":\"0\",\"answers\":[[\"30%\",0,0],[\"20%\",0,0],[\"10%\",0,0],[\"5%\",0,0],[\"less than 3%\",10,1]]},\"14\":{\"question_id\":\"14\",\"quiz_id\":\"2\",\"question_name\":\"\",\"answer_array\":\"a:5:{i:0;a:3:{i:0;s:7:\\\"Cardiac\\\";i:1;d:10;i:2;i:1;}i:1;a:3:{i:0;s:5:\\\"Renal\\\";i:1;d:0;i:2;i:0;}i:2;a:3:{i:0;s:4:\\\"Limb\\\";i:1;d:0;i:2;i:0;}i:3;a:3:{i:0;s:9:\\\"Anorectal\\\";i:1;d:0;i:2;i:0;}i:4;a:3:{i:0;s:9:\\\"Vertebral\\\";i:1;d:0;i:2;i:0;}}\",\"answer_one\":\"\",\"answer_one_points\":\"0\",\"answer_two\":\"\",\"answer_two_points\":\"0\",\"answer_three\":\"\",\"answer_three_points\":\"0\",\"answer_four\":\"\",\"answer_four_points\":\"0\",\"answer_five\":\"\",\"answer_five_points\":\"0\",\"answer_six\":\"\",\"answer_six_points\":\"0\",\"correct_answer\":\"0\",\"question_answer_info\":\"<div><u>(source: Pearls &amp; Tricks in Pediatric surgery, chapter by C. M. Bence &amp; D. R. Lal, Division of Pediatric Surgery, The Medical College of Wisconsin):<\\\/u><\\\/div>\\n\\u00a0 The most common congenital anomalies associated with EA\\\/TEF involve the Vertebral, Anorectal, Cardiac, \\u00a0TEF, Renal and Limb abnormality (VACTERL) spectrum of disorders. Nearly 70% of infants with EA will have at least one other associated anomaly, ost commonly cardiac \\u00a0(~35%), with many patients having multiple. Associated chromosomal abnormalities include trisomies 18 and 21, as well as CHARGE syndrome.\",\"comments\":\"1\",\"hints\":\"\",\"question_order\":\"1\",\"question_type\":\"0\",\"question_type_new\":\"0\",\"question_settings\":\"a:11:{s:8:\\\"required\\\";i:0;s:12:\\\"answerEditor\\\";s:4:\\\"text\\\";s:14:\\\"question_title\\\";s:98:\\\"Most infants with EA will have at least one other associated anomaly, which is the most common one\\\";s:14:\\\"featureImageID\\\";s:0:\\\"\\\";s:15:\\\"featureImageSrc\\\";s:0:\\\"\\\";s:11:\\\"matchAnswer\\\";s:6:\\\"random\\\";s:8:\\\"autofill\\\";s:0:\\\"\\\";s:10:\\\"limit_text\\\";s:1:\\\"0\\\";s:23:\\\"limit_multiple_response\\\";s:1:\\\"0\\\";s:17:\\\"file_upload_limit\\\";s:1:\\\"0\\\";s:16:\\\"file_upload_type\\\";s:0:\\\"\\\";}\",\"category\":\"\",\"deleted\":\"0\",\"deleted_question_bank\":\"0\",\"answers\":[[\"Cardiac\",10,1],[\"Renal\",0,0],[\"Limb\",0,0],[\"Anorectal\",0,0],[\"Vertebral\",0,0]]},\"15\":{\"question_id\":\"15\",\"quiz_id\":\"2\",\"question_name\":\"\",\"answer_array\":\"a:5:{i:0;a:3:{i:0;s:27:\\\"50% in patients with EA\\\/TEF\\\";i:1;d:0;i:2;i:0;}i:1;a:3:{i:0;s:32:\\\"10% in patients with isolated EA\\\";i:1;d:0;i:2;i:0;}i:2;a:3:{i:0;s:32:\\\"90% in patients with isolated EA\\\";i:1;d:0;i:2;i:0;}i:3;a:3:{i:0;s:134:\\\"Indicative of EA is include polyhydramnios, a small or absent stomach bubble, and a dilated upper esophageal pouch (\\u201cpouch sign\\u201d).\\\";i:1;d:10;i:2;i:1;}i:4;a:3:{i:0;s:110:\\\"The sensitivity and specificity of prenatal diagnosis are not significantly improved with MRI over ultrasound.\\\";i:1;d:0;i:2;i:0;}}\",\"answer_one\":\"\",\"answer_one_points\":\"0\",\"answer_two\":\"\",\"answer_two_points\":\"0\",\"answer_three\":\"\",\"answer_three_points\":\"0\",\"answer_four\":\"\",\"answer_four_points\":\"0\",\"answer_five\":\"\",\"answer_five_points\":\"0\",\"answer_six\":\"\",\"answer_six_points\":\"0\",\"correct_answer\":\"0\",\"question_answer_info\":\"<p style=\\\"font-weight: 400\\\"><u>(source: Pearls &amp; Tricks in Pediatric surgery, chapter by C. M. Bence &amp; D. R. Lal, Division of Pediatric Surgery, The Medical College of Wisconsin):<\\\/u> \\u00a0Prenatal diagnosis of EA is about 20% in patients with EA\\\/TEF and over 50% in patients with isolated EA. Prenatal imaging findings that are indicative of EA include polyhydramnios, a small or absent stomach bubble, and a dilated upper esophageal pouch (\\u201cpouch sign\\u201d). \\u00a0The sensitivity and specificity of prenatal diagnosis are significantly improved with MRI over ultrasound. \\u00a0After birth, infants with EA commonly present with early feeding intolerance and increased oral secretions that can lead to respiratory compromise. The diagnosis of EA is confirmed with failed attempts at orogastric tube placement followed by an abdominal x-ray demonstrating coiling of the enteric tube within the proximal esophageal pouch. The presence of an associated distal TEF is indicated by the finding of gas within the stomach and\\\/or intestine.<\\\/p>\",\"comments\":\"1\",\"hints\":\"\",\"question_order\":\"1\",\"question_type\":\"0\",\"question_type_new\":\"0\",\"question_settings\":\"a:11:{s:8:\\\"required\\\";i:0;s:12:\\\"answerEditor\\\";s:4:\\\"text\\\";s:14:\\\"question_title\\\";s:56:\\\"Which statement on prenatal diagnosis in EA\\\/TEF is true?\\\";s:14:\\\"featureImageID\\\";s:0:\\\"\\\";s:15:\\\"featureImageSrc\\\";s:0:\\\"\\\";s:11:\\\"matchAnswer\\\";s:6:\\\"random\\\";s:8:\\\"autofill\\\";s:0:\\\"\\\";s:10:\\\"limit_text\\\";s:1:\\\"0\\\";s:23:\\\"limit_multiple_response\\\";s:1:\\\"0\\\";s:17:\\\"file_upload_limit\\\";s:1:\\\"0\\\";s:16:\\\"file_upload_type\\\";s:0:\\\"\\\";}\",\"category\":\"\",\"deleted\":\"0\",\"deleted_question_bank\":\"0\",\"answers\":[[\"50% in patients with EA\\\/TEF\",0,0],[\"10% in patients with isolated EA\",0,0],[\"90% in patients with isolated EA\",0,0],[\"Indicative of EA is include polyhydramnios, a small or absent stomach bubble, and a dilated upper esophageal pouch (\\u201cpouch sign\\u201d).\",10,1],[\"The sensitivity and specificity of prenatal diagnosis are not significantly improved with MRI over ultrasound.\",0,0]]},\"16\":{\"question_id\":\"16\",\"quiz_id\":\"2\",\"question_name\":\"\",\"answer_array\":\"a:5:{i:0;a:3:{i:0;s:39:\\\"There is no general accepted definition\\\";i:1;d:10;i:2;i:1;}i:1;a:3:{i:0;s:16:\\\"3cm in a newborn\\\";i:1;d:0;i:2;i:0;}i:2;a:3:{i:0;s:33:\\\"3 vertebral bodies in the newborn\\\";i:1;d:0;i:2;i:0;}i:3;a:3:{i:0;s:35:\\\"2-5 vertebral bodies in the newborn\\\";i:1;d:0;i:2;i:0;}i:4;a:3:{i:0;s:43:\\\"All cases without tracheoesophageal fistula\\\";i:1;d:0;i:2;i:0;}}\",\"answer_one\":\"\",\"answer_one_points\":\"0\",\"answer_two\":\"\",\"answer_two_points\":\"0\",\"answer_three\":\"\",\"answer_three_points\":\"0\",\"answer_four\":\"\",\"answer_four_points\":\"0\",\"answer_five\":\"\",\"answer_five_points\":\"0\",\"answer_six\":\"\",\"answer_six_points\":\"0\",\"correct_answer\":\"0\",\"question_answer_info\":\"<p style=\\\"font-weight: 400\\\"><u>(source: Pearls &amp; Tricks in Pediatric surgery, chapter by C. M. Bence &amp; D. R. Lal, Division of Pediatric Surgery, The Medical College of Wisconsin):<\\\/u>\\u00a0 The term \\u201cgap length\\u201d refers to the distance between the proximal and distal esophageal pouches, and primary EA repair can be difficult or impossible to achieve if the gap is long. There is no consensus on the specific definition of long gap EA, however it is often described by the number of vertebral bodies present between the two ends of esophagus (typically 2\\u20135), the gap length in centimeters (typically 2\\u20135 cm), or based on a surgeon\\u2019s intraoperative gestalt.<\\\/p>\",\"comments\":\"1\",\"hints\":\"\",\"question_order\":\"1\",\"question_type\":\"0\",\"question_type_new\":\"0\",\"question_settings\":\"a:11:{s:8:\\\"required\\\";i:0;s:12:\\\"answerEditor\\\";s:4:\\\"text\\\";s:14:\\\"question_title\\\";s:69:\\\"How is long gap atresia defined and what is its impact on management?\\\";s:14:\\\"featureImageID\\\";s:0:\\\"\\\";s:15:\\\"featureImageSrc\\\";s:0:\\\"\\\";s:11:\\\"matchAnswer\\\";s:6:\\\"random\\\";s:8:\\\"autofill\\\";s:0:\\\"\\\";s:10:\\\"limit_text\\\";s:1:\\\"0\\\";s:23:\\\"limit_multiple_response\\\";s:1:\\\"0\\\";s:17:\\\"file_upload_limit\\\";s:1:\\\"0\\\";s:16:\\\"file_upload_type\\\";s:0:\\\"\\\";}\",\"category\":\"\",\"deleted\":\"0\",\"deleted_question_bank\":\"0\",\"answers\":[[\"There is no general accepted definition\",10,1],[\"3cm in a newborn\",0,0],[\"3 vertebral bodies in the newborn\",0,0],[\"2-5 vertebral bodies in the newborn\",0,0],[\"All cases without tracheoesophageal fistula\",0,0]]},\"17\":{\"question_id\":\"17\",\"quiz_id\":\"2\",\"question_name\":\"\",\"answer_array\":\"a:5:{i:0;a:3:{i:0;s:56:\\\"Less anastomotic stenosis following thoracoscopic repair\\\";i:1;d:0;i:2;i:0;}i:1;a:3:{i:0;s:55:\\\"Less anastomotic leakage following thoracoscopic repair\\\";i:1;d:0;i:2;i:0;}i:2;a:3:{i:0;s:67:\\\"Less long-term respiratory morbidity following thoracoscopic repair\\\";i:1;d:0;i:2;i:0;}i:3;a:3:{i:0;s:110:\\\"no differences in outcomes including anastomotic leak rate, esophageal stricture rate, pulmonary complications\\\";i:1;d:10;i:2;i:1;}i:4;a:3:{i:0;s:31:\\\"Open repair has lower mortality\\\";i:1;d:0;i:2;i:0;}}\",\"answer_one\":\"\",\"answer_one_points\":\"0\",\"answer_two\":\"\",\"answer_two_points\":\"0\",\"answer_three\":\"\",\"answer_three_points\":\"0\",\"answer_four\":\"\",\"answer_four_points\":\"0\",\"answer_five\":\"\",\"answer_five_points\":\"0\",\"answer_six\":\"\",\"answer_six_points\":\"0\",\"correct_answer\":\"0\",\"question_answer_info\":\"<p style=\\\"font-weight: 400\\\"><u>(source: Pearls &amp; Tricks in Pediatric surgery, chapter by C. M. Bence &amp; D. R. Lal, Division of Pediatric Surgery, The Medical College of Wisconsin):<\\\/u>\\u00a0 A recent meta-analysis comparing open and thoracoscopic approaches to esophagoesophagostomy for EA\\\/TEF repair found no differences in outcomes including anastomotic leak rate, esophageal stricture rate, pulmonary complications, time to first oral feeding, or blood loss. Thoracoscopic repair was found to decrease postoperative ventilation time and length of stay, though operative times were significantly longer compared to open repair.<\\\/p>\",\"comments\":\"1\",\"hints\":\"\",\"question_order\":\"1\",\"question_type\":\"0\",\"question_type_new\":\"0\",\"question_settings\":\"a:11:{s:8:\\\"required\\\";i:0;s:12:\\\"answerEditor\\\";s:4:\\\"text\\\";s:14:\\\"question_title\\\";s:98:\\\"How do outcomes of thoracoscopic versus standard thoracotomy approaches compare for EA\\\/TEF repair?\\\";s:14:\\\"featureImageID\\\";s:0:\\\"\\\";s:15:\\\"featureImageSrc\\\";s:0:\\\"\\\";s:11:\\\"matchAnswer\\\";s:6:\\\"random\\\";s:8:\\\"autofill\\\";s:0:\\\"\\\";s:10:\\\"limit_text\\\";s:1:\\\"0\\\";s:23:\\\"limit_multiple_response\\\";s:1:\\\"0\\\";s:17:\\\"file_upload_limit\\\";s:1:\\\"0\\\";s:16:\\\"file_upload_type\\\";s:0:\\\"\\\";}\",\"category\":\"\",\"deleted\":\"0\",\"deleted_question_bank\":\"0\",\"answers\":[[\"Less anastomotic stenosis following thoracoscopic repair\",0,0],[\"Less anastomotic leakage following thoracoscopic repair\",0,0],[\"Less long-term respiratory morbidity following thoracoscopic repair\",0,0],[\"no differences in outcomes including anastomotic leak rate, esophageal stricture rate, pulmonary complications\",10,1],[\"Open repair has lower mortality\",0,0]]},\"18\":{\"question_id\":\"18\",\"quiz_id\":\"2\",\"question_name\":\"\",\"answer_array\":\"a:5:{i:0;a:3:{i:0;s:66:\\\"placement of a gastrostomy tube followed by delayed primary repair\\\";i:1;d:0;i:2;i:0;}i:1;a:3:{i:0;s:54:\\\"esophageal lengthening with circular or spiral myotomy\\\";i:1;d:0;i:2;i:0;}i:2;a:3:{i:0;s:42:\\\"Kimura extrathoracic lengthening procedure\\\";i:1;d:0;i:2;i:0;}i:3;a:3:{i:0;s:28:\\\"Foker staged suture-traction\\\";i:1;d:0;i:2;i:0;}i:4;a:3:{i:0;s:16:\\\"All of the above\\\";i:1;d:10;i:2;i:1;}}\",\"answer_one\":\"\",\"answer_one_points\":\"0\",\"answer_two\":\"\",\"answer_two_points\":\"0\",\"answer_three\":\"\",\"answer_three_points\":\"0\",\"answer_four\":\"\",\"answer_four_points\":\"0\",\"answer_five\":\"\",\"answer_five_points\":\"0\",\"answer_six\":\"\",\"answer_six_points\":\"0\",\"correct_answer\":\"0\",\"question_answer_info\":\"<p style=\\\"font-weight: 400\\\"><u>(source: Pearls &amp; Tricks in Pediatric surgery, chapter by C. M. Bence &amp; D. R. Lal, Division of Pediatric Surgery, The Medical College of Wisconsin):<\\\/u>\\u00a0 The least invasive option is placement of a gastrostomy tube followed by delayed primary repair, generally after waiting a period of ~12 weeks. This theoretically allows the esophageal pouches to lengthen from somatic growth as well as a combination of pooled oral secretions (proximal pouch) and gastroesophageal reflux (distal pouch). Other options for esophageal lengthening include circular or spiral myotomy, the Kimura extrathoracic lengthening procedure, and the Foker staged suture-traction method. Finally, \\u00a0esophageal replacement with a stomach, colon, or small bowel interposition graft may be required if esophageal preservation is not feasible.<\\\/p>\",\"comments\":\"1\",\"hints\":\"\",\"question_order\":\"1\",\"question_type\":\"0\",\"question_type_new\":\"0\",\"question_settings\":\"a:11:{s:8:\\\"required\\\";i:0;s:12:\\\"answerEditor\\\";s:4:\\\"text\\\";s:14:\\\"question_title\\\";s:91:\\\"What are surgical options for long gap EA if primary esophagoesophagostomy is not possible?\\\";s:14:\\\"featureImageID\\\";s:0:\\\"\\\";s:15:\\\"featureImageSrc\\\";s:0:\\\"\\\";s:11:\\\"matchAnswer\\\";s:6:\\\"random\\\";s:8:\\\"autofill\\\";s:0:\\\"\\\";s:10:\\\"limit_text\\\";s:1:\\\"0\\\";s:23:\\\"limit_multiple_response\\\";s:1:\\\"0\\\";s:17:\\\"file_upload_limit\\\";s:1:\\\"0\\\";s:16:\\\"file_upload_type\\\";s:0:\\\"\\\";}\",\"category\":\"\",\"deleted\":\"0\",\"deleted_question_bank\":\"0\",\"answers\":[[\"placement of a gastrostomy tube followed by delayed primary repair\",0,0],[\"esophageal lengthening with circular or spiral myotomy\",0,0],[\"Kimura extrathoracic lengthening procedure\",0,0],[\"Foker staged suture-traction\",0,0],[\"All of the above\",10,1]]},\"19\":{\"question_id\":\"19\",\"quiz_id\":\"2\",\"question_name\":\"\",\"answer_array\":\"a:5:{i:0;a:3:{i:0;s:17:\\\"recurrent fistula\\\";i:1;d:0;i:2;i:0;}i:1;a:3:{i:0;s:16:\\\"anastomotic leak\\\";i:1;d:0;i:2;i:0;}i:2;a:3:{i:0;s:21:\\\"anastomotic stricture\\\";i:1;d:10;i:2;i:1;}i:3;a:3:{i:0;s:20:\\\"vocal cord paralysis\\\";i:1;d:0;i:2;i:0;}i:4;a:3:{i:0;s:11:\\\"chylothorax\\\";i:1;d:0;i:2;i:0;}}\",\"answer_one\":\"\",\"answer_one_points\":\"0\",\"answer_two\":\"\",\"answer_two_points\":\"0\",\"answer_three\":\"\",\"answer_three_points\":\"0\",\"answer_four\":\"\",\"answer_four_points\":\"0\",\"answer_five\":\"\",\"answer_five_points\":\"0\",\"answer_six\":\"\",\"answer_six_points\":\"0\",\"correct_answer\":\"0\",\"question_answer_info\":\"<div><u>(source: Pearls &amp; Tricks in Pediatric surgery, chapter by C. M. Bence &amp; D. R. Lal, Division of Pediatric Surgery, The Medical College of Wisconsin):<\\\/u><\\\/div>\\n\\u00a0 Over 60% of patients undergoing EA\\\/TEF repair will have a post-operative complication, with the most common being anastomotic stricture \\u00a0&gt;40%). Other common complications include anastomotic leaks (~20%), recurrent fistulas (~5%), and vocal cord paralysis (~5%). Recent research has found associations between the use of \\u00a0transanastomotic esophageal tubes with increased rates of anastomotic stricture, as well as placement of prosthetic material between the esophageal and tracheal suture lines with increased rates of anastomotic leak.\",\"comments\":\"1\",\"hints\":\"\",\"question_order\":\"1\",\"question_type\":\"0\",\"question_type_new\":\"0\",\"question_settings\":\"a:11:{s:8:\\\"required\\\";i:0;s:12:\\\"answerEditor\\\";s:4:\\\"text\\\";s:14:\\\"question_title\\\";s:73:\\\"What postoperative complications are most common following EA\\\/TEF repair?\\\";s:14:\\\"featureImageID\\\";s:0:\\\"\\\";s:15:\\\"featureImageSrc\\\";s:0:\\\"\\\";s:11:\\\"matchAnswer\\\";s:6:\\\"random\\\";s:8:\\\"autofill\\\";s:0:\\\"\\\";s:10:\\\"limit_text\\\";s:1:\\\"0\\\";s:23:\\\"limit_multiple_response\\\";s:1:\\\"0\\\";s:17:\\\"file_upload_limit\\\";s:1:\\\"0\\\";s:16:\\\"file_upload_type\\\";s:0:\\\"\\\";}\",\"category\":\"\",\"deleted\":\"0\",\"deleted_question_bank\":\"0\",\"answers\":[[\"recurrent fistula\",0,0],[\"anastomotic leak\",0,0],[\"anastomotic stricture\",10,1],[\"vocal cord paralysis\",0,0],[\"chylothorax\",0,0]]}},\"first_page\":true}\n                    <\/script><script src=https:\/\/staycurrent.md\/pediatricsurgery\/wp-content\/plugins\/qsm-analysis\/js\/plotly.min.js><\/script><div class='qsm-quiz-container qsm-quiz-container-2 qmn_quiz_container mlw_qmn_quiz  quiz_theme_default  '>\n\t\t\t\t\t<form name=\"quizForm2\" id=\"quizForm2\" action=\"\/pediatricsurgery\/wp-json\/wp\/v2\/posts\/3456\" method=\"POST\" class=\"qsm-quiz-form qmn_quiz_form mlw_quiz_form\" novalidate enctype=\"multipart\/form-data\">\n\t\t\t\t<input type=\"hidden\" name=\"qsm_hidden_questions\" id=\"qsm_hidden_questions\" value=\"\">\n\t\t\t\t<input type=\"hidden\" name=\"qsm_nonce\" id=\"qsm_nonce_2\" value=\"29b8769323\">\n\t\t\t\t<input type=\"hidden\" name=\"qsm_unique_key\" id=\"qsm_unique_key_2\" value=\"6ac983cd9947b\">\n\t\t\t\t<div id=\"mlw_error_message\" class=\"qsm-error-message qmn_error_message_section\"><\/div>\n\t\t\t\t<span id=\"mlw_top_of_quiz\"><\/span>\n\t\t\t\t\t\t\t<div class=\"qsm-auto-page-row quiz_section quiz_begin \">\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_message_before'>\n\t\t\t\t\t<p>Welcome to your Esophageal Atresia \/ Tracheo-esophageal Fistula<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-10 slide1  category-section-id-c72 category-section-id-c71\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Operative management of a newborn with Type C Esophageal Atresia \/ Tracheoesophageal Fistula should occur: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question10-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question10\" id=\"question10_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question10_1\">\n\t\t\t\t\tImmediately after Birth\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question10-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question10\" id=\"question10_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question10_2\">\n\t\t\t\t\tWithin 24 hours\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question10-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question10\" id=\"question10_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question10_3\">\n\t\t\t\t\tWithin 72 hours\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question10-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question10\" id=\"question10_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question10_4\">\n\t\t\t\t\tIn the NICU\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question10-5 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question10\" id=\"question10_5\" value=\"4\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question10_5\">\n\t\t\t\t\tNone of the above\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question10_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question10\" id=\"question10_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-11 slide2  category-section-id-c72 category-section-id-c71\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>The most common form of esophageal atresia (EA) is: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question11-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question11\" id=\"question11_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question11_1\">\n\t\t\t\t\tH- or N-type fistula\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question11-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question11\" id=\"question11_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question11_2\">\n\t\t\t\t\tPure tracheoesophageal fistula TEF (no atresia)\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question11-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question11\" id=\"question11_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question11_3\">\n\t\t\t\t\tEA with distal TEF\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question11-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question11\" id=\"question11_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question11_4\">\n\t\t\t\t\tEA with proximal TEF\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question11-5 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question11\" id=\"question11_5\" value=\"4\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question11_5\">\n\t\t\t\t\tEA with proximal and distal TEF\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question11_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question11\" id=\"question11_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-12 slide3  category-section-id-c72 category-section-id-c71\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>What is the most typical presentation of a newborn with Esophageal Atresia with a Tracheoesophageal Fistula? A baby who\u2026 <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question12-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question12\" id=\"question12_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question12_1\">\n\t\t\t\t\tis drooling and has abnormal respiratory sounds at one hour old.\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question12-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question12\" id=\"question12_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question12_2\">\n\t\t\t\t\twas large for gestational age, has crepitus at his collar bone, and is not moving his right arm.\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question12-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question12\" id=\"question12_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question12_3\">\n\t\t\t\t\thas a temperature of 100.9 and high heart and respiratory rates.\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question12-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question12\" id=\"question12_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question12_4\">\n\t\t\t\t\twas born at 34 weeks gestation and has low blood sugar.\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question12-5 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question12\" id=\"question12_5\" value=\"4\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question12_5\">\n\t\t\t\t\twho has a cyanotic heart disease at birth.\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question12_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question12\" id=\"question12_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-13 slide4  category-section-id-c72 category-section-id-c71\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Spontaneous intrauterine fetal demise occurs in how many % of cases with esophageal atresia\/ tracheoesophaeal fistula (EA\/TEF)? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question13-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question13\" id=\"question13_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question13_1\">\n\t\t\t\t\t30%\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question13-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question13\" id=\"question13_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question13_2\">\n\t\t\t\t\t20%\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question13-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question13\" id=\"question13_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question13_3\">\n\t\t\t\t\t10%\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question13-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question13\" id=\"question13_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question13_4\">\n\t\t\t\t\t5%\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question13-5 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question13\" id=\"question13_5\" value=\"4\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question13_5\">\n\t\t\t\t\tless than 3%\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question13_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question13\" id=\"question13_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-14 slide5  category-section-id-c72 category-section-id-c71\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Most infants with EA will have at least one other associated anomaly, which is the most common one <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question14-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question14\" id=\"question14_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question14_1\">\n\t\t\t\t\tCardiac\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question14-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question14\" id=\"question14_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question14_2\">\n\t\t\t\t\tRenal\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question14-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question14\" id=\"question14_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question14_3\">\n\t\t\t\t\tLimb\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question14-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question14\" id=\"question14_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question14_4\">\n\t\t\t\t\tAnorectal\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question14-5 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question14\" id=\"question14_5\" value=\"4\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question14_5\">\n\t\t\t\t\tVertebral\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question14_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question14\" id=\"question14_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-15 slide6  category-section-id-c72 category-section-id-c71\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Which statement on prenatal diagnosis in EA\/TEF is true? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question15-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question15\" id=\"question15_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question15_1\">\n\t\t\t\t\t50% in patients with EA\/TEF\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question15-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question15\" id=\"question15_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question15_2\">\n\t\t\t\t\t10% in patients with isolated EA\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question15-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question15\" id=\"question15_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question15_3\">\n\t\t\t\t\t90% in patients with isolated EA\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question15-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question15\" id=\"question15_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question15_4\">\n\t\t\t\t\tIndicative of EA is include polyhydramnios, a small or absent stomach bubble, and a dilated upper esophageal pouch (\u201cpouch sign\u201d).\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question15-5 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question15\" id=\"question15_5\" value=\"4\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question15_5\">\n\t\t\t\t\tThe sensitivity and specificity of prenatal diagnosis are not significantly improved with MRI over ultrasound.\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question15_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question15\" id=\"question15_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-16 slide7  category-section-id-c72 category-section-id-c71\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>How is long gap atresia defined and what is its impact on management? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question16-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question16\" id=\"question16_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question16_1\">\n\t\t\t\t\tThere is no general accepted definition\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question16-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question16\" id=\"question16_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question16_2\">\n\t\t\t\t\t3cm in a newborn\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question16-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question16\" id=\"question16_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question16_3\">\n\t\t\t\t\t3 vertebral bodies in the newborn\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question16-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question16\" id=\"question16_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question16_4\">\n\t\t\t\t\t2-5 vertebral bodies in the newborn\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question16-5 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question16\" id=\"question16_5\" value=\"4\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question16_5\">\n\t\t\t\t\tAll cases without tracheoesophageal fistula\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question16_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question16\" id=\"question16_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-17 slide8  category-section-id-c72 category-section-id-c71\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>How do outcomes of thoracoscopic versus standard thoracotomy approaches compare for EA\/TEF repair? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question17-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question17\" id=\"question17_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question17_1\">\n\t\t\t\t\tLess anastomotic stenosis following thoracoscopic repair\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question17-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question17\" id=\"question17_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question17_2\">\n\t\t\t\t\tLess anastomotic leakage following thoracoscopic repair\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question17-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question17\" id=\"question17_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question17_3\">\n\t\t\t\t\tLess long-term respiratory morbidity following thoracoscopic repair\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question17-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question17\" id=\"question17_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question17_4\">\n\t\t\t\t\tno differences in outcomes including anastomotic leak rate, esophageal stricture rate, pulmonary complications\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question17-5 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question17\" id=\"question17_5\" value=\"4\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question17_5\">\n\t\t\t\t\tOpen repair has lower mortality\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question17_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question17\" id=\"question17_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-18 slide9  category-section-id-c72 category-section-id-c71\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>What are surgical options for long gap EA if primary esophagoesophagostomy is not possible? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question18-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question18\" id=\"question18_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question18_1\">\n\t\t\t\t\tplacement of a gastrostomy tube followed by delayed primary repair\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question18-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question18\" id=\"question18_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question18_2\">\n\t\t\t\t\tesophageal lengthening with circular or spiral myotomy\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question18-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question18\" id=\"question18_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question18_3\">\n\t\t\t\t\tKimura extrathoracic lengthening procedure\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question18-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question18\" id=\"question18_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question18_4\">\n\t\t\t\t\tFoker staged suture-traction\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question18-5 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question18\" id=\"question18_5\" value=\"4\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question18_5\">\n\t\t\t\t\tAll of the above\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question18_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question18\" id=\"question18_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-19 slide10  category-section-id-c72 category-section-id-c71\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>What postoperative complications are most common following EA\/TEF repair? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question19-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question19\" id=\"question19_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question19_1\">\n\t\t\t\t\trecurrent fistula\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question19-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question19\" id=\"question19_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question19_2\">\n\t\t\t\t\tanastomotic leak\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question19-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question19\" id=\"question19_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question19_3\">\n\t\t\t\t\tanastomotic stricture\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question19-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question19\" id=\"question19_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question19_4\">\n\t\t\t\t\tvocal cord paralysis\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question19-5 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