HY USMLE Q #881 – Gastro

A 2-day-old neonatal male born 39 weeks’ gestation is evaluated by the pediatrician for recurrent episodes of bilious vomiting after feeds. Physical examination shows a slightly distended abdomen. No other abnormalities are noted. Which of the following is the most appropriate next step in diagnosis?

  Abdominal ultrasound
  Abdominal x-ray
  Enema
  lnsertion of nasogastric tube
  Upper GI series