NPrep
Start practising
NORCET-11 Prelims
Child Health Nursing (Pediatrics)
Medium

The given diagram illustrates the three main anatomical variants of neural tube defects Identify the correct sequential order of the types shown?

Appeared in: NORCET-11 Prelims

Explanation

  • The first image shows spina bifida occulta: only vertebral arch defect, no sac, often a hairy patch.
  • The second image shows myelomeningocele: sac contains CSF and meninges,with neural tissue.
  • The third image shows meningocele: sac contains CSF, meninges, and no neural tissue.
  • This order matches the increasing severity and anatomical involvement.

Why Other Options Were Wrong

  • Option A: This sequence incorrectly places meningocele before mylomeningocele, which does not match the anatomical progression given show in image.
  • Option C: This sequence starts with meningocele, which is not the mildest form. Spina bifida occulta should come first.
  • Option D: This sequence starts with myelomeningocele, which is the most severe form, not the mildest.

Related Visual

side sagittal cross-sections of the spine showing 1 spina bifida occulta with a hairy patch and no sac, 2 meningocele with a CSF-filled sac but no neural tissue, 3 myelome...
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification and sequential classification of neural tube defect variants using anatomical images as background academic context rather than a clinical decision trigger.
  • Nurses must recognize the type of neural tube defect to anticipate complications and plan care, especially for infection prevention and neurological assessment.
  • Early identification helps guide surgical timing and parental counseling.
  • What if? If the sac contains only CSF and meninges (no neural tissue), the child is less likely to have neurological deficits compared to myelomeningocele.
How to Approach the Question
  • Carefully observe the anatomical features in each image panel.
  • Recall the defining characteristics of each spina bifida type.
  • Arrange the types from least to most severe based on neural involvement.
  • Match the visual findings to the correct sequential order in the options.
  • Eliminate options that do not follow the anatomical progression.
Concept Tested & Keywords
  • Concept Tested: Identification and sequential classification of neural tube defect variants using anatomical images
  • Stem keywords: diagram, neural tube defects, anatomical variants, sequential order
  • Lead-in keywords: Identify, correct sequential order
  • Clinical cues: Image shows progression from mild to severe neural tube defect

Question ID

QTJwy9WgRg0S7PTJTMJxzO

Reference Book

E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 2 (pp 239-476 of 713) p. 222-224

E6 Nelson Textbook of Pediatrics(2024) — Volume 2 p. 1368-1370

Practise the full NORCET-11 Prelims

Attempt every question from this paper in a timed mock, then review the full solution for each one.

Attempt this paperAttempt in the NPrep app

More Central Nervous System Questions

More NORCET-11 Prelims Questions