This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'Which one of the following is most suggestive of neonatal small bowel obstruction – \nSelect and explain. \nA. Generalized abdominal distension, B. Failure to pass meconeum in the first 24 hours, C. Bilious vomiting, D. Refusal of feeds', 'role': 'user'}, {'content': 'Answer: C \nExplanation: "Bilious vomiting is the most common symptom".\xa0\xa0— Internet\nIntestinal obstruction in the newborn \nPresentation depends on the site of obstruction.\n1. Proximal obstruction\n\nA history of polyhydramnios is common.\nThe higher the obstruction in the intestine the earlier the infant will develop vomiting which may be bile stained.\nAbdominal distension will be less prominent.\nObstipation is less common.\n\n\n2. Distal obstruction\n\nAbdominal distension and obstipation are more common.\nVomiting is less common.\n\nNote -\n\nIn neonates proximal intestinal obstruction is much more common than distal. So, bilious vomiting is the most common presentation of neonatal intestinal obstruction.', 'role': 'assistant'}]