) . A neonate is noted to have an abnormally shaped face with a very small jaw. Several hours after birth, the baby develops convulsions and tetany.Serum chemistries show the following: Sodium 1 40 mEq/L, Potassium 4 mEq
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) . A neonate is noted to have an abnormally shaped face with a very small jaw. Several hours after birth, the baby develops convulsions and tetany.Serum chemistries show the following: Sodium 1 40 mEq/L, Potassium 4 mEq/L, Chloride 100 mEq/L, Bicarbonate 24 mEq/L, Magnesium 2 mEq/L,Calcium 5 mg/dL, Glucose 100 mg/dL. This child's disorder is associated with aplasia or hypoplasia of which of the following organs?OvariesPancreasPituitaryThymusThyroid
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2) 16 An 18-month-old child is brought to the emergency department by his mother due to a one-day history of lethargy and anorexia. He had a feverthe whole day yesterday, which responded to Tylenol (Acetaminophen). He then developed a petechial rash over his entire body, which worsened inthe last few hours. He is up-to-date with his immunizations, and is an otherwise healthy baby. On examination, he is drowsy and lethargic. He has neckstiffness and appears septic. He flexes his hips when his neck is flexed. What is the most likely organism responsible for the patient's symptoms?MeningococcusHaemophilus influenzaCytomegalo virusBorrelia burgdorferiListeria monocytogenes
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3) 6-month-old male is brought to the office due to fussiness and tugging at his right ear for the past 2 days. He has had a fever of 39.4° C (103° F) forthe past 2 days. His past medical history is significant for recurrent ear and lung infections, oral candidiasis, and persistent diarrhea by rotavirus. Histemperature is 39.4° C (103° F), pulse rate is 150/min, respirations are 28/min, and blood pressure is 80/60mm Hg. Physical examination reveals anerythematous, bulging right tympanic membrane with poor mobility on pneumatic otoscopy. His lymph nodes are not palpable, and his tonsils are notvisualized. His B and T lymphocyte levels are markedly reduced. The chest x-ray reveals an absent thymic shadow. What is the most likely etiology ofthis patient's condition?. Severe combined immune deficiency. Common variable immunodeficiency. Bruton's agammaglobulinemia. Wiskott-Aldrich syndrome. Chronic granulomatous disease
4) A 1-day-old boy is evaluated in the nursery for minimal right arm movement. He was born at 41 weeks gestation to a woman with poorly controlledtype 1 diabetes mellitus. Attempted vaginal delivery was complicated by shoulder dystocia and became a cesarean section delivery. Family history ispositive for obesity in the boy's father and osteoporosis in both grandmothers. Birth weight was 4.5 kg. Examination shows crepitus and irregularityover the right clavicle. Moro reflex is absent on the right. Bilateral biceps and grasp reflexes are intact and symmetric. The infant is plethoric and hasexcessive fat accumulation in the abdominal and scapular regions. The remainder of the examination is normal. Which of the following is the mostsignificant risk factor for this patient's condition?Brachial plexus injuryFamily history of osteoporosisIn utero cerebrovascular accidentMaternal history of diabetesOsteogenesis imperfecta.......
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