Question 92.
A 4-month-old child has poor weight gain. Her current weight is less than the 5th
percentile, height about the 10th percentile, and head circumference at the 50th
percentile. The planned pregnancy resul
...
Question 92.
A 4-month-old child has poor weight gain. Her current weight is less than the 5th
percentile, height about the 10th percentile, and head circumference at the 50th
percentile. The planned pregnancy resulted in a normal, spontaneous, vaginal
delivery; mother and child were discharged after a 48-hour hospitalization. Feeding is
via breast and bottle; the quantity seems sufficient. The child has had no illness. The
examination is unremarkable except for the child’s small size. Screening laboratory
shows the haemoglobin and haematocrit are 11 mg/dL and 33% respectively, with a
platelet count of 198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105,
potassium 3.5, bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver
function tests are normal. Urinalysis reveals a pH of 8 with occasional epithelial cells
but no white blood cells, bacteria, protein, ketones, or reducing substances.
Which of the following is the most appropriate therapy for this child?
Selected Answer: Sweat chloride analysis
Question 93.
Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is
crying in pain. The ear canal is swollen and exudate is present. The TM is normal.
What is the proper management for his patient?
Selected Answer: Oral Amoxicillin and topical anaesthetic
Queston 94.A mother brings her 4-week-old infant into the office because she noticed small
yellow white glistening bumps on her infant's gums. She says they look like teeth but
is concerned that they may be cancer. You diagnose these bumps as
Selected Answer: Epstein's pearls
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