An Asian woman and African man comes to the physician for preconception counseling.
They both have α-thalassemia trait. The woman has cis deletions and the man has trans
deletions. They are especially concerned about having a miscarriage. What are the chances
a pregnancy will result in spontaneous abortion with hydrops fetalis?
- A. 0%
- B. 12.5%
- C. 25%
- D. 33.3%
- E. 50%
0 voters
A three-day-old male newborn was brought to the pediatrician because of lethargy and
convulsions that started a day ago. The pregnancy was uncomplicated. A head CT scan
reveals cerebral edema. Serum lab values are shown.
Ammonia: 1,134 µmol/L (normal 100-200 µmol/L)
Glutamine: 930 mol/L (normal 420-730 micro mol/L)
Urea: 2.1 mg/dL (normal 5-18 mg/dL)
Orotic acid: Increased
What dietary changes should be recommended for this child?
- A. High fat soluble vitamin diet
- B. High water soluble vitamin diet
- C. Low fat diet
- D. Low carbohydrate diet
- E. Low protein diet
0 voters
A 61-year-old chess grandmaster is dragged to the physician by his wife because of recent
mood changes. He has a habit of drinking heavily in celebration when winning a tournament.
However, he has been losing a lot of chess matches lately because he confuses his king with
his queen. He also tends to be more disruptive than usual when losing. Lactulose is
prescribed and his games and mood improve. What is the most likely diagnosis?
- A. Alzheimer’s disease
- B. Schizoaffective disorder
- C. Normal pressure hydrocephalus
- D. Noncommunicating hydrocephalus
- E. Hepatic encephalopathy
0 voters