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HI,
in the new Robbins pathology question book, the final exam of 74 questions, question # 70, I was wondering what you think the answer is..
here is the question;
A 5 yo child who has rec'd no med care since birth has had gradual onset of markedly decreased vision bilaterally. The child also has a history of increased resp tract infections due to H influenza, Strep pneumo, Klebsiella pneumo, rubeola. The representative microsopic appearance of the bronchial mucosa is shown. The child also has passed several urinary tract calculi. On physical exam, generalized papular dermatosis is noted. The child has xerophthalmia, and there is marked keratomalacia with corneal clouding. Bilateral crackles are audible in the lungs on auscultation. Which of the following disease processes is most likely to lead to these findings?
a-cystic fibrosis
b-congenital syphilis
c-hiv infection
d-kartagener syndrome
e-vit. A deficiency
.............................................ok, here is what i thought..............................................
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I thought answer was cystic fibrosis, bec. of resp infections and thought also that he had fat soluble vitamin deficiency (which they explain as vitamin a deficiency)....but the answer is vit. a deficiency. But, maybe, I should've seen that he rec'd no medical care and suspected poor nutrition bec. of that...I just thought this question was a little tricky......any comments?
thanks
in the new Robbins pathology question book, the final exam of 74 questions, question # 70, I was wondering what you think the answer is..
here is the question;
A 5 yo child who has rec'd no med care since birth has had gradual onset of markedly decreased vision bilaterally. The child also has a history of increased resp tract infections due to H influenza, Strep pneumo, Klebsiella pneumo, rubeola. The representative microsopic appearance of the bronchial mucosa is shown. The child also has passed several urinary tract calculi. On physical exam, generalized papular dermatosis is noted. The child has xerophthalmia, and there is marked keratomalacia with corneal clouding. Bilateral crackles are audible in the lungs on auscultation. Which of the following disease processes is most likely to lead to these findings?
a-cystic fibrosis
b-congenital syphilis
c-hiv infection
d-kartagener syndrome
e-vit. A deficiency
.............................................ok, here is what i thought..............................................
--
-
-
-
-
-
I thought answer was cystic fibrosis, bec. of resp infections and thought also that he had fat soluble vitamin deficiency (which they explain as vitamin a deficiency)....but the answer is vit. a deficiency. But, maybe, I should've seen that he rec'd no medical care and suspected poor nutrition bec. of that...I just thought this question was a little tricky......any comments?
thanks