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+--- Thread: q. 20 - meti (/showthread.php?tid=448171)
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q. 20 - meti - ArchivalUser - 09-15-2009
A 5-year-old male is admitted to the hospital following
a 3-week history of spiking fevers and fatigue.
Your examination reveals pale mucous membranes
and skin. You also find splenomegaly.
1. You are concerned about a possible malignancy.
What is the most common malignancy
of childhood?
(A) medulloblastoma
(B) Wilms™ tumor
© leukemia
(D) neuroblastoma
(E) rhabdomyosarcoma
2. This child has an extensive evaluation by the
Hematology-Oncology consultants. Their evaluation
excludes the presence of a malignancy.
The extensive evaluation did reveal that the
child has a WBC count of 22,000 with 41%
monocytes and 12% œatypical lymphocytes.
His hematocrit is 28% and erythrocyte sedimentation
rate (ESR) is 5. This child likely has
which of the following diseases?
(A) Lyme disease
(B) acute Epstein-Barr virus (EBV) infection
© systemic lupus erythematosus (SLE)
(D) juvenile rheumatoid arthritis (JRA)
(E) acute hematogenous tuberculosis (TB)
3. The best course of care for this young man
would be which of the following?
(A) initiate high-dose aspirin therapy (100
mg/kg/day)
(B) initiate œrenal sparing course of oral
prednisone
© a repeat bone marrow evaluation with
AFB (acid fast bacilli) staining and
mycobacterial cultures
(D) obtain serum for Lyme enzyme
immunoassay(EIA) testing and begin an
empiric course of doxycycline
(E) obtain EBV serologies (IgM and IgG)
and treat symptomatically with comfort
measures
0 - ArchivalUser - 09-15-2009
C/B/E
0 - ArchivalUser - 09-15-2009
this ques. is for all sure (for me),
but specially for shuun.
because it's a ped ques.
pt needs your kind help.
0 - ArchivalUser - 09-15-2009
C/B/E
0 - ArchivalUser - 09-15-2009
meti ..I agree...C/B/E.......
0 - ArchivalUser - 09-15-2009
thanks for your kind response.
0 - ArchivalUser - 09-15-2009
yu welcome.....yu wake up now ..meti
0 - ArchivalUser - 09-15-2009
yes, i do- always after midnight,
don't have other time for study.
i'm sorry if i hurt you.
i was trying to find your e-mail i saw somewhere, didn't get it!
0 - ArchivalUser - 09-15-2009
are yu in residency ?...meti......no... i did not post my email here
0 - ArchivalUser - 09-15-2009
Give ur e-m