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+--- Thread: To Simonsez or usmlevikki nbme q 26 - kti (/showthread.php?tid=53590)
To Simonsez or usmlevikki nbme q 26 - kti - ArchivalUser - 08-30-2005
26. A 2-month-old boy is brought to the physician because of a 6-week history of persistent diarrhea and vomiting, most pronounced after formula feedings. He has had a 1 13-g (4-oz) weight loss since birth. He currently weighs 3100 g (6 lb 13 oz) and is 51 cm (20 in) in length. He appears irritable. Examination shows jaundice. The lungs are clear to auscultation. No murmurs are heard. The liver is palpated 2 to 3 cm below the right costal margin, and the spleen is palpated 1 to 2 cm below the left costal margin. Laboratory studies show:
Serum
Glucose 35 mg/dL
Bilirubin (total) 2.3 mg/dL
Urine
Glucose negative
Reducing substances 3+
Which of the following is the most likely mechanism of these findings?
A) Decreased gluconeogenesis
B) Decreased insulin secretion
C) Increased glucagon secretion
D) Increased gluconeogenesis
E) Increased insulin secretion
F) Insulin resistance
0 - ArchivalUser - 08-31-2005
?A is it lactose intolerance, lactose cannot be converted to glucose
0 - ArchivalUser - 08-31-2005
this is case of galactosemia. so a is the answer