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Kaplan Qbank USMLE



Author9 Posts
  #1

An otherwise normal 3 year-old child has recurrent right lower lobe pneumonia. Which condition is most likely responsible for this patient's disease?

A. Primary B or T cell immunodeficiency disorder
B. Cystic fibrosis
C. Chediak-Higashi syndrome
D. Congenital lung abnormality
E. Foreign body aspiration

  #2

B

___________________
Every disaster hides an opportunity.

  #3

B. Cystic fibrosis


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #4

shaking head

  #5

otherwise normal child - let exclude #a,b, and c.

unexplaned recurrent pneumonia at his age can be E.

  #6

me007 wrote:
otherwise normal child - let exclude #a,b, and c.

unexplaned recurrent pneumonia at his age can be E.

the only problem i had with Foreign body aspiration was RECURRENT now wht is the kid is doing that he is having Recurrent Pneumonia.

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #7

Foreign body aspiration is the most common cause of recurrent pneumonia in an otherwise healthy 3-year old child. Because of the lung's anatomy....
Many times when a child presents with pneumonia, a history of choking can be elicited.Immunodeficiency disorders are characterized by recurrent infections, usually by opportunistic organisms and failure to thrive. Cystic fibrosis similarly results in failure to thrive.Pneumonia is usually caused by Pseudomonas. Malabsorption and clubbing are often seen. Chediac-Higashi syndr. is aut/ recess. and partial albinism is key to diagnosis. Giant granules are seen in neutrophils. Recurrent infections are common. Congenital lung abnormalities present at a much earlier age.

E.

  #8

peraspera,

where is this ques. from?


___________________
Every disaster hides an opportunity.

  #9

this q is from review for USMLE Step- 2 ( editor E.F. Goljan ) Williams & Wilkins " The science of review "# ISBN-0-683-06207-7
I got it from amazon.com








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