WBR277: Difference between revisions
Jump to navigation
Jump to search
Sapan Patel (talk | contribs) Created page with "{{WBRQuestion |QuestionAuthor={{Sapan}} |ExamType=USMLE Step 3 |MainCategory=Community Medical Health Center, Primary Care Office |SubCategory=Pediatrics |MainCategory=Communi..." |
m refreshing WBR questions |
||
| (2 intermediate revisions by one other user not shown) | |||
| Line 1: | Line 1: | ||
{{WBRQuestion | {{WBRQuestion | ||
|QuestionAuthor={{Sapan}} | |QuestionAuthor= {{Sapan}} | ||
|ExamType=USMLE Step 3 | |ExamType=USMLE Step 3 | ||
|MainCategory=Community Medical Health Center, Primary Care Office | |MainCategory=Community Medical Health Center, Primary Care Office | ||
|SubCategory=Pediatrics | |SubCategory=Pediatrics | ||
|Prompt=Physician is called to see a newborn in the nursery because the nurse is concerned that the baby have single crease in the palm of the hand, small ears, small mouth, upward slanting eyes, wide space between the first and second toes, short hands with short fingers. Which of the following sign is most likely associated in this newborn? | |Prompt=Physician is called to see a newborn in the nursery because the nurse is concerned that the baby have single crease in the palm of the hand, small ears, small mouth, upward slanting eyes, wide space between the first and second toes, short hands with short fingers. Which of the following sign is most likely associated in this newborn? | ||
|Explanation= | |||
EXPLANATION: The most common finding in a newborn with Down syndrome is hypotonia. Other common findings include single palmar crease, flat facial profile, macroglossia, and wide space between the first and second toes. Hypotonia in the newborn period should prompt close evaluation and follow-up. | |||
EDUCATIONAL OBJECTIVE: The most common finding in a newborn with Down syndrome is hypotonia which should prompt close evaluation and follow-up. | |||
|AnswerA=Café au lait spots | |AnswerA=Café au lait spots | ||
|AnswerAExp=Incorrect- This newborn is showing signs of Down syndrome. Café au lait spots are associated with neurofibromatosis. | |||
|AnswerB=High arched palate | |AnswerB=High arched palate | ||
|AnswerBExp=Incorrect- This newborn is showing signs of Down syndrome. High arched palates are associated with fragile X syndrome. | |||
|AnswerC=Ambiguous genitalia | |AnswerC=Ambiguous genitalia | ||
|AnswerCExp=Incorrect- This newborn is showing signs of Down syndrome. Ambiguous genitalia are commonly seen in CAH. | |||
|AnswerD=Hypotonia | |AnswerD=Hypotonia | ||
|AnswerDExp=Correct- See explanation. | |||
|AnswerE=Club feet | |AnswerE=Club feet | ||
|AnswerEExp=Incorrect- This newborn is showing signs of Down syndrome. | |||
|RightAnswer=D | |RightAnswer=D | ||
|WBRKeyword=Down syndrome | |WBRKeyword=Down syndrome | ||
|Approved=Yes | |Approved=Yes | ||
}} | }} | ||
Latest revision as of 02:59, 28 October 2020
| Author | [[PageAuthor::Sapan Patel M.B.B.S]] |
|---|---|
| Exam Type | ExamType::USMLE Step 3 |
| Main Category | MainCategory::Community Medical Health Center, MainCategory::Primary Care Office |
| Sub Category | SubCategory::Pediatrics |
| Prompt | [[Prompt::Physician is called to see a newborn in the nursery because the nurse is concerned that the baby have single crease in the palm of the hand, small ears, small mouth, upward slanting eyes, wide space between the first and second toes, short hands with short fingers. Which of the following sign is most likely associated in this newborn?]] |
| Answer A | AnswerA::Café au lait spots |
| Answer A Explanation | AnswerAExp::Incorrect- This newborn is showing signs of Down syndrome. Café au lait spots are associated with neurofibromatosis. |
| Answer B | AnswerB::High arched palate |
| Answer B Explanation | AnswerBExp::Incorrect- This newborn is showing signs of Down syndrome. High arched palates are associated with fragile X syndrome. |
| Answer C | AnswerC::Ambiguous genitalia |
| Answer C Explanation | AnswerCExp::Incorrect- This newborn is showing signs of Down syndrome. Ambiguous genitalia are commonly seen in CAH. |
| Answer D | AnswerD::Hypotonia |
| Answer D Explanation | AnswerDExp::Correct- See explanation. |
| Answer E | AnswerE::Club feet |
| Answer E Explanation | AnswerEExp::Incorrect- This newborn is showing signs of Down syndrome. |
| Right Answer | RightAnswer::D |
| Explanation | [[Explanation::EXPLANATION: The most common finding in a newborn with Down syndrome is hypotonia. Other common findings include single palmar crease, flat facial profile, macroglossia, and wide space between the first and second toes. Hypotonia in the newborn period should prompt close evaluation and follow-up.
EDUCATIONAL OBJECTIVE: The most common finding in a newborn with Down syndrome is hypotonia which should prompt close evaluation and follow-up. |
| Approved | Approved::Yes |
| Keyword | WBRKeyword::Down syndrome |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |