A 22-year-old man notes painless enlargement of his right testis. An elevated serum concentation of which of the following is suggestive of non seminoma germ cell tumor?

A. Human chorionic gonadotropin
B. Prolactin
C. IgA
D. Testosterone
E. Methymanonic acid


Answer: A. Human chorionic gonadotropin

Health Professions

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How do water fluoridation systems prevent excess water fluoridation?

A) A limited amount of fluoride is maintained in day tanks. B) Proper controls are used to feed fluoride from the hoppers to distilling tanks. C) Metering pumps D) All of the above

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Fungi that grow into large, fuzzy, multicelled organisms that produce spores are called ________.

A. spirilla B. molds C. agar D. keratins E. yeasts

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The most common cause of bradycardia in the newborn is ________, which should be treated with ________

A) hypoxia; basic resuscitation procedures such as tactile stimulation, oxygen, and ventilation B) hypoxia; aggressive suctioning, intubation, and ventilation C) increased vagal tone; atropine D) maternal narcotic use; naloxone

Health Professions

Josie is a full term newborn infant who weighed approximately 3000 grams when she was born. She is 19 inches in length

Josie's mom is an alcoholic who drank throughout the pregnancy and the pediatrician was asked to examine Josie for problems associated with her mother's alcohol use. On physical exam, Josie is not really small or light for dates, but she does show signs of fetal growth retardation such as peeling skin and loss of subcutaneous tissue. She has decreased muscle tone, small eyes with large epicanthal folds, small head and upper jaw with a smooth, thin upper lip. There was no appreciable heart murmur. Now, Josie is healthy enough to be discharged in the care of her grandmother who was given temporary custody of Josie until her mother completes a court-ordered stay at an alcohol rehab facility. The grandmother was instructed to see Josie's pediatrician in three weeks. Dx: Fetal exposure to alcohol, IUGR First-listed/principal diagnosis: ________ Secondary diagnoses: ________ Fill in the blank with correct word.

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