A 4-year-old boy presents with a chronic cough and swollen lymph nodes. His records show that he has been given antibiotics several times in the past year with limited success,
most recently for a liver abscess, and that he also has a recurring fungal skin condition. Which of the following is his most likely diagnosis?
A)
Selective IgA deficiency
B)
A deficiency in IgG2 subclass antibodies
C)
Chronic granulomatous disease
D)
Ataxia-telangiectasia
Ans:
C
Feedback:
Chronic granulomatous disease, because it affects phagocytic function, increases susceptibility to soft tissue infections, particularly of the skin, lungs, lymph nodes, and liver. Selective IgA deficiency and deficient IgG2 subclass antibodies can predispose people to infection, but those infections respond readily to antibiotic treatment. Ataxia-telangiectasia can cause skin and liver problems, but its primary manifestations are ataxia and telangiectasia.
You might also like to view...
In most instances, the nurse who signs as a witness on a consent form is affirming that
A) the patient received informed consent. B) the patient's signature is not a forgery. C) the physician's signature is not a forgery. D) the patient understands the procedure.
If the client's white blood cell count is 25,000/mm3 on her second postpartum day, the nurse should:
a. tell the physician immediately. b. have the laboratory draw blood for reanalysis. c. recognize that this is an acceptable range at this point postpartum. d. begin antibiotic therapy immediately.
A parent says, "I read that some states keep the blood sample from newborn screening and use it for other studies. Is this correct?" How should the nurse respond?
1. "That is no longer the case." 2. "I can't believe that would occur." 3. "That has happened in some states." 4. "Why would you find that disturbing?"
A patient diagnosed with cancer of the prostate was admitted after his wife reported he was trying to mix a lethal dose of medications and alcohol to drink. Which patient out-come is a priority to this situation?
a. Patient will participate in all unit activities. b. Patient will recognize that depression is treatable. c. Patient will learn ways to handle his unresolved anger. d. Patient will admit to suicidal thoughts when asked by staff.