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48. A 1 year-old child presents with failure to thrive, frequent large voids of dilute urine, excessive thirst, and three episodes of dehydration not associated with vomiting or diarrhea.Over the year, other family memers repotedly have similiar histories.!he li"ely diagnosis is A.#ater intoxication &.$iaetes mellitus %.$iaetes insipidus
$.%hild ause '.(ephrotic syndrome
4). A 1* year-old oese oy has central fat distriution, arrested growth, hypertension, plethora, purple striae, and osteoporosis.#hich the following disorders is most li"ely to e responsile for the clinical picture that this oy present + A.&ilateral adrenal hyperplasia &.Adrenal adenoma %.Adrenal carcinoma $.%raniopharyngioma '.'ctopic adrenocorticotropin-producing tumor *.A 4 year-old child has mental retardation, shortness of stature, rachydactyly especially of the fourth and fifth digits, and oesity with round facies and short nec".!he child is followed y an ophthalmologist for sucapsular cataracts, and has previously een noted to have cutaneous, sucutaneou sucutaneous, s, and perivascular perivascular calcifications calcifications of the asal ganglia.!h ganglia.!his is patient patient is li"ely to have which of the following features + A./ypercalcemia &./ypophosphatemia %.'levated concentrations of parathyroid hormone $.Advanced height age '.$ecreased one density, particulary in the s"ull 08.A 1*-month-old infant has poor weight gain, a persistent cough, and a history of several outs of pneumonitis.!he mother descries the child as having very large, foul smelling stools for month.#hich of the following diagnostic maneuvers is li"ely to result in the correct diagnosis of this child + A.%! of the chest &.erum immunogloulins %.!& s"in test $.2nspiratory and expiratory chest x-ray '.weat chloride test 0).A 3-month-old infant has large, foul-smelling stools and is not gaining weight.weat chloride level was 38 mmol.Appropriate nutritional recommendations include A.upplementation with water solule vitamins &.ancreatic en5ymereplacement %./igh fat diet $.6ow protein diet '.6ow carohydrate diet 7*.A 3 month-old infant has for the past month een provided a diet with total calorie ca lorie inta"e of 1* per "ilogram ody weight per day, consisting of 4 protein, * fat, and 43 carohydrates.usequently the patient may develop
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A.9ic"ets &.:arasmus %.Oesity $.:arasmic "washior"or '.;washior"or 71.A 10-year-old female presents for her well child visit with no complaints. /owever, she is concerned aout her friend who counts calories and seems ti e losing los ing too much weight.$uring a discussion aout this issue, you tell her that the recommended energy inta"e for a 10 year-old female as addressed in "eal per day is A.1** &.18** %.00** $.03** '.7*** 70.A 10 year-old healthy reteropelvic ?unction ostruction &.osterior urethral valve %.rune elly syndrome $.$uplicatoin of the colleting system './orseshoe "idney
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