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Pd 1585-1912

) An infant is born to a woman who has received very little prenatal care. The mother is anxious, complains of heat intolerance and fatigue, and reports that she has not gained much weight despite having an increased appetite. On examination the mother is tachycardic, has a tremor, and has fullness in her neck and in her eyes. The infant is most likely at risk for development of which of the following?
Constipation
Heart failure
Macrocephaly
Third-degree heart block
Thrombocytosis
2) An otherwise healthy 7-year-old girl is brought to your office by her father because she has some acne, breast development, and fine pubic hair. Which of the following is the most likely etiology for her condition?
A feminizing ovarian tumor
. A gonadotropin-producing tumor
A lesion of the central nervous system (CNS)
Exogenous estrogens
Early onset of “normal” puberty (constitutional)
A primiparous woman whose blood type is O positive gives birth at term to an infant who has A- positive blood and a hematocrit of 55%. A total serum bilirubin level obtained at 36 hours of age is 12 mg/dL. Which of the following additional laboratory findings would be characteristic of ABO hemolytic disease in this infant?
. A normal reticulocyte count
A positive direct Coombs test
Crescent-shaped red blood cells in the blood smear
Elevated hemoglobin
Petechiae
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