Pediatry_USMLE 501-625

501. A mentally retarded 14-year-old boy has a long face, large ears, micropenis, and large testes. Chromosome analysis is likely to demonstrate which of the following?
Trisomy 21
Trisomy 18
Trisomy 13
Fragile X syndrome
Williams syndrome
502. A 5-month-old child with poor growth presents to the ER with generalized tonic-clonic seizure activity of about 30-minute duration that stops upon the administration of lorazepam. Which of the following historical bits of information gathered from the mother is most likely to lead to the correct diagnosis in this patient?
The child has had congestion without fever for the past 3 days
The child is developmentally normal, as are his siblings
The mother has been diluting the infant’s formula to make it last longer
The mother reports there are two dogs and one cat at home.
The mother previously worked as an attorney in an energy-trading firm
 
 
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