A 1.5-month-old girl, the first child of unrelated parents was referred to our hospital with icterus and edema. She is exclusively breast-fed, she had acholic stools. She was hospitalized for further evaluation. The baby's blood group is A +ve, the mother's blood group is O +ve. What is the most probable diagnosis?

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Question 1 of 5

A 1.5-month-old girl, the first child of unrelated parents was referred to our hospital with icterus and edema. She is exclusively breast-fed, she had acholic stools. She was hospitalized for further evaluation. The baby's blood group is A +ve, the mother's blood group is O +ve. What is the most probable diagnosis?

Correct Answer: C

Rationale: Neonatal cholestasis is characterized by prolonged jaundice, acholic stools, and direct hyperbilirubinemia. Causes include biliary atresia, metabolic disorders, and genetic syndromes. ABO incompatibility typically causes hemolysis and indirect hyperbilirubinemia, not acholic stools.

Question 2 of 5

Dating violence and date rape are common. Adolescent women experience higher rates of sexual assault than any other age group. Substance abuse during the sexual assault is common. Which of the following substance is commonly used in the episode of sexual assault?

Correct Answer: A

Rationale: Alcohol is the most commonly used substance in episodes of sexual assault, as it impairs judgment and reduces resistance in victims.

Question 3 of 5

All of the following may increase plasma levels of theophylline EXCEPT

Correct Answer: D

Rationale: Smoking marijuana does not increase theophylline levels, while the other options can inhibit its metabolism, leading to increased levels.

Question 4 of 5

Which of the following is normocytic normochromic anemia:

Correct Answer: A

Rationale: Aplastic anemia is a type of normocytic normochromic anemia characterized by reduced production of all blood cells due to bone marrow failure. Thalassemia and iron deficiency anemia are microcytic hypochromic.

Question 5 of 5

One of the following is a major Jones criteria for diagnosis of rheumatic fever:

Correct Answer: C

Rationale: Erythema marginatum is a major Jones criterion for rheumatic fever. It is a non-itchy, evanescent rash with a pale center, usually appearing on the trunk and proximal extremities.

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