A 3-year-old female child with repeated admissions as bleeding tendency in a form of spontaneous ecchymosis and bleeding through the nose and urine. She had another daughter who died because of similar undiagnosed illness. The mother is a staff nurse and she is highly concerned about her child illness. Lab investigations usually show either PT and/or PTT prolongation with normal platelets, which usually normalized after empiric vitamin K administration. The father is a petrol engineer and never seen accompanying the family. Of the following, the MOST helpful investigation is

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Question 1 of 5

A 3-year-old female child with repeated admissions as bleeding tendency in a form of spontaneous ecchymosis and bleeding through the nose and urine. She had another daughter who died because of similar undiagnosed illness. The mother is a staff nurse and she is highly concerned about her child illness. Lab investigations usually show either PT and/or PTT prolongation with normal platelets, which usually normalized after empiric vitamin K administration. The father is a petrol engineer and never seen accompanying the family. Of the following, the MOST helpful investigation is

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The blueberry muffin appearance in infants with TORCH infections most likely represents

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

On the second day of life, the patient in Questions and experiences bradycardia and hypotension with cyanosis and a metabolic acidosis Likely diagnoses include (may choose more than one)

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Infants at risk for hyperinsulinemic hypoglycemia include all of the following EXCEPT

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

What is the most appropriate diagnosis for a 7-year-old boy with recurrent motor movements?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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