A term baby of an uncomplicated pregnancy is born limp, cyanotic, and apneic after a difficult vaginal delivery Possible considerations for this state include all of the following EXCEPT

Correct Answer: D

Rationale: Local anesthetic administration into the fetal scalp is unlikely to cause systemic effects leading to limpness and apnea

Correct Answer: A

Rationale: In many critical illnesses, blood pressure may initially increase but later drop as shock progresses.

Correct Answer: D

Rationale: A click suggests structural heart disease, such as aortic or pulmonary stenosis. Pathological murmurs are often associated with abnormal heart sounds, unlike benign murmurs that change with position or respiration.

Correct Answer: A

Rationale: Gilles de la Tourette syndrome is defined by multiple motor and vocal tics, often including coprolalia (involuntary utterance of obscene words). Encopresis is unrelated, and while medications like haloperidol may help, the condition is relatively rare.

Correct Answer: B

Rationale: Bone marrow transplantation is a definitive treatment for severe aplastic anemia.