The best growth chart indicator in patients with acute malnutrition is:

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Question 1 of 5

The best growth chart indicator in patients with acute malnutrition is:

Correct Answer: C

Rationale: Weight-for-height best detects acute malnutrition (wasting), per WHO. BMI is less specific in kids, and B-D assess other aspects.

Question 2 of 5

Prenatal diagnosis of affected male fetus with adrenoleukodystrophy is made by:

Correct Answer: A

Rationale: Elevated VLCFA in cultured amniocytes diagnoses adrenoleukodystrophy prenatally (NORD). B-E are not diagnostic.

Question 3 of 5

A child is diagnosed with hypoalbuminemia. Her total serum calcium level is normal. Most likely associated finding that may be missed is:

Correct Answer: D

Rationale: Hypoalbuminemia lowers bound calcium; a normal total calcium suggests hypercalcemia in ionized form, often missed (UpToDate). A-C, E don’t fit.

Question 4 of 5

A 19-year-old pregnant mother likes all-night dance parties. She took methylenedioxymetamphetamine (MDMA 'X', Ecstasy) routinely before and during pregnancy. The most likely fetal defect is:

Correct Answer: D

Rationale: MDMA use in pregnancy is linked to cardiac defects , like septal defects, per studies (Teratology). A-C, E are less specific.

Question 5 of 5

A child with a history of cystic fibrosis suddenly develops right-sided chest pain and shortness of breath. Physical examination reveals decreased breath sounds on the right side and mediastinal shift to the left side. Most likely diagnosis is:

Correct Answer: D

Rationale: Pneumothorax matches unilateral findings and mediastinal shift in cystic fibrosis, per CFF. A-C, E don’t fit.

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