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Website title: Mehlmanmedical – Getting you the high score you need on the USMLE and COMLEX

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A 3-year-old boy is brought to the pediatrician for a follow-up appointment. He has a history of Staph and Strep infections. He appears notably fairer skinned than his 6-year-old sister.

Which of the following is the most likely explanation for this patient’s findings?

A) Adenosine deaminase...


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A 29-year-old man comes to the physician for a follow-up appointment. His neck area is shown.

Which of the following is most likely to be seen in this patient?

A) Decreased serum cortisol
B) Decreased serum growth hormone
C) Decreased serum insulin
D) Increased binding of cutaneous IGF-1 receptors
E) In...


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A 17-year-old girl is brought to the physician by her mother for a 5-month history of loss of her menses. She is an avid runner and frequently competes cross country for her school. BMI is 17. Which of the following is the most likely explanation for this patient’s presentation?

A) Decreased serum leptin
B) Increased serum FSH


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A 24-year-old man comes to the physician for a 3-week history of a rash on his elbows. Cutaneous biopsy shows IgA deposition at the dermal papillae.

Which of the following is most likely to be seen in this patient?

A) Crypt abscesses
B) Flattening of the intestinal villi
C) Lipid droplets within enterocytes
...


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An 8-year-old boy is brought to the physician for a follow-up appointment. He has a history of acute lymphoblastic leukemia for which he receives 6-mercaptopurine as part of his regimen. Which of the following agents must be used carefully in this case when considering tumor lysis syndrome?

A) Allopurinol
B) Azathioprine
C) C...


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