A 56-Year-Old Man Is Evaluated for Progressive Visual Impairment

question 12

Multiple Choice

A 56-year-old man is evaluated for progressive visual impairment.  The patient works as part of the grounds crew at an airport, and says he has trouble identifying aircraft at a distance and with filling out paperwork at the end of his shift.  His medical history includes poorly controlled diabetes mellitus, hypertension, and gout.  A year ago, the patient underwent an uncomplicated repair of a right inguinal hernia.  Physical examination shows bilateral clouding of the lens.  The remainder of the examination is unremarkable.  Which of the following metabolic conversions is most likely contributing to this patient's current condition?

• A)Galactitol to tagatose
• B)Galactose to galactitol
• C)Glucose to sorbitol
• D)Glucose-6-phosphate to 6-phosphogluconolactone
• E)Pyruvate to lactate

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Definitions:

Group Formation

The process by which individuals come together to form a group, often going through various stages of development such as forming, storming, norming, and performing.

Elaboration Principle

A concept in instructional design that emphasizes the importance of detailed and well-explained information to facilitate learning and understanding.

Groups Support

Groups support refers to the assistance and reinforcement provided by group members to each other in order to achieve individual or collective goals.

Embarrassed And Afraid

Feelings of shame, discomfort, and fear often experienced in socially awkward or threatening situations.