A 3-Year-Old Boy Is Brought to the Office Due to a 1-Day

question 66

Multiple Choice

A 3-year-old boy is brought to the office due to a 1-day history of fever and irritability.  The mother states that the boy has been tugging at his right ear.  The patient has had 2 previous episodes of acute otitis media.  Temperature is 38.1 C (100.6 F) .  Otoscopic examination shows a perforated right tympanic membrane with erythema and purulent exudate.  Cultures from the exudate yield small, oxidase-positive, gram-negative coccobacilli that grow on factor X- and factor V-supplemented media, consistent with Haemophilus influenzae.  The patient's immunizations are up to date.  Which of the following best explains this patient's susceptibility to the pathogen causing his current infection?

• A)No vaccine is effective against H influenzae
• B)The patient has defective cell-mediated immunity
• C)The patient has defective neutrophil function
• D)The strain responsible for this patient's disease does not produce a capsule
• E)The strain responsible for this patient's disease produces exotoxin

Understand the historical changes in average body weights and composition.

Comprehend the essential body fat ranges for different genders.

Recognize age-related changes in body composition.

Identify factors influencing resting metabolism and the impact of muscle versus fat.

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Definitions:

Personality

The combination of emotional, attitudinal, and behavioral response patterns of an individual, defining their character and psychological identity.

Freud

Sigmund Freud, an Austrian neurologist known for founding psychoanalysis, a clinical method for treating psychopathology through dialogue between a patient and a psychoanalyst.

Impulsively

Acting or done without forethought, driven by sudden desires or inclinations.

Id

In psychoanalytic theory, the part of the mind in which innate instinctive impulses and primary processes are manifest.