A 6-Year-Old Girl Is Brought to the Office Due to Intermittent

question 783

Multiple Choice

A 6-year-old girl is brought to the office due to intermittent abdominal cramps, bloating, and diarrhea for 2 months.  She also has excessive flatulence, which typically occurs after meals.  The patient has had no fever or vomiting.  She eats a well-balanced diet and takes no medications or vitamins.  Vital signs are appropriate for age.  Examination shows a mildly distended abdomen with no hepatosplenomegaly or tenderness.  Laboratory evaluation reveals elevated tissue transglutaminase antibodies.  Which of the following locations should be biopsied to confirm the diagnosis in this patient?

• A)Stomach
• B)Duodenum
• C)Distal jejunum
• D)Terminal ileum
• E)Colon

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Definitions:

Facial Feedback Effect

The theory that facial expressions can influence emotional experiences, suggesting that smiling can make one feel happier.

Physiological Responses

automatic reactions of the body to internal or external stimuli, such as changes in heart rate, hormone levels, and muscle tension.

Expressing Emotion

The action of conveying feelings or emotions through words, gestures, facial expressions, or other behaviors.

Facial Expressions

The movements or positions of the face that convey a person's emotions, intentions, or social signals.