A 5-Year-Old Boy Is Brought to the Office by His

question 631

Multiple Choice

A 5-year-old boy is brought to the office by his mother, who notes that her son's eyes and feet have looked puffy over the last several weeks.  She is unaware of exactly when this began but says the patient had a mild upper respiratory tract infection several weeks ago.  The boy has no pain but mentions that his shoes seem to fit tightly and bother him, especially when he runs outside during recess at school.  The mother also remarks that the boy's urine has been excessively foamy recently.  On further questioning, the mother states that she has seasonal allergies and asks whether her child also has allergies.  Physical examination is remarkable for periorbital edema and lower extremity edema.  Urinalysis shows 4+ proteinuria but is otherwise unremarkable.  Which of the following secondary changes is most likely in this patient?

• A)Decreased liver albumin synthesis
• B)Decreased plasma aldosterone level
• C)Increased capillary oncotic pressure
• D)Increased liver lipoprotein synthesis
• E)Increased renal sodium wasting

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Definitions:

Protest Movements

Collective efforts of individuals or groups to express opposition to, or demand changes in, political, social, economic, or environmental issues.

National Industrial Recovery Act

A 1933 U.S. law aimed at boosting economic recovery during the Great Depression, which sought to encourage industrial growth and improve labor conditions.

New Deal

A series of programs, public work projects, financial reforms, and regulations enacted by President Franklin D. Roosevelt in the United States during the 1930s.

Great Depression

A severe worldwide economic depression that took place mostly during the 1930s, starting in the United States.