A 20-Year-Old Man Is Evaluated for Recurrent Episodes of Jaundice

question 658

Multiple Choice

A 20-year-old man is evaluated for recurrent episodes of jaundice.  He was separated from his parents at a young age and is unaware of any family medical history.  The patient resided in several foster homes throughout his childhood but currently lives alone.  His temperature is 36.7 C (98 F) , blood pressure is 120/80 mm Hg, and pulse is 72/min.  Physical examination shows pallor, icterus, and mild splenomegaly.  There is no lymphadenopathy or hepatomegaly.  The remainder of the physical examination is normal.  Laboratory test results are as follows: When the patient's red blood cells are incubated in a hypotonic solution with glycerol, hemoglobin is released.  The control sample does not release hemoglobin.  This patient is at greatest risk of developing which of the following?

• A)Autoimmune disease
• B)Autoinfarction of the spleen
• C)Avascular necrosis of the femur
• D)Hemolysis from consumption of fava beans
• E)Pigmented gallstones

---

Definitions:

Students Table

In database terms, it refers to a structured set of data items organized in rows and columns, specifically for storing information about students.

Query Tools Design

Refers to the conceptual and practical process of creating tools for querying databases or information systems.

Query Design Grid

A graphical interface in database systems allowing users to specify criteria for selecting, sorting, and displaying data.

Null Field Values

A condition where a database field does not contain any data, representing the absence of a value.