A 3-Month-Old Boy Is Evaluated for Large-Volume Diarrhea and Failure

question 91

Multiple Choice

A 3-month-old boy is evaluated for large-volume diarrhea and failure to thrive.  The patient was born via spontaneous vaginal delivery at 38 weeks gestation.  His mother reports that the pregnancy was uncomplicated and there is no family history of gastrointestinal disease.  Physical examination shows mild abdominal distension, muscle wasting, and pitting edema.  Histochemical evaluation reveals absence of enteropeptidase activity in the proximal intestinal villi.  Activity of which of the following substances is most likely impaired in this patient?

• A)Amylase
• B)Bile salts
• C)Lactase
• D)Pepsin
• E)Secretin
• F)Trypsin

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Definitions:

Imposing Solutions

The act of enforcing specific solutions or methods without considering input or alternatives from others, often leading to resistance or conflict.

Acquiring Power

The process of gaining authority, influence, or control within an organization or over others.

Command-and-Control Style

A leadership approach characterized by strict authoritative directives and close supervision, with little input from subordinates.

Participative Leadership

A leadership style where decision-making is shared among group members, encouraging collaboration and team involvement.