A Newborn Boy Is Found to Have Markedly Elevated Serum

question 241

Multiple Choice

A newborn boy is found to have markedly elevated serum TSH and low thyroxine on routine screening.  Laboratory findings using a venous blood sample confirm the diagnosis.  The patient was born at 39 weeks gestation to a 34-year-old healthy woman, who had been taking prenatal vitamins regularly.  He has no symptoms or abnormal findings on clinical examination.  Imaging studies reveal an ectopic thyroid gland just below the tongue.  Which of the following is the most likely cause of this patient's otherwise normal physical examination despite abnormal thyroid laboratory findings?

• A)Excess thyroxine production by an ectopic thyroid
• B)Increased thyroid-binding globulin in pregnancy
• C)Transplacental transfer of thyroid-stimulating antibody
• D)Transplacental transfer of thyroxine
• E)Transplacental transfer of TSH

Understand the impact of role flexibility in African American families and its various forms.

Appreciate the nuances of communication preferences within African American communities.

Recognize the historical and contemporary issues of identity and belonging among African Americans.

Demonstrate knowledge of appropriate therapeutic techniques when working with African American clients.

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Definitions:

Completed

The state of having finished or accomplished a task, project, or objective.

Central Question

The primary or core question that guides the focus of a research study, discussion, or project.

External Control

Mechanisms imposed by external entities, such as regulations or laws, that influence or limit the behavior of organizations or individuals.

Personal Supervision

Direct oversight by an individual, typically a manager or supervisor, over the work and performance of subordinates.