A 6-Day-Old Boy Is Brought to the Office for a Routine

question 174

Multiple Choice

A 6-day-old boy is brought to the office for a routine visit after discharge from the hospital.  He is exclusively breastfed and is gaining weight appropriately.  He was born at 40 weeks gestation to a primigravida who had an uncomplicated vaginal delivery.  Physical examination at rest shows bilateral medial deviation of the forefoot.  Ankle movements appear normal, and passive and active movement of the foot results in lateral deviation of the forefoot.  The remainder of the physical examination is normal.  Which of the following is the best next step in management of this patient?

• A)Foot radiographs
• B)Karyotype analysis
• C)Reassurance
• D)Serial manipulation and casting
• E)Ultrasound of hips

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Definitions:

Positive Profit

A financial gain that occurs when the revenues received from business activities exceed the expenses, costs, and taxes needed to sustain the activity.

Scale of Operation

The size at which a company or factory operates, often impacting its production efficiency and costs.

Long Run

pertains to a time period in economics during which all factors of production and costs are variable, allowing for full adjustment to any change.

Diminishing Returns

A principle stating that as one input variable is increased, there will be a point at which the additions of output will begin to decrease, holding all other inputs constant.