A 1-Year-Old Boy Is Admitted to the Intensive Care Unit

question 88

Multiple Choice

A 1-year-old boy is admitted to the intensive care unit for severe respiratory distress and hypoxia requiring endotracheal intubation and mechanical ventilation.  Medical history shows 2 prior episodes of pneumonia, chronic thrush, and tympanostomy tube placement for recurrent otitis media.  His vaccinations are not fully up to date due to illness at the time of his well visits.  The patient is at the 2nd percentile for height and weight.  Physical examination shows diffuse crackles in both lungs.  Laboratory results are as follows: Which of the following is the best long-term treatment for this patient?

• A)Antiretroviral therapy
• B)Broad-spectrum antibiotics
• C)Catch-up vaccinations
• D)Intravenous immunoglobulin
• E)Stem cell transplantation

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Definitions:

Ionization

The process by which an atom or molecule acquires a negative or positive charge by gaining or losing electrons.

Wavelengths

The distance between corresponding points of two consecutive waves, often used in the contexts of light, sound, and other waves.

Fluorescence

The emission of light by a substance that has absorbed light or other electromagnetic radiation, often used in scientific and medical applications.

Cholecystography

An X-ray exam that helps visualize the gallbladder to diagnose problems such as gallstones.