A 13-Year-Old Girl Comes to the Office for a Routine

question 534

Multiple Choice

A 13-year-old girl comes to the office for a routine well-child visit.  She reports skin lesions on her trunk that are not painful or pruritic but have increased in size and number over the past few years.  She has no chronic medical problems and takes no medications.  Vital signs are within normal limits.  Physical examination reveals several large, uniformly pigmented, macular skin lesions.  Her eye examination is shown below. This patient is at greatest risk of developing which of the following?

• A)Acute hepatic failure
• B)Acute lymphoblastic leukemia
• C)Nerve sheath tumors
• D)Renal angiomyolipoma
• E)Retinal hemangioblastoma

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Definitions:

Musical Work

A creative piece of music which has been composed, written, or recorded.

Engine

A machine designed to convert one form of energy into mechanical energy.

Lift

In the context of business and marketing, it refers to an increase or improvement in a certain metric such as sales or engagement resulting from a specific action or campaign.

Coal Mine

A location where coal is extracted from the earth through mining processes.