A 1-Year-Old Boy Is Brought to the Office for a Routine

question 490

Multiple Choice

A 1-year-old boy is brought to the office for a routine visit.  The patient recently transitioned from breast milk to whole milk and enjoys various table foods, including fruits, vegetables, and grains.  The family is vegetarian and adds protein to his diet through beans and nut butters.  He says 2 words, recently started walking, and often chews on his toys and books.  The family lives in a house built in the 1940s that has no chipping paint and has recently been renovated, except for the basement and bedrooms.  Height, weight, and head circumference are at the 50th percentile for age.  Physical examination is normal.  Capillary blood test results are as follows: Which of the following is the most appropriate next step in management of this patient?

• A)Apply wallpaper to lead-based-paint walls
• B)Initiate calcium disodium edetate (EDTC)Initiate dimercaprol (British anti-Lewisite)
• D)Initiate dimercaptosuccinic acid (succimer)
• E)Measure venous lead level
• F)Perform abdominal x-ray
• G)Prescribe oral ferrous sulfate

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Definitions:

Time Off

Authorized absence from work granted to employees for various reasons, such as vacation, illness, or personal matters.

Overtime Work

Hours worked by employees that exceed the normal or legally mandated work hours; typically compensated at a higher pay rate.

Rate Range

The variance between the minimum and maximum pay rates established for a specific job or grade within an organization.

Merit

A system of recognizing or rewarding individuals based on their performance, abilities, or achievements.