A 3-Year-Old Boy Is Brought to the Office for a Routine

question 639

Multiple Choice

A 3-year-old boy is brought to the office for a routine visit.  The patient is doing well, and his parents have no concerns.  Review of systems is unremarkable.  He was recently adopted from China; his medical and family history is unknown.  The patient takes no daily medications and has received all recommended immunizations.  His adoptive parents are schoolteachers, and the family lives in a newly built home.  Vital signs are appropriate for age, and BMI is at the 40th percentile.  Examination shows a quiet and alert boy.  Cardiac, pulmonary, and abdominal examinations are unremarkable.  Complete blood count and serum electrolytes are normal.  Venous lead level is 60 µg/dL (normal: <5) .  X-ray of the abdomen reveals no lead-containing foreign bodies.  Lead toxicity and exposure are discussed with the family.  Which of the following is the best next step in management of this patient?

• A)Intravenous calcium disodium edetate (EDTA)
• B)Observation and repeat lead testing in 1 month
• C)Oral activated charcoal
• D)Oral D-penicillamine
• E)Oral meso-2,3-dimercaptosuccinic acid (DMSA, succimer)

Recognize the rights and duties of unionized employees, including picket line protocols during strikes.

Understand the rights and legal mechanisms available to employees in cases of constructive dismissal.

Grasp the legal principles and protections related to employment standards, mediation, and trade union activities.

Understand the hierarchy of needs as outlined by Abraham Maslow, including the pinnacle need of self-actualization.

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Definitions:

Accumulated Depreciation

The total amount of depreciation expense that has been recorded for an asset since it was put into use.

Financing Activities

Transactions that result in changes in the size and composition of the equity capital or borrowings of a company, reflected in its statement of cash flows.

Operating Activities

Daily activities of a business related to producing and delivering its products and services, which generate the majority of a company's cash flow.

Investing Activities

Part of the cash flow statement that shows the inflow and outflow of cash from activities related to investments like securities, equipment, or properties.