An 8-Year-Old Boy Is Brought by His Mother Due to Concerned

question 1

Multiple Choice

An 8-year-old boy is brought by his mother due to concerned to his weight. The patient weight is on 5th percentile for his age. He has no medical conditions or family history of any inheritied diseases. On examination, the patient is hyperactive with sweating hand, impulsive, inattentive, and restless. His grade has declined recently. The thyroid gland is diffusely enlarged to palpation without tenderness or bruit.  Neurologic examination reveals no focal findings.  Results of thyroid function tests are : elevation of TSH, T4 and Total T3. Which of the following is the most likely etiology of this patient's thyroid function test abnormalities?

• A)Chronic autoimmune thyroiditis
• B)Elevated thyroxine-binding globulin
• C)Graves disease
• D)Organification defect in thyroid hormone synthesis
• E)Resistance to thyroid hormone

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Definitions:

Explosive Growth

Rapid and extensive increase, often used to describe sudden population growth, economic expansion, or the spread of urban development.

Living Wage

A wage sufficient for a worker and their family to live on, covering basic needs such as housing, food, and healthcare, aimed at promoting fair labor practices.

American Standard

Often refers to a set of guidelines or specifications used in the United States for various products, practices, or measurements to ensure quality, safety, and efficiency.

New Immigrants

Wave of newcomers from southern and eastern Europe, including many Jews, who became a majority among immigrants to America after 1890.