1 . Your patient is a 9..y.o. male who presents with a decreased attention span,

Question

1. Your patient is a 9..y.o. male who presents with a decreased attention span, marginally failing grades in school [D+ average], poor dentition, hyperactivity, possible signs of malnutrition, and an unkempt physical appearance. His parents are well educated [one a High school grad, one a College grad].   Your first assessment is which of the following possible diagnoses?

a.       secondary Kwashiorkor            b.      Vitamin deficiency

c.       Poor parenting                           d.      poor dental hygiene

2. Accordingly, you anticipate which of the following circulating hormone levels to be elevasted, disrupted or atypical ?

a.       Thyroid hormones                     b.      Catecholamines

c.       Adrenalin                                    d.      parathyroid hormones

3. The impact of sarin gas [nerve gas] is best characterized by paralysis of which of the following?

a.       ANS                                               b.      PNS

c.       PBS                                               d.      CNS

e.      PSNS

Explanation / Answer

1. b. Vitamin deficiency (Vitamin D deficiency is the most likely reason)

2. a. Thyroid hormones (deficiency of Vitamin D is linked to hypothyroidism)

3. b. PNS (the peripheral nervous system is more dependent on acetylcholine, and is crippled by it's large concentration)

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