Final Exam^349
- A patient being treated for galactosemia is concerned that her son still vomits and
has diarrhea although she stopped giving him milk. What is your best response?
a. He probably has a viral infection.
b. Is he eating cakes, cookies, or pies?
c. Ask your health-care provider to change your son’s diet.
d. Is he drinking soda? - A mother of a child diagnosed with Graves disease asks why her son sweats so
much. What is your best response?
a. Graves disease is caused by an abnormally low amount of thyroid hormone. The
thyroid controls the body’s metabolism. Too much thyroid hormone decreases
the metabolic rate, which among other signs increases sweat production.
b. Graves disease is caused by an abnormally low amount of thyroid hormone. The
thyroid controls the body’s metabolism. Too much thyroid hormone increases the
metabolic rate, which among other signs increases sweat production.
c. Graves disease is caused by an abnormally high amount of thyroid hormone. The
thyroid controls the body’s metabolism. Too much thyroid hormone increases the
metabolic rate, which among other signs increases sweat production.
d. Excess thyroid hormone raises the metabolic rate. - A parent of a child who is diagnosed and being treated for galactosemia asks
why her child has a skin rash, diarrhea, and is lethargic. What is your best
response?
a. These are signs of phenylalanine deficiency caused by too much phenylalanine
in the diet. Let’s ask the health-care provider to adjust your child’s diet.
b. These are signs of phenylalanine deficiency.
c. These are signs of phenylalanine deficiency caused by too little phenylalanine in
the diet. Let’s ask the health-care provider to adjust your child’s diet.
d. Has your child received all his vaccinations? - A parent whose child has recently returned from surgery to treat Graves dis-
ease tells you that her son’s cheek twitches every time she kisses him on the
cheek. What is your best response?
a. This is a muscle spasm and a sign of low calcium, which occurs sometimes fol-
lowing surgery. I’ll notify the health-care provider immediately.
b. This is a sign of low calcium, which occurs sometimes following surgery. I’ll
notify the health-care provider immediately.
c. This is a muscle spasm and a sign of low calcium, which occurs sometimes fol-
lowing surgery. I’ll notify the health-care provider immediately. The health-care
provider is likely to adjust your son’s medication.
d. This is the Chvostek sign, which occurs sometimes following surgery. I’ll notify
the health-care provider immediately.