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A 3-Year-Old Girl Is Brought to the Physician by Her

Question 797

Multiple Choice

A 3-year-old girl is brought to the physician by her parents because of unsteady and difficulty walking. She began to walk at 12 months and continues to have difficulty standing still without support. She also appears to have difficulty grabbing objects in front of her.   Medical history is significant for recurrent ear and pulmonary infections. Vital signs are normal.  Physical examination reveals numerous superficial nests of distended capillaries on the face and ears that blanch with pressure.  This patient's condition is most likely due to a genetic defect affecting which of the following processes?


A) DNA break repair
B) MHC class II antigen expression
C) Mitochondrial iron transport
D) Purine catabolism
E) Sphingolipid degradation

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