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You Are Examining a 7-Year-Old Male Child Who Exhibits Delayed

Question 2

Multiple Choice

You are examining a 7-year-old male child who exhibits delayed motor development, overexaggerated reflexes, and spasticity. In addition, the boy has a tendency to chew his lips and fingers often causing tissue damage and bleeding. He also has painful, swollen, and inflamed joints. The most likely diagnosis in this case is Lesch-Nyhan syndrome. Which of the following compounds would be expected to be elevated in the urine of this patient?


A) adenosine
B) guanine
C) hypoxanthine
D) uric acid
E) xanthine

Correct Answer:

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