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A 3-Day-Old Boy Is Brought to the Office Due to Poor

Question 154

Multiple Choice

A 3-day-old boy is brought to the office due to poor feeding, vomiting, and progressive lethargy.  The parents also report that his diapers have a "burnt sugar smell" differing from their previous children's diapers.  The mother and infant were discharged from the hospital yesterday after a normal pregnancy and spontaneous vaginal delivery.  The mother is exclusively breastfeeding.  Her other 2 children are healthy and have no medical problems.  Physical examination shows a lethargic infant with dry mucous membranes and generalized hypertonia.  Which of the following should be restricted from this infant's diet?


A) Galactose
B) Leucine
C) Methionine
D) Phenylalanine
E) Tyrosine

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