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A 9-Year-Old Boy Is Brought to the Office for Evaluation

Question 313

Multiple Choice

A 9-year-old boy is brought to the office for evaluation of oral lesions.  He had been living in a children's home until he was adopted 3 months ago.  He believes the tongue nodules have always been present.  They do not hurt or itch.  He has no taste disturbance and eats a variety of solids and liquids.  He is not bothered by drinking hot or cold liquids.  Vital signs are stable.  He is tall for his age with long arms and fingers.  Tongue examination is shown below.  On palpation, the tongue nodules feel discrete, firm, and rubbery.  They are not tender.  This patient is at greatest risk from which of the following conditions? A 9-year-old boy is brought to the office for evaluation of oral lesions.  He had been living in a children's home until he was adopted 3 months ago.  He believes the tongue nodules have always been present.  They do not hurt or itch.  He has no taste disturbance and eats a variety of solids and liquids.  He is not bothered by drinking hot or cold liquids.  Vital signs are stable.  He is tall for his age with long arms and fingers.  Tongue examination is shown below.  On palpation, the tongue nodules feel discrete, firm, and rubbery.  They are not tender.  This patient is at greatest risk from which of the following conditions?   A) Arteriovenous malformation B) Colon polyps C) Pituitary tumor D) Refractory seizures E) Thyroid cancer


A) Arteriovenous malformation
B) Colon polyps
C) Pituitary tumor
D) Refractory seizures
E) Thyroid cancer

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