#april2020mccqe1
A 2-year-old girl with a lifelong history of malabsorptive and foul-smelling diarrhea, weakness, and general failure to thrive has just undergone a small intestine biopsy (see image). Her parents believe her problems began at 6 months of age, when she started eating solid foods, but have significantly worsened over the past few months. The only recent change in her diet is that she eats a bowl of cereal every morning with her parents before they go to work. She tried a dairy-free diet a month ago, but it did not improve her symptoms. Which of the following is the most likely diagnosis?
(A) Abetalipoproteinemia
(B) Celiac sprue
(C) Lactase deficiency
(D) Viral enteritis
(E) Whipple’s disease
A 2-year-old girl with a lifelong history of malabsorptive and foul-smelling diarrhea, weakness, and general failure to thrive has just undergone a small intestine biopsy (see image). Her parents believe her problems began at 6 months of age, when she started eating solid foods, but have significantly worsened over the past few months. The only recent change in her diet is that she eats a bowl of cereal every morning with her parents before they go to work. She tried a dairy-free diet a month ago, but it did not improve her symptoms. Which of the following is the most likely diagnosis?
(A) Abetalipoproteinemia
(B) Celiac sprue
(C) Lactase deficiency
(D) Viral enteritis
(E) Whipple’s disease
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