MCQ – 87829


A 5-year-old child who has received no medical care since birth has had gradual onset of markedly decreased vision bilaterally. The child also has a history of increased respiratory tract infections caused by Haemophilus influenzae, Streptococcus pneumoniae, Klebsiella pneumoniae, and rubeola. The figure shows the representative microscopic appearance of the bronchial mucosa. The child also has passed several urinary tract calculi. On physical examination,generalized papular dermatosis is noted. The child has xerophthalmia, and there is marked keratomalacia with corneal clouding. Bilateral crackles are audible in the lungs on auscultation. What disease process would most likely lead to these findings?


 Cystic fibrosis


Congenital syphilis

C. Kartagener syndrome

D. Vitamin A deficiency

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