Repeated USMLE Questions Step 2 CK (85)

A 9 month-old boy presents to the emergency room with a high fever and persistent cough.  Workup confirms a diagnosis of pneumococcal pneumonia. His past history shows multiple episodes of otitis media. His weight and height are at the 5th percentile.

What is the most likely diagnosis?

A-Chediak-Higashi Syndrome

B-Chronic granulomatous disease

C-Leukocyte adhesion defect

D-X-linked agammaglobulinemia

E-Wiskott-Aldrich Syndrome


This boy most likely has x-linked agammaglobulinemia. This disorder is characterized by decrease in B-cell production which leads to less production of antibodies Which leads to recurrent bacterial infections as seen in this patient.

The correct answer is D

By | 2017-02-23T04:43:42+00:00 February 23rd, 2017|USMLE Step 2 CK|0 Comments

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