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8679 Anatomy

A 30-year-old woman complains of weakness and fatigability over the past 6 months. She has a 3-month acute history of severe hypertension that has required treatment with antihypertensive medications. Radiographic examination reveals a tumor of her right suprarenal gland. The patient is diagnosed with a pheochromocytoma (tumor of the adrenal medulla) and is scheduled for a laparoscopic adrenalectomy. Which of the following nerve fibers will need to be cut when the adrenal gland and tumor are removed?

APreganglionic sympathetic fibers
BPostganglionic sympathetic fibers
CSomatic motor fibers
DPostganglionic parasympathetic fibers
Anatomy
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8684 Pediatrics

The mother of a 2-week-old infant reports that since birth, her infant sleeps most of the day; she has to awaken her every 4 hours to feed, and she will take only an ounce of formula at a time. She also is concerned that the infant has persistently hard, pellet-like stools. On your examination you find an infant with normal weight and length, but with an enlarged head. The heart rate is 75 beats per minute and the temperature is 35degC (95degF). The child is still jaundiced. You note large anterior and posterior fontanelles, a distended abdomen, and an umbilical hernia. This clinical presentation is likely a result of which of the following?

ACongenital hypothyroidism
BCongenital megacolon (Hirschsprung disease)
CSepsis
DInfantile botulism
Pediatrics
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