What are the most common heart defects seen in Down Syndrome? (select 3)

Compute the product below and round the answer using significant digits rounding protocol.  Note: Use the format given below to input the answer.             

A 17-year-old girl comes to the office because she has had fever, chills, fatigue, and loss of appetite for the past two weeks. The patient also says that she has some lumps on the side of her neck. She is concerned she might have infectious mononucleosis. Temperature is 38.6°C (101.4°F), pulse rate is 82/min, and respirations are 18/min. Physical examination shows firm, nontender adenopathy along the left anterior cervical chain. There is no tonsillar enlargement or exudate. Cardiovascular, pulmonary, and abdominal examinations show no abnormalities. Which of the following is the most appropriate next step?

Match the corresponding patient presentation with the likely diagnosis:

A patient presents with fever, myalgia, and a rash that started on the wrists, ankles, palms and soles before spreading to the trunk. You appropriately initiate what treatment?

Match the corresponding rash to the most likely diagnosis: 

What is a late complication of propionic acidemia?

You are caring for a young child undergoing intensive chemotherapy for AML. She has expected chemotherapy-related myelosuppression, her Hgb is 6.5 g/dL and she is symptomatic with her anemia. You decide to give her a transfusion of pRBCs. You choose to irradiate the blood before transfusing it knowing it helps prevent this transfusion complication:

You are caring for a patient presenting with concerns for bacteremia. The patients nurse informs you that she only got enough blood from their blood draw to send one test. Which of the following tests do you tell her to obtain as it is the most important?

Which of the following diagnostic tests can help to confirm a diagnosis of sickle cell disease?