This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'An 8 days old child presents with yellow sclera, whitish stool and turmeric colour urine on the 3rd day of septicemia on broad-spectrum antibiotics, the likely diagnosis is – \nSelect and explain. \nA. Galactosidase deficiency, B. Ammonia toxicity, C. Galactose 1–4 phosphatase uridyl transferase deficiency, D. Glucose 6 phosphatase deficiency', 'role': 'user'}, {'content': 'Answer: C \nExplanation: A feature of conjugated bilirubinemia on the 3rd day accompanied by sepsis in a neonate suggests diagnosis of Galactosemia.\nDue to the accumulation of galactitol; damage to nerve tissue and liver occurs which cause.\n\n\nHepatic parenchymal disease- jaundice, hepatomegaly and ascites\nMental retardation \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0\nVitreous hemorrhage\xa0\nAcidosis\xa0\xa0\xa0\nSplenomegaly\nCataract\xa0\nSeizures\nHypoglycemia\xa0\xa0 \xa0\n\n\nFanconi syndrome → Aminoaciduria, proteinuria and phosphaturia.\nThe symptoms of the severe from of the disease are similar to the symptoms of the patient child in the Question -i Jaundice, hepatomegaly vomiting and septicemia (due to E. coli).', 'role': 'assistant'}]