question: Q:A 4-month-old girl is brought to the physician by her mother because of a 4-day history of vomiting, poor feeding, and more frequent napping. She appears lethargic. Her vital signs are within normal limits. Physical examination shows a bulging, tense anterior fontanelle. Fundoscopic exam shows bilateral retinal hemorrhage. A complete blood count shows a leukocyte count of 8,000/mm3. An x-ray of the chest shows healing fractures of the 4th and 5th left ribs. Which of the following is the most likely cause of the patient's condition?? 
  {'A': 'Malnutrition', 'B': 'Shearing head injury', 'C': 'Inherited connective tissue disorder', 'D': 'Bleeding from the germinal matrix', 'E': 'Epidural hematoma'},