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  • Question 1 - An 11-week-old baby with abnormal facies presented to the paediatric clinic with recurrent...

    Correct

    • An 11-week-old baby with abnormal facies presented to the paediatric clinic with recurrent chest infections. CXR showed an absent thymic shadow. What is the most likely diagnosis?

      Your Answer: DiGeorge syndrome

      Explanation:

      DiGeorge syndrome usually presents at a young age with abnormal faces. Chest x-ray is characterised by an absent thymic shadow and recurrent infections due to an abnormal T-cell mediated immune response. Sometimes it presents by convulsions of the new-born due to hypocalcaemia as a result of a malfunctioning parathyroid gland and low levels of PTH.

    • This question is part of the following fields:

      • Genetics And Dysmorphology
      69.9
      Seconds
  • Question 2 - A 13-year-old girl presents with a swollen left knee following a fall. Her...

    Incorrect

    • A 13-year-old girl presents with a swollen left knee following a fall. Her parents state she suffers from haemophilia and has been treated for a right-sided haemarthrosis previously. What other condition is she most likely to have?

      Your Answer: Down's syndrome

      Correct Answer: Turner's syndrome

      Explanation:

      Haemophilia is a X-linked recessive disorder. In X-linked recessive inheritance only males are affected. An exception to this seen in examinations are patients with Turner’s syndrome, who are affected due to only having one X chromosome. X-linked recessive disorders are transmitted by heterozygote females (carriers) and male-to-male transmission is not seen. Affected males can only have unaffected sons and carrier daughters.

    • This question is part of the following fields:

      • Genetics And Dysmorphology
      80.2
      Seconds
  • Question 3 - Genetic point mutation occurs in which of the given genetic abnormalities? ...

    Incorrect

    • Genetic point mutation occurs in which of the given genetic abnormalities?

      Your Answer: Huntington's disease

      Correct Answer: Haemochromatosis

      Explanation:

      Point mutations are the type of mutations in which only a single nucleotide of the DNA is either deleted, substituted or a new single nucleotide is inserted into the DNA, causing alterations in the original normal DNA sequencing. The examples of point mutations include hemochromatosis, sickle cell disease, and Tay-Sach’s disease. Huntington’s disease is a trinucleotide repeat disorder. Down’s syndrome is characterized by an extra copy of chromosome 21, while Klinefelter syndrome is marked by an extra X chromosome. Fragile X syndrome is also a trinucleotide repeat disorder.

    • This question is part of the following fields:

      • Genetics And Dysmorphology
      33.1
      Seconds
  • Question 4 - Which of the following conditions is due to a deletion of chromosome 15q...

    Correct

    • Which of the following conditions is due to a deletion of chromosome 15q inherited from the father?

      Your Answer: Prader-Willi

      Explanation:

      Most cases of Prader-Willi syndrome are not inherited, particularly those caused by a deletion in the paternal chromosome 15 or by maternal uniparental disomy. These genetic changes occur as random events during the formation of reproductive cells (eggs and sperm) or in early embryonic development. Affected people typically have no history of the disorder in their family.Rarely, a genetic change responsible for Prader-Willi syndrome can be inherited. For example, it is possible for a genetic change that abnormally inactivates genes on the paternal chromosome 15 to be passed from one generation to the next.Prader-Willi syndrome is a complex genetic condition that affects many parts of the body. In infancy, this condition is characterized by weak muscle tone (hypotonia), feeding difficulties, poor growth, and delayed development. Beginning in childhood, affected individuals develop an insatiable appetite, which leads to chronic overeating (hyperphagia) and obesity. Some people with Prader-Willi syndrome, particularly those with obesity, also develop type 2 diabetes (the most common form of diabetes).

    • This question is part of the following fields:

      • Genetics And Dysmorphology
      43
      Seconds
  • Question 5 - What form of inheritance does Chédiak–Higashi syndrome have? ...

    Correct

    • What form of inheritance does Chédiak–Higashi syndrome have?

      Your Answer: Autosomal recessive

      Explanation:

      Chédiak–Higashi syndrome is inherited in an autosomal recessive pattern, which means both copies of the gene in each cell have mutations. The parents of an individual with an autosomal recessive condition each carry one copy of the mutated gene, but they typically do not show signs and symptoms of the condition.

    • This question is part of the following fields:

      • Genetics And Dysmorphology
      30.2
      Seconds
  • Question 6 - A healthy male who has a brother with cystic fibrosis. His wife, who...

    Incorrect

    • A healthy male who has a brother with cystic fibrosis. His wife, who has no family history of cystic fibrosis, wants to know their chance of having a child affected by cystic fibrosis.What is the best estimate of the risk if the population carrier rate of cystic fibrosis is 1 in 25?

      Your Answer: 1 in 75

      Correct Answer: 1 in 150

      Explanation:

      CF is inherited in an autosomal recessive manner.This means that to have CF, a person must have a mutation in both copies of the CFTR gene in each cell. People with CF inherit one mutated copy of the gene from each parent, who is referred to as a carrier.CF carriers can pass their copy of the CFTR gene mutation to their children. Each time two CF carriers have a child together, the chances are: 25 percent (1 in 4) the child will have CF50 percent (1 in 2) the child will be a carrier but will not have CF25 percent (1 in 4) the child will not be a carrier of the gene and will not have CFThis male’s parents are obligate carrier because he has a sibling with CFSo the chances he is a carrier too are 2 in 3The risk of having an affected child is the chance of both himself and his partner being carriers: (2/3 × 1/25 = 2/75) × 1/4 = 1/150.

    • This question is part of the following fields:

      • Genetics And Dysmorphology
      51.9
      Seconds
  • Question 7 - Which of the following are not a recognized feature of Down's syndrome? ...

    Correct

    • Which of the following are not a recognized feature of Down's syndrome?

      Your Answer: Ataxic gait

      Explanation:

      Ataxic gait is not a direct association of Down’s syndrome. All other given responses are associated with Down’s syndrome.

    • This question is part of the following fields:

      • Genetics And Dysmorphology
      57
      Seconds
  • Question 8 - Which of the following conditions is usually inherited in an autosomal dominant fashion?...

    Correct

    • Which of the following conditions is usually inherited in an autosomal dominant fashion?

      Your Answer: Familial adenomatous polyposis

      Explanation:

      Familial adenomatous polyposis can have different inheritance patterns.When familial adenomatous polyposis results from mutations in the APC gene, it is inherited in an autosomal dominant pattern, which means one copy of the altered gene in each cell is sufficient to cause the disorder. In most cases, an affected person has one parent with the condition.When familial adenomatous polyposis results from mutations in the MUTYH gene, it is inherited in an autosomal recessive pattern, which means both copies of the gene in each cell have mutations. Most often, the parents of an individual with an autosomal recessive condition each carry one copy of the mutated gene, but do not show signs and symptoms of the condition.

    • This question is part of the following fields:

      • Genetics And Dysmorphology
      55.6
      Seconds
  • Question 9 - Which of the following conditions is inherited in an autosomal recessive fashion? ...

    Incorrect

    • Which of the following conditions is inherited in an autosomal recessive fashion?

      Your Answer: Hereditary hemorrhagic telangiectasia

      Correct Answer: Cystinosis

      Explanation:

      Cystinosis is a condition characterized by accumulation of the amino acid cystine (a building block of proteins) within cells. This condition is inherited in an autosomal recessive pattern.Excess cystine damages cells and often forms crystals that can build up and cause problems in many organs and tissues. The kidneys and eyes are especially vulnerable to damage| the muscles, thyroid, pancreas, and testes may also be affected.There are three distinct types of cystinosis. In order of decreasing severity, they are nephropathic cystinosis, intermediate cystinosis, and non-nephropathic or ocular cystinosis.Nephropathic cystinosis begins in infancy, causing poor growth and a particular type of kidney damage (renal Fanconi syndrome) in which certain molecules that should be reabsorbed into the bloodstream are instead eliminated in the urine. The kidney problems lead to the loss of important minerals, salts, fluids, and many other nutrients. The loss of nutrients impairs growth and may result in soft, bowed bones (hypophosphatemic rickets), especially in the legs. The nutrient imbalances in the body lead to increased urination, thirst, dehydration, and abnormally acidic blood (acidosis). By about the age of 2, cystine crystals may be present in the clear covering of the eye (cornea). The build-up of these crystals in the eye causes pain and an increased sensitivity to light (photophobia). Untreated children will experience complete kidney failure by about the age of 10. Other signs and symptoms that may occur in untreated people, especially after adolescence, include muscle deterioration, blindness, inability to swallow, diabetes, thyroid and nervous system problems, and an inability to father children (infertility) in affected men.The signs and symptoms of intermediate cystinosis are the same as nephropathic cystinosis, but they occur at a later age.

    • This question is part of the following fields:

      • Genetics And Dysmorphology
      35
      Seconds
  • Question 10 - A 30-year-old female presents to her OBGYN for a 20-week anomaly scan of...

    Incorrect

    • A 30-year-old female presents to her OBGYN for a 20-week anomaly scan of the foetus. During her visit, she is informed she is going to have a baby boy. What will be the chromosomal arrangement of the baby?

      Your Answer: 23 pairs of autosomes and 1 pair of sex hormones (XY)

      Correct Answer: 22 pairs of autosomes and 1 pair of sex hormones (XY)

      Explanation:

      In humans, each cell normally contains 23 pairs of chromosomes, for a total of 46. Twenty-two of these pairs, called autosomes, look the same in both males and females. The 23rd pair, the sex chromosomes, differ between males and females. Females have two copies of the X chromosome, while males have one X and one Y chromosome.

    • This question is part of the following fields:

      • Genetics And Dysmorphology
      75
      Seconds

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