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Old 07-08-2011
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Question A 16 year old with amenorrhea

A 16 year old girl is brought to your office by her concerned mother. She states that the girl has not always been of short stature but that her husband family are very short also. The girl denies headaches, vision loss, hair loss, wieht gain or weight loss. She performs well in school. On physical exam you notice a low posterior hairline. Which of the following would her chroomosomal analysis reveal?

A. Fragile X
B. Trisomy 18
C. Trisomy 21
D. 45 XO
E. XXY
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Old 07-08-2011
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Answer is down syndrome ,trisomey 21.
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Old 07-08-2011
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Quote:
Originally Posted by confident View Post
Answer is down syndrome ,trisomey 21.
She performs well in school?
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Old 07-08-2011
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Quote:
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She performs well in school?

oops i missed that sentence i just saw low posterior hair line and thought downs....But all other have some level of mental retardation and 45 xo have visual defect..??
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Old 07-08-2011
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Low Posterior hairline is characteristic of Turner's syndrome and Noonan Syndrome . Answer is XO
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Old 07-08-2011
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i think this is 45xo turner's because their iq is about 90, thats not very bad (mental retardation is <70) and they may perform about average in school, and they have a low posterior hairline too
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Old 07-08-2011
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oops i missed that sentence i just saw low posterior hair line and thought downs....But all other have some level of mental retardation and 45 xo have visual defect..??
yup, must be X0
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Old 07-08-2011
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D. 45 XO turner short stature with amenorrhea
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Old 07-08-2011
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The correct answer is D. Women with Turner Syndrome have normal intelligence
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Old 07-08-2011
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D turner's snd
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Internal-Medicine-, ObGyn-, Step-2-Questions, Syndromes-Acronyms

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