Endocrinology: Turner syndrome: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Endocrinology: Turner syndrome

Sample item

A 16-year-old girl is short, has webbed neck, primary amenorrhoea and elevated FSH. Which cardiac lesion is most associated?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Bicuspid aortic valve and coarctation of the aorta

Turner syndrome (45,X) shows short stature, streak ovaries with hypergonadotropic hypogonadism and webbed neck. Bicuspid aortic valve and coarctation are the commonest cardiac lesions, and aortic dilatation is a risk. Treatment includes growth hormone and oestrogen replacement.

Option by option

  • A. Bicuspid aortic valve and coarctation of the aorta (correct)

    Correct. Left-sided lesions are typical.

  • B. Pulmonary stenosis

    Pulmonary stenosis is typical of Noonan syndrome.

  • C. Atrial septal defect

    ASD is not the characteristic lesion.

  • D. Tetralogy of Fallot

    Tetralogy is not typical.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Medicine questions

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is A, Bicuspid aortic valve and coarctation of the aorta. Turner syndrome (45,X) shows short stature, streak ovaries with hypergonadotropic hypogonadism and webbed neck.

Why is "Pulmonary stenosis" not the answer?

Pulmonary stenosis is typical of Noonan syndrome.

Why is "Atrial septal defect" not the answer?

ASD is not the characteristic lesion.

Why is "Tetralogy of Fallot" not the answer?

Tetralogy is not typical.

What concept does this question test?

It tests Endocrinology: Turner syndrome in General Medicine. Bicuspid aortic valve and coarctation are the commonest cardiac lesions, and aortic dilatation is a risk. Treatment includes growth hormone and oestrogen replacement.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Endocrinology: Turner syndrome?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.