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ENT · Larynx and airway: cri du chat syndrome
Sample itemA newborn has a high-pitched cat-like cry, microcephaly, hypertelorism and low-set ears. What is the cytogenetic abnormality?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Deletion of the short arm of chromosome 5
Cri du chat syndrome results from deletion of 5p and is characterised by a mewing cry due to laryngeal hypoplasia and abnormal laryngeal development, with intellectual disability. The cry usually disappears with age. Trisomy 21 gives Down syndrome.
Option by option
A. Trisomy 21
Trisomy 21 gives hypotonia and typical facies.
B. Deletion of chromosome 22q11
22q11 deletion gives DiGeorge syndrome.
C. Trisomy 18
Trisomy 18 gives Edwards syndrome with rocker-bottom feet.
D. Deletion of the short arm of chromosome 5 (correct)
Correct. A 5p deletion.
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.
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