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Ophthalmology · Uvea: CHARGE syndrome
Sample itemA newborn has iris and choroidal coloboma, a heart defect, choanal atresia, growth retardation, genital hypoplasia and ear anomalies. Which gene is typically mutated?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. CHD7
CHARGE syndrome stands for coloboma, heart defects, atresia of the choanae, retarded growth, genital anomalies and ear anomalies. Most cases are due to mutation of CHD7. PAX2 causes renal-coloboma syndrome.
Option by option
A. PAX6
PAX6 mutation causes aniridia.
B. PAX2
PAX2 mutation causes renal-coloboma syndrome with optic nerve coloboma.
C. SOX2
SOX2 mutation causes anophthalmia and microphthalmia.
D. CHD7 (correct)
Correct. CHD7 mutation causes CHARGE syndrome.
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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