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ENT · Syndromes: Treacher Collins
Sample itemA child has downward-slanting palpebral fissures, malar hypoplasia, a notched lower eyelid, microtia and conductive deafness. What is the inheritance pattern of this syndrome?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Autosomal dominant
Treacher Collins syndrome (mandibulofacial dysostosis) results from TCOF1 mutations and is autosomal dominant. It arises from first and second arch defects. Hearing loss is conductive from ossicular and canal malformations.
Option by option
A. Autosomal dominant (correct)
Correct. It is an autosomal dominant condition.
B. Mitochondrial
Mitochondrial inheritance is not seen here.
C. Autosomal recessive
Recessive inheritance applies to conditions such as Usher and Pendred syndromes.
D. X-linked recessive
X-linked inheritance is not seen here.
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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