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Anatomy · Embryology
Sample itemA newborn has a small receding jaw, downslanting palpebral fissures, malar hypoplasia and conductive hearing loss. Which embryological structure failed to develop normally?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. First pharyngeal arch neural crest
Treacher Collins syndrome (mandibulofacial dysostosis) results from TCOF1 mutation causing deficient neural crest migration to the first arch, leading to mandibular and malar hypoplasia.
Option by option
A. First pharyngeal arch neural crest (correct)
Correct. First arch neural crest forms the mandible and the maxilla and zygomatic area.
B. Fourth pharyngeal arch
The fourth arch forms the laryngeal and aortic arch structures.
C. Third pharyngeal pouch
The third pouch forms the inferior parathyroid and thymus.
D. Second pharyngeal arch cartilage
Second arch cartilage forms the stapes and hyoid, not the jaw.
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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