Which of the following conditions is caused by a trinucleotide (triplet) repeat expansion?

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Pediatrics Genetics Questions

Question 1 of 5

Which of the following conditions is caused by a trinucleotide (triplet) repeat expansion?

Correct Answer: C

Rationale: Huntington disease is caused by CAG repeat expansion in the HTT gene.

Question 2 of 5

Which of the following conditions shows anticipation in paternal transmission?

Correct Answer: D

Rationale: Fragile X syndrome shows anticipation (worsening with generations) via triplet repeat expansion, often more pronounced in paternal transmission.

Question 3 of 5

Which of the following causes female pseudohermaphroditism?

Correct Answer: C

Rationale: Congenital adrenal hyperplasia (e.g., 21-hydroxylase deficiency) causes excess androgens, masculinizing XX females.

Question 4 of 5

A 31-year-old man has a unilateral breast lump. A biopsy is performed, and the pathology report, surprisingly, shows an early-stage carcinoma. The man’s family history reveals no history of breast cancer. What would the physician be most likely to advise?

Correct Answer: B

Rationale: Male breast cancer suggests possible Klinefelter syndrome (47,XXY), warranting a karyotype to assess sex chromosomes.

Question 5 of 5

The figure below is the pedigree demonstrating the recurrence of Osteogenesis imperfecta in children with their father unaffected (arrow)

Correct Answer: A

Rationale: OI is AD. Unaffected father with affected kids suggests germline mosaicism; figure unavailable.

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