Genetic Syndromes

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Questions and Answers

A child with Landau-Kleffner Syndrome is undergoing treatment. Which of the following are common symptoms of this syndrome? Select all that apply.

  • Loss of speech comprehension (correct)
  • Difficulty swallowing
  • Abnormal brain wave patterns (correct)
  • Loss of motor skills
  • Development of epilepsy (correct)
  • Hyperactivity

A newborn presents with several notable physical characteristics, including a small lower jaw, a cleft of the soft palate without lip involvement, and an unusual tongue position that frequently obstructs the airway. The child also has low-set ears and a deformity in the middle ear bones, contributing to recurrent ear infections and hearing loss. Given these features, which genetic syndrome is most likely associated with this presentation?

  • Crouzon syndrome
  • Pierre Robin Syndrome (correct)
  • Treacher Collins syndrome
  • Apert syndrome

A 5-year-old patient presents with fused fingers involving the second, third, and fourth digits, a flat forehead, underdeveloped midface, and a high, arched palate. The child also shows articulation issues with /s/ and /z/ sounds and demonstrates a forward tongue posture. Which genetic syndrome do these characteristics most likely indicate?

  • Down Syndrome
  • Fragile X Syndrome
  • Apert Syndrome (correct)
  • Crouzon Syndrome

Which syndrome features a happy demeanor, hand-flapping, and minimal to no expressive language?

<p>Angelman syndrome (B)</p> Signup and view all the answers

Which syndrome is caused by an absence of the short arm of chromosome 5?

<p>Cri du Chat syndrome (B)</p> Signup and view all the answers

Which syndrome includes progressive blindness and sensorineural hearing loss?

<p>Usher syndrome (B)</p> Signup and view all the answers

Which syndrome features mandibular hypoplasia and glossoptosis?

<p>Pierre-Robin syndrome (A)</p> Signup and view all the answers

Which syndrome is caused by a missing or deformed X chromosome and occurs only in females?

<p>Turner syndrome (D)</p> Signup and view all the answers

Which syndrome often includes short stature, feeding issues, and an abnormally high-pitched voice?

<p>Russell-Silver syndrome (D)</p> Signup and view all the answers

Which syndrome affects connective tissue and is associated with restrictive lung disease?

<p>Marfan syndrome (A)</p> Signup and view all the answers

Which syndrome involves loss of language skills between ages 3–7?

<p>Landau-Kleffner syndrome (A)</p> Signup and view all the answers

Which syndrome often includes a cat-like cry in infancy?

<p>Cri du Chat syndrome (C)</p> Signup and view all the answers

Which syndrome commonly results in hyperphagia and obesity after the first year?

<p>Prader-Willi syndrome (D)</p> Signup and view all the answers

A 5-year-old exhibits distinct craniofacial features: midface dysplasia, brachycephaly, a protruding and fissured tongue, and a short neck with excess skin at the nape. The child also has short fingers and experiences conductive hearing loss, contributing to language development challenges. Considering this presentation, which genetic syndrome is most likely?

<p>Down syndrome (D)</p> Signup and view all the answers

A toddler shows weak control of the tongue and facial muscles, leading to issues with bilabial sounds and difficulties in both feeding and speech. There is evidence of unilateral or bilateral paralysis of the eye abductors, and the child presents with a masklike face. These characteristics suggest a syndrome affecting multiple cranial nerves. Which syndrome is most consistent with this profile?

<p>Moebius syndrome (B)</p> Signup and view all the answers

A 10-year-old boy has been observed exhibiting involuntary motor movements such as head jerking, neck stretching, and body twisting that wax and wane over weeks. He also frequently clears his throat and grunts involuntarily. These behaviors began around age 8 and have become increasingly noticeable in school and at home. Which neurological disorder most likely explains this presentation?

<p>Tourette syndrome (A)</p> Signup and view all the answers

A 6-year-old child presents with a hunched back, dwarfism, and coarse facial features including a low nasal bridge and thick, everted lips. The child also exhibits significant hearing loss and has a history of frequent chest infections. Which metabolic disorder best explains these clinical features?

<p>Hurler's syndrome (A)</p> Signup and view all the answers

A 5-year-old child presents with underdeveloped facial bones, including a small chin and malar hypoplasia. The child also exhibits downwardly slanted palpebral fissures, dental malocclusion, and has a history of recurrent middle ear infections. Which syndrome is most likely given these craniofacial and auditory features?

<p>Treacher Collins syndrome (A)</p> Signup and view all the answers

An adolescent female exhibits congenital swelling of the feet and hands, a low posterior hairline, and a narrow maxilla with a high palate. She has experienced visual-spatial challenges and attention deficits along with language disorders. Which genetic disorder most likely accounts for her multisystem involvement?

<p>Turner syndrome (D)</p> Signup and view all the answers

A 4-year-old child presents with developmental delays noted since infancy, frequent laughter, and a happy demeanor. The child exhibits a stiff, jerky gait, hand-flapping movements when excited, and a short attention span. Although verbal expression is limited, the child demonstrates better receptive language skills than expressive skills. Which condition best fits these characteristics?

<p>Angelman syndrome (C)</p> Signup and view all the answers

A 7-year-old boy is referred for evaluation due to dental anomalies, including small, widely spaced teeth, and a history of hypercalcemia causing irritability in infancy. The child is gregarious and unafraid of strangers, demonstrating strong language and musical abilities despite a mild intellectual disability. Medical exams revealed narrowing of the aorta. Which diagnosis best fits this profile?

<p>Williams syndrome (B)</p> Signup and view all the answers

A young male is referred for evaluation due to delayed language development, cluttered speech, and pragmatic language difficulties. Physical examination reveals a high forehead, large ears, and a prominent jaw. Behavioral concerns include anxiety, mood instability, and attention deficits. Which syndrome is consistent with this presentation?

<p>Fragile X syndrome (B)</p> Signup and view all the answers

An infant with glossoptosis, mandibular hypoplasia, and low-set ears is evaluated for airway obstruction and feeding problems. The child has required a gastrostomy tube for feeding and shows signs of velopharyngeal incompetence. Which genetic condition is most consistent with these findings?

<p>Pierre-Robin syndrome (D)</p> Signup and view all the answers

A child with a confirmed deletion on chromosome 22q11.2 is noted to have a cleft soft palate, learning difficulties, and an elongated face. Additional findings include almond-shaped eyes, a wide nose, and recurrent ear infections. The child's speech is hypernasal with articulation errors. What is the most likely diagnosis?

<p>Velocardiofacial syndrome (B)</p> Signup and view all the answers

A 7-year-old boy presents with a history of craniosynostosis surgery and has mild intellectual disability. He has thickened alveolar processes, class III malocclusion, and a long soft palate. Speech concerns include hyponasality and articulation errors. He also has fused fingers on both hands. Which syndrome is most consistent with these findings?

<p>Apert syndrome (A)</p> Signup and view all the answers

A pediatric patient with low-set ears, hypertelorism, and a narrow oral cavity is being evaluated for delayed speech and language development. The child also has microcephaly and laryngeal hypoplasia. What genetic condition is most consistent with these features?

<p>Cri du Chat syndrome (D)</p> Signup and view all the answers

Flashcards

Landau-Kleffner Syndrome Symptoms

A syndrome characterized by epilepsy, difficulty swallowing, hyperactivity, abnormal brain wave patterns, and loss of speech comprehension.

Pierre Robin Syndrome

A genetic disorder characterized by a small lower jaw, cleft palate, airway obstruction, low-set ears, and middle ear deformities.

Angelman Syndrome

A condition associated with a happy demeanor, hand-flapping, and minimal to no expressive language skills.

Cri du Chat Syndrome Cause

A genetic disorder caused by the absence of the short arm of chromosome 5.

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Usher Syndrome Features

A syndrome known for progressive blindness and sensorineural hearing loss.

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Turner Syndrome Cause

Genetic disorder caused by a missing or deformed X chromosome, occurring only in females.

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Landau-Kleffner Syndrome (Language)

Syndrome involving loss of language skills between ages 3-7.

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Down syndrome Characteristics

A syndrome characterized by distinctive craniofacial features, short fingers and short neck.

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Velocardiofacial Syndrome Cause

Genetic disorder caused by a deletion on chromosome 22q11.2.

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Turner syndrome

Syndrome which is caused by the a missing or deformed X chromosome and occurs only in females.

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Russell-Silver syndrome

Syndrome that often causes short stature, feeding issues, and high-pitched voice.

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Tourette syndrome

Syndrome that include involuntary motor movements, head jerking, ect.

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Velocardiofacial Syndrome

Syndrome that inclues cleft soft palate, learning difficulties, and almond shaped eyes.

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Study Notes

  • Landau-Kleffner Syndrome symptoms include:

    • Development of epilepsy
    • Difficulty swallowing
    • Hyperactivity
    • Abnormal brain wave patterns
    • Loss of speech comprehension
  • A newborn with a small lower jaw, cleft of the soft palate, unusual tongue position obstructing the airway, low-set ears, and middle ear bone deformity leading to ear infections and hearing loss is likely presenting Pierre Robin Syndrome.

  • A 5-year-old with fused fingers (2nd, 3rd, and 4th digits), flat forehead, underdeveloped midface, high arched palate, articulation issues with /s/ and /z/ sounds, and forward tongue posture likely has Apert Syndrome.

  • A syndrome featuring a happy demeanor, hand-flapping, and minimal expressive language is Angelman syndrome.

  • Cri du Chat syndrome is caused by the absence of the short arm of chromosome 5.

  • Usher syndrome includes progressive blindness and sensorineural hearing loss.

  • Pierre-Robin syndrome features mandibular hypoplasia and glossoptosis.

  • Turner syndrome is caused by a missing or deformed X chromosome and occurs only in females.

  • Short stature, feeding issues, and an abnormally high-pitched voice are often seen in Russell-Silver syndrome.

  • Marfan syndrome affects connective tissue and is associated with restrictive lung disease.

  • Landau-Kleffner syndrome involves loss of language skills between ages 3–7.

  • Cri du Chat syndrome often includes a cat-like cry in infancy.

  • Prader-Willi syndrome commonly results in hyperphagia and obesity after the first year.

  • A 5-year-old with midface dysplasia, brachycephaly, protruding and fissured tongue, short neck with excess skin, short fingers, and conductive hearing loss likely has Down syndrome.

  • Moebius syndrome includes weak control of the tongue and facial muscles, paralysis of eye abductors, and a masklike face, suggesting multiple cranial nerve involvement.

  • Involuntary motor movements such as head jerking, neck stretching, body twisting that wax and wane, and frequent throat clearing/grunting, which began around age 8, are characteristics of Tourette syndrome.

  • A 6-year-old with a hunched back, dwarfism, coarse facial features (low nasal bridge, thick lips), hearing loss, and frequent chest infections is likely presenting with Hurler's syndrome.

  • Underdeveloped facial bones (small chin, malar hypoplasia), downward slanted palpebral fissures, dental malocclusion, and recurrent middle ear infections are craniofacial and auditory features of Treacher Collins syndrome.

  • Congenital swelling of feet/hands, low posterior hairline, narrow maxilla, high palate, visual-spatial challenges, and language disorders in an adolescent female indicate Turner syndrome.

  • A 4-year-old with developmental delays, frequent laughter, happy demeanor, stiff jerky gait, hand-flapping, and better receptive than expressive language skills fits Angelman syndrome.

  • Demonstrating strong language and musical abilities, is unafraid of strangers, and has narrowing of the aorta indicates Williams syndrome.

  • Delayed language development, cluttered speech, pragmatic language difficulties, high forehead, large ears, prominent jaw, anxiety, mood instability, and attention deficits are consistent with Fragile X syndrome.

  • An infant with glossoptosis, mandibular hypoplasia, low-set ears, requiring a gastrostomy tube for feeding, and showing velopharyngeal incompetence is most consistent with Pierre-Robin syndrome.

  • A child with a deletion on chromosome 22q11.2, cleft soft palate, learning difficulties, elongated face, almond-shaped eyes, wide nose, recurrent ear infections, and hypernasal speech likely has Velocardiofacial syndrome.

  • A 7-year-old postoperative craniosynostosis patient with mild intellectual disability, thickened alveolar processes, class III malocclusion, long soft palate, hyponasality, articulation errors, and fused fingers on both hands is most consistent with Apert syndrome.

  • Low-set ears, hypertelorism, narrow oral cavity, microcephaly, and laryngeal hypoplasia in a pediatric patient with delayed speech and language development are most consistent with Cri du Chat syndrome.

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