12.     Klinefelter's Syndrome.

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MCQ Paper 5

Sample MCQs

 

a. is 47, XYY False
b. is associated with severe mental retardation False
c. is associated with hypogonadism True
d. is associated with behavioural immaturity True
e. is associated with gynaecomastia True
f. is associated with infertility True
g. affects 1: 600 males True

This is due to an extra "X" - 47 XXY.

It is the commonest cause of male hypogonadism.

As such it always comes up somehow in the exam.

It could be a MCQ asking which is the commonest chromosome abnormality associated with:

    male hypogonadism,

    azoospermia,

    infertility.

The IQ is less than that of siblings, but not grossly impaired.

Immaturity, shyness, delayed acquisition of reading skills etc. are features.

Gynaecomastia occurs.

The testes are small and infertility the norm because of azoospermia.

Mostly detected in the infertility clinic.

Successful treatment can be achieved through sperm retrieval, MESA or TESE, with ICSI then IVF.

There are lots of clinics offering treatement. With this one you could have a few evenings in the casino as well.

The gonads do not turn malignant.

 

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