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Exam questionKROK 1Medicine · 2013

A 35-year-old male patient has been referred by an andrologist for the genetic counselling for the deviations of physical and mental development. Objectively: the patient is tall, has asthenic constitution, gynecomastia, mental retardation. Microscopy of the oral mucosa cells revealed sex chromatin (single Barr body) in 30% of cells. What is the most likely diagnosis?

Answer options

  1. Recklinghausen’s disease
  2. Down syndrome
  3. DiGeorge syndrome
  4. Cushing pituitary basophilism
  5. Klinefelter syndrome
Correct answer

Klinefelter syndrome

Explanation

Klinefelter’s syndrome- 47 XXY. A condition in which there is an addition of a Barr body in the male karyotype.

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