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Pediatrics · USMLE Step 2 CK

USMLE Step 2 CK Pediatrics: Genetics and Metabolic Disorders

Pediatric genetic syndrome and inborn error of metabolism presentation and clinical management scenarios tested on USMLE Step 2 CK.

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Down syndrome
Trisomy 21
What is the most common congenital heart defect seen in Down syndrome?
Atrioventricular (AV) canal defect (endocardial cushion defect)
What GI anomaly, showing a double bubble sign on abdominal X-ray, is classically associated with Down syndrome?
Duodenal atresia
Children with Down syndrome have an increased lifetime risk of which type of malignancy?
Acute leukemia (ALL and AML)
Edwards syndrome
Trisomy 18
What classic hand finding is seen in Edwards syndrome (trisomy 18)?
Clenched fists with overlapping fingers
What foot finding is classically described in Edwards syndrome (trisomy 18)?
Rocker-bottom feet
Patau syndrome
Trisomy 13
What facial anomaly is classically seen in Patau syndrome (trisomy 13)?
Cleft lip and/or cleft palate
What limb anomaly is classically seen in Patau syndrome (trisomy 13)?
Polydactyly
Turner syndrome
45,X (absence of one X chromosome)
What congenital heart defect is most classically associated with Turner syndrome?
Coarctation of the aorta
What gonadal finding causes primary amenorrhea in Turner syndrome?
Streak ovaries (gonadal dysgenesis)
What neck finding, sometimes seen prenatally as a cystic hygroma, is characteristic of Turner syndrome?
Webbed neck
Klinefelter syndrome
47,XXY

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