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Quick Scroll Intrusting MCQ ForMRCPCH 1 05.02.08 (2 months ago) #1

A child aged 10 days has ambiguous genitalia


a) if a buccal smear is chromatin negative there is a serious risk of an Addisonian crisis

b) a raised urinary output of pregnanetriol would confirm a diagnosis of congenital adrenal hyperplasia

c) the finding of the genotype 45 XO would reliably explain the anomaly

d) if testicles are present in the "labia" an acceptable explanation would be Klinefelter's syndrome

e) the most important factor in deciding the sex to which the child should be assigned is the genetic (chromosomal) sex
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