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Question

Which of the following are correct regarding androgen insensitivity syndrome? 

1. Inherited as X-linked recessive disorder 

2. Karyotype is 46 XXY 

3. It is also called testicular feminization 

4. Confirmation of diagnosis by gonadal biopsy 

Select the answer using the code given below.

The correct answer is
1, 3 and 4

Androgen Insensitivity Syndrome (AIS) Analysis

This question asks to identify correct statements regarding Androgen Insensitivity Syndrome (AIS).

Statement Assessment

  • Statement 1: Inherited as X-linked recessive disorder
    This statement is correct. AIS is caused by mutations in the Androgen Receptor (AR) gene, located on the X chromosome. This results in an X-linked recessive inheritance pattern.
  • Statement 2: Karyotype is 46 XXY
    This statement is incorrect. Individuals with AIS typically have a male genotype and thus a karyotype of $46,XY$. A $46,XXY$ karyotype is characteristic of Klinefelter syndrome, not AIS.
  • Statement 3: It is also called testicular feminization
    This statement is correct. Complete Androgen Insensitivity Syndrome (CAIS), a severe form of AIS, is widely known as Testicular Feminization Syndrome (TFS).
  • Statement 4: Confirmation of diagnosis by gonadal biopsy
    This statement is correct. While genetic testing is crucial for diagnosis, a gonadal biopsy can confirm the presence of testes and is often performed for definitive diagnosis and assessment, particularly in cases involving ambiguous genitalia or when ruling out other conditions.

Conclusion

Based on the assessment, statements 1, 3, and 4 are correct.

Therefore, the correct option includes statements 1, 3, and 4.

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Important Questions from Developmental Disorders

  1. A 16-year-old girl with primary amenorrhoea presents to the gynaecology OPD for evaluation. She has normal secondary sexual characters. Her karyotype is 46,XX and ultrasound reveals normal ovaries and tubes but absent uterus. What is her clinical diagnosis?
  2. The Gartner's duct cyst is usually located in
  3. Which one of the following statements is NOT correct regarding Gastroschisis?
  4. A 16 year old girl presents with primary amenorrhea with absent vagina, cervix and uterus in the presence of normal secondary sexual characteristics. Ovaries are present on USG. The most probable diagnosis is:
  5. Rokintansky - Kuster - Hauser syndrome is associated with:
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