## **Core Concept**
The question describes a 3-month-old child with a typical "mewing" cry and congenital heart disease, suggesting a chromosomal abnormality. This presentation is highly suggestive of a specific genetic disorder.
## **Why the Correct Answer is Right**
The description provided matches **Cri-du-chat syndrome**, a genetic disorder caused by a deletion of part of chromosome 5. This condition is characterized by a high-pitched cry that sounds similar to that of a cat (hence "cri-du-chat," which is French for "cry of the cat"), congenital heart defects, and other physical and developmental delays. The "mewing" cry is a hallmark feature, typically presenting in infancy.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is incorrect because, without specifying the chromosomal abnormality, it's too vague to be directly linked to the specific symptoms described.
- **Option B:** This option is incorrect as it does not directly relate to the clinical presentation of a "mewing" cry and congenital heart disease associated with a chromosomal abnormality.
- **Option C:** This option is incorrect because, although it implies a chromosomal issue, it does not specifically match the clinical presentation described for Cri-du-chat syndrome.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl for this question is that Cri-du-chat syndrome is associated with a **deletion of part of chromosome 5**. This condition leads to a variety of physical and developmental issues, including the characteristic high-pitched cry, congenital heart defects, and developmental delays. Recognizing the unique cry and its association with congenital heart disease should prompt consideration of this chromosomal abnormality.
## **Correct Answer:** . Cri-du-chat syndrome
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