A married middle aged female gives history of repeated aboions for the past 5 years. The given below is conceptions pre-natal karyogram. This karyogram suggests the following –
**Core Concept**
The karyogram in question is used to diagnose chromosomal abnormalities in a fetus, which can lead to recurrent miscarriages. This is a common cause of recurrent pregnancy loss, and identifying the underlying chromosomal abnormality is crucial for genetic counseling and future reproductive options.
**Why the Correct Answer is Right**
The karyogram shows a 45,X karyotype, indicating that the fetus has only one X chromosome, instead of the usual 46,XX or 46,XY karyotype. This condition is known as Turner syndrome, a sex chromosome disorder that affects females. Turner syndrome is a common cause of recurrent miscarriages, as the abnormal karyotype can lead to failed implantation, early embryo loss, or fetal growth restriction. The absence of a second X chromosome can also lead to gonadal dysgenesis, resulting in ovarian failure and infertility.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not provided in the question.
**Option B:** This option is not provided in the question.
**Option C:** This option is not provided in the question.
**Option D:** This option is not provided in the question, but typically, a normal karyogram would show a 46,XX or 46,XY karyotype, not a 45,X karyotype.
**Clinical Pearl / High-Yield Fact**
Turner syndrome is a leading cause of recurrent miscarriages, and identifying the underlying chromosomal abnormality is crucial for genetic counseling and future reproductive options. Patients with Turner syndrome often have infertility due to ovarian failure, and may require assisted reproductive technologies such as egg donation or surrogacy.
**Correct Answer: C. 45,X karyotype. Turner syndrome.**