**Core Concept**
Bloom syndrome is a rare autosomal recessive disorder characterized by short stature, facial dysmorphism, and a high predisposition to cancer. It is caused by mutations in the BLM gene, which encodes a DNA helicase involved in DNA replication and repair.
**Why the Correct Answer is Right**
Bloom syndrome is indeed associated with an increased risk of various types of cancer, including leukemia, lymphoma, and solid tumors. This is due to the defective DNA repair mechanism, which leads to genetic instability and an accumulation of mutations. The BLM protein plays a crucial role in resolving Holliday junctions and other DNA intermediates during recombination, and its deficiency impairs this process, contributing to the cancer phenotype.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect as Bloom syndrome is not primarily associated with a defect in the Fanconi anemia pathway.
**Option B:** This option is incorrect as Bloom syndrome is not characterized by a deficiency in the mismatch repair pathway.
**Option C:** This option is incorrect as Bloom syndrome is not primarily associated with a defect in the nucleotide excision repair pathway.
**Clinical Pearl / High-Yield Fact**
It's essential to remember that Bloom syndrome is a rare genetic disorder with a high predisposition to cancer, and patients should be closely monitored for signs of malignancy.
**Correct Answer:** C.
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