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Histo Q.....3..... - psychmledr
#1
A 28-year-old woman, who is in the 12th week of her pregnancy, presents to the emergency room with vaginal bleeding. P/E showed that her uterus is large for gestational age. V/E reveals a grape-like mass protruding form the cervical os. Microscopic examination of the mass revealed large, edematous cells with a large central cavity, surrounded by a proliferation of cytotrophoblasts and syncytiotrophoblast.

Chromosomal analysis of the tissue would most likely show which of the following karyotypes?

A. 45XO
B. 46XX
C. 47XXY
D. 55XY
E. 69XXY
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#2
B..complete mole
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#3
bb
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#4
bbbbb molar chromosomes are derived from father , haploid sperm duplicates its own chromosomes
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#5
B is correct. You all are so smart Smile

As explained by heart_beat, it results from fertilization of an empty egg by a single haploid sperm with duplication of the sperm DNA.
In a minority of cases the egg is fertilized by 2 different haploid sperm.
This is in complete mole.

What about in partial mole?
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#6
a partial mole occurs when an egg is fertilized by two sperm or by one sperm which reduplicates itself yielding the genotypes of 69,XXY (triploid) or 92,XXXY (quadraploid).
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#7
EEE is partial mole, right?
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#8
what about this, do we get 69xxx? and why?
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#9
@saad_usmle

Partial mole is for scound Q...
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#10
As katy said, in partial mole, the haploid egg is fertilized by either one diploid or two haploid sperm resulting in triploid karyotype, i.e. 69XXY.

@saad_usmle, answer E is partial mole.
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