skip to main content

Down Syndrome — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

EasyGenetics & MetabolicDown SyndromeRACP Paediatrics

A healthy newborn is noted to have a single palmar crease, a sandal gap between the first and second toes, low-set ears, and hypotonia. An echocardiogram shows an AVSD. What is the most likely underlying diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: DDown syndrome (Trisomy 21)

Trisomy 21: single palmar crease, sandal gap, hypotonia, characteristic facies, and AVSD (the most common CHD in Down syndrome). Karyotype or microarray confirms.

Reference: RACP – 2024 – Paediatric Curriculum: Clinical Genetics