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Trisomy 21 health surveillance — RACP Paediatrics MCQ

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ModerateGenetics and metabolicTrisomy 21 health surveillanceRACP Paediatrics

A newborn with trisomy 21 is feeding well after discharge. Echocardiogram in hospital showed no structural heart disease. The parents ask what ongoing checks are needed in infancy. What would you advise the parents?

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

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Correct answer: E — Arrange hearing, vision, thyroid and developmental surveillance

Children with trisomy 21 need structured surveillance beyond cardiac assessment, including hearing, vision, thyroid function and developmental support. A normal neonatal echocardiogram does not exclude other common health issues. Immunisation should follow the routine schedule unless separate contraindications exist.

Reference: RACP Knowledge Guides; Down Syndrome Health Care Guidelines