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Old 10-23-2005, 02:18 PM
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Question on the NBME test 1

A 4-year-old boy has had constipation and painful defection since birth. Impacted fecal matter is palpable in the lower abdomen. Examination of tissue obtained on biopsy of the rectum shows absence of cells of the myenteric plexus. The most likely cause is a defect in which of the following developmental events?
A) Alar plate maturation
B) Anterior neuropore closure
C) Neural crest migration
D) Paravetebral ganglion formation
E) Posterior neuropore closure
F) Recanalization of the bowel
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Old 10-23-2005, 02:28 PM
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Hirshprungs Disease

C - Neural Crest Migration
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Old 10-24-2005, 12:41 PM
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i agree with arivedreci, ans is C
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Old 12-13-2005, 06:02 AM
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Me Too

I Also Agree.
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Old 01-29-2006, 11:04 AM
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Definitively, the answer is "C" - failure of Neural Crest Migration.

Quote:
Originally Posted by emedicine.com
The congenital absence of ganglion cells in the distal alimentary tract is the pathologic sine qua non of HD. The aganglionosis present in HD results from a failure of cells derived from the neural crest to populate the embryonic colon during development. This failure results from a fundamental defect in the microenvironment of the bowel wall that prevents ingrowth of neuroblasts
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Old 12-17-2006, 07:04 PM
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Ccccccccccccccccccccc
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Old 01-11-2007, 09:36 PM
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Ccc Is The Right Answer
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Old 01-21-2007, 10:34 PM
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I am going with the majority, its Neurocrest ;Hirschsprungs agangliosis. feculent vomit, distention with obstipation males>>>>females 0-2yrs. the give away is the abscence of the nerve cells.!!!!!in the Q.
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Old 01-22-2007, 02:05 PM
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it is definitely c
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Old 02-12-2007, 10:55 AM
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followup question:
What abnormality you can see if there is a is failure to close the Posterior neuropore closure?
2- and what about the anterior one?
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