Hand disorders: Poland syndrome: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Hand disorders: Poland syndrome

Sample item

A boy has absence of the sternocostal head of pectoralis major on the right with short, webbed fingers of the right hand. What is the diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Poland syndrome

Poland syndrome is a usually sporadic condition with unilateral absence or hypoplasia of pectoralis major, often with ipsilateral brachysyndactyly. Klippel-Feil is fusion of cervical vertebrae, and Sprengel deformity is an undescended scapula. Apert syndrome shows craniosynostosis with symmetrical syndactyly.

Option by option

  • A. Sprengel deformity

    Sprengel deformity is a high scapula.

  • B. Poland syndrome (correct)

    Correct. Absent pectoralis with ipsilateral hand anomalies is Poland syndrome.

  • C. Klippel-Feil syndrome

    Klippel-Feil syndrome involves cervical fusion with a short neck.

  • D. Apert syndrome

    Apert syndrome has craniosynostosis and bilateral syndactyly.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is B, Poland syndrome. Poland syndrome is a usually sporadic condition with unilateral absence or hypoplasia of pectoralis major, often with ipsilateral brachysyndactyly.

Why is "Sprengel deformity" not the answer?

Sprengel deformity is a high scapula.

Why is "Klippel-Feil syndrome" not the answer?

Klippel-Feil syndrome involves cervical fusion with a short neck.

Why is "Apert syndrome" not the answer?

Apert syndrome has craniosynostosis and bilateral syndactyly.

What concept does this question test?

It tests Hand disorders: Poland syndrome in Orthopaedics. Klippel-Feil is fusion of cervical vertebrae, and Sprengel deformity is an undescended scapula. Apert syndrome shows craniosynostosis with symmetrical syndactyly.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hand disorders: Poland syndrome?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.