<prompt> A nineteen year old female with short stature, wide spread nipples and primary amenorrhoea most likely has a karyotype of -47, XX-1-1846, XXY47 ,XXY45 X  <response>: Given features Female, primary amenorrhea, short stature, widely spaced nipples suggests the diagnosis of Turners syndrome. Turners SyndromeTurners syndrome is the most common sex chromosomal disorder in phenotypic females.Turners syndrome results from complete or partial loss of one X chromosome 45, XO and is characterized by hypogonadism in phenotypic females 