Abnormalities in Chromosome Number (Self and Lecture) Flashcards

• Approaches to prenatal diagnosis of chromosome abnormaliGes, including FISH • Case-based discussion of basic concepts and use of tesGng

1
Q

What is trisomy 21

A

Down Syndrome

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2
Q

What causes trisomy 21

List 3 Things

A

Meiotic Nondisjunction 95% of the time in maternal meiosis 1. 2-4 % of the time it will be a mosaicism, and robertsonian translocation

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3
Q

What is the prevalence of the disease ?

A

1 in 800 live births and only 20% make it to a live birth

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4
Q

What is trisomy 18

A

Edwards syndrome, rocker bottom feet and clenched hands, prenatal growth deficiency and congenital heart defects.

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5
Q

What causes trisomy 18 ?

A

(47 XX +18) ( or 47 XY, +18) caused by maternal nondisjunction.

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6
Q

What is the incidence of trisomy 18 ?

A

1 in 6000 live births less than 5% make it to survival

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7
Q

What is Patau Syndrome ?

A

Trisomy 13- results in abnormal development of the mid face, eye, and forebrain. Polydactaly, Microphyhalmia, congenital heart defects.

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8
Q

What causes Patau Syndrome ?

A

80% maternal nondisjunction
<20% Robertsonian Translocation involving chromosome 13.
-Rare cases of mosasicism

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9
Q

What has more serious phenotypes, Sex Chromosome abnormalities or somatic abnormalities ?

A

Sex chromosome abnormalities are much less severe. We all only have one active X because of X inactivation. ***YOU have to have atleast 1 X to survive

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10
Q

What is turners syndrome ?

A

Primary Hypogonadism characterized by short stature and ovarian dysgenesis.

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11
Q

What causes Turner Syndrome ?

A

45X and variants. caused by paternal nondisjunction and is not associated with advanced age.

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12
Q

What is Klinefelter Syndrome ?

A

47XXY (85%)

15% can have mosaicism (46 XY / 47, XXY)

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13
Q

What causes Klinefelter syndrome ?

A

50 % paternal nondisjunction (XY)
50% Maternal nondisjunction
1/1000 male live births, 1/2 are spontaneously aborted.

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14
Q

What will a kid with klienfelter syndrome look like ?

A
Mostly in males, 
Primary hypogonadism 
Tall with long extremities
Gynecomastia 
Reduced IQ
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15
Q

What is triple X syndrome ?

A

47XXX
1/1000 female live births
90% maternal nondisjunction with age effect
Normal phenotype with mild learning problems

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16
Q

What is 47 XYY syndrome ?

A

Paternal meiosis 2 nondisjunction, no age effect

Normal phenotype, tall, educational and behavioral problems

17
Q

Is the incidence of down syndrome higher in young or old mothers?

A

Young