Antenatal Screening and Chromosome Disorders Flashcards

1
Q

When can chorionic villous sampling be carried out?

A

from 11.5 weeks

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2
Q

When can amniocentesis be carried out?

A

15+ weeks

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3
Q

What are the risks associated with chorionic villous biopsy?

A

miscarriage: 1-2%; confined placental mosaicism

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4
Q

What is the difference between the viability of tissues acquired in amnio and CVS?

A

in amniocentesis- poor whereas CVS ists good

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5
Q

What is the risk of miscarriage with amniocentesis?

A

0.5-1%

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6
Q

What is confined placental mosaicism?

A

placental tissue is fast growing tissue, so can have genetic abnormalities that the baby itself doesn’t have

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7
Q

What are the analyses avaible for looking at the whole genome?

A

standard karyotype; array CGH; fetal DNA in maternal serum; whole genome sequencing

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8
Q

What are the targeted genetic analyses?

A

point mutation testing; FISH; QF-PCR

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9
Q

What is the difference between standard karyotype and array CGH?

A

hundreds of base pairs in aCGH whereas millions of base pairs in karyotype

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10
Q

When is chromsome analysis carried out?

A

in metaphase

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11
Q

What is a single nucleotide polymorphism?

A

single base change

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12
Q

What is a copy number variation?

A

insertion or deletions of DNA material- polymorphism

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13
Q

When is FISH used?

A

when missing bit of chromosome is too small to see with aCGH

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14
Q

What is quantitative fluorescent PCR used for?

A

rapid counting of specific chromosomes

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15
Q

What is non-invasive prenatal testing used for currently?

A

sex determination and trisomy testing

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16
Q

What makes testing free fetal DNA in maternal circulation difficult?

A

only 10% of DNA comes from the fetus, the rest is materanl

17
Q

What can cause there to be errors in looking for trisomy in NIPT?

A

confined placental mosaicism and DNA from cancers in mothers blood

18
Q

What is the current first line genetic test for trisomy in an 18 week pregnancy?

A

aCGH on amniocentesis

19
Q

What is a disadvantage of aCGH?

A

doesn’t pick up balanced translocation- need chromosome analysis

20
Q

What is a Robertsonian translocation?

A

two acrocentric chromoeomes stuck end to end

21
Q

What is an acrocentric chromosome?

A

where the centromere is located near the end of hte chromosome

22
Q

What is aneuploidy?

A

too many or too few chromosomes

23
Q

What is a reciprocal translocation?

A

exchange of genetic material between non-homologous chromosomes

24
Q

Why is doing a genetic test on the fetus good to be as early as possible?

A

changes availability of options for TOP