Biochemistry - Genetics Flashcards

1
Q

Which traits are codominantly expressed ?

A

ABO blood type, alpha-1-antitrypsin deficiency

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2
Q

What is incomplete penetrance?

A

Possessing a mutant genotype doesn’t guarantee a mutant phenotype

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3
Q

What is pleiotropy?

A

1 gene mutation can have multiple phenotypic effects

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4
Q

What is genetic anticipation?

A

Increasing severity or earlier onset of disease in successive generations (TNR diseases)

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5
Q

Give an example of loss of heterozygosity

A

Somatic retinoblastoma, Lynch syndrome, Li-Fraumeni (inherit one bad, one good copy, one good copy must be lost for bad to show)

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6
Q

Linkage disequilibrium

A

Tendency of two genes close on a loci to occur together more or less often than by chance. Measured in population s

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7
Q

What is somatic mosaicism

A

Genetically distinct cell line in individual that arises from mitotic errors after fertilization and propagates through multiple tissues or organs

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8
Q

Gonadal mosaicism

A

Mutation only in egg or sperm cells (mutation may show in offspring but not parent)

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9
Q

What is McCune Albright syndrome?

A

Mutation of G-protein signaling pathway. Presents as unilateral cafe-au-lait spots, polyostic fibrous dysplasia, precocious puberty, multiple endocrine endocrine abnormalities

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10
Q

When is McCune Albright syndrome lethal?

A

When mutation occurs before fertilization

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11
Q

Which part of collagen synthesis is Vitamin C necessary?

A

Hydroxylation of specific proline and lysine residues

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12
Q

Which diseases occur from defects in cross-linking collagen?

A

Ehler-Danlos, Menkes

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13
Q

What is heterodisomy?

A

When a child inherits both sets of chromosomes from a single parent (both of their homologous chromosomes). Error in Meiosis I.

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14
Q

What is Isodosomy?

A

When a child inherits two identical copies of a single chromosome that duplicated itself from one parent. Error in meiosis II or postzygotic chromosomal duplication

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15
Q

What are the four assumptions for Hardy-Weinberg equilibrium?

A

No mutations
No natural selection
No net migration
Random mating

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16
Q

What is the formula for Hardy-Weinberg?

A

p^2+2pq+q^2 = 1

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17
Q

Describe the etiology of Prader-Willi syndrome

A

Maternal gene is imprinted (silenced). Paternal gene is deleted/mutated.

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18
Q

Clinical presentation of Prader-Willi Syndrome

A

Hyperphagia, obesity, retardation, hypogonadism, hypotonia

19
Q

Etiology of Angelman syndrome

A

Paternal gene imprinted (silenced). Deletion/mutation of maternal gene

20
Q

Clinical presentation

A

Inappropriate laughter, seizures, ataxia, severe intellectual disability

21
Q

Which chromosome is affected in Angelman and Prader-Willi syndrome?

A

Chromosome 15

22
Q

What is the cause of Prader-Willi syndrome in 25% of cases?

A

Maternal uniparental disomy (child inherits both silenced maternal genes)

23
Q

What is the defect in most autosomal dominant diseases?

A

Defective structural gene

24
Q

What is critical for diagnosing autosomal dominant disorder?

A

Family history

25
How do mitochondrial myopathies present?
MELAS: mitochondrial encephalopathy, lactic acidosis, stroke-like episodes. Secondary to ox-phos failure.
26
What biopsy result is key to diagnosing a mitochondrial disorder?
ragged red fibers
27
What is the common cause of death in Duchenne Muscular Dystrophy?
Dilated Cardiomyopathy
28
Which test s diagnostic for CF?
increased Cl- concentration (>60) in sweat
29
What is the function of Dystrophin?
Anchors muscle fibers by connecting intracellular cytoskeleton (Actin) to transmembrane proteins (ECM)
30
How are Duchenne Muscular Dystrophy and Becker Muscular Dystrophy inherited?
XLR
31
How is Myotonic Type 1 dystropy inherited?
Autosomal dominant
32
Etiology and presentation of Myotonic Type 1
CTG expansion of dystrophin. Myotonia, muscle wasting, cataracts, testicular atrophy, frontal balding, arrhythmia
33
How is Fragile-X syndrome inherited?
XLD
34
What is the mutation in Fragile X syndrome?
FMR1 gene mutation (decreased expression) due to CGG repeats.
35
Clinical manifestation of Fragile X
2nd MCC of genetic intellectual disability. Large jaw, large everted ears, autism, mitral valve prolapse
36
Which hematologic complications are Down Syndrome patients at risk for?
ALL and AML
37
First-trimester ultrasound can detect Down syndrome via
increased nuchal translucency and hypoplastic nasal bone; decreased serum PAPP-A and increased free beta-hCG
38
Second trimester quad screen for Down syndrome shows
decreased alpha-fetoprotein, increased beta-hCG, decreased estriol, increased inhibin A
39
What is the rare chromosomal anomaly that causes Down syndrome in 4% of patients?
Robertsonian translocation between 14 and 21
40
Which trisomy is Edwards syndrome
Trisomy 18
41
What are the clinical features of Edwards syndrome?
Severe intellectual disability, rocker-bottom feet, small jaw, low-set ears, clenched hands with overlapping fingers, prominent occiput, congenital hear disease. Death within 1 year of birth
42
What does a second-trimester quad screen for Edwards syndrome show?
decreased AFP, decreased beta-hCG, decreased estriol, decreased or normal inhibin A
43
Which chromosomal abnormality is Patau syndrome?
Trisomy 13
44
Clinical manifestation of Patau?
Severe intellecual disability, rockerbottom feet, small eyes, small head, cleft lip/palate, holoprosencephaly, polydactyly, congenital heart disease, cutis aplasia. Death within first year