Chapter 4 Flashcards

Genes and Genetic Diseases

1
Q
RED SLIDE
Genetic testing can be applied in a \_\_\_\_\_ of context:
\_\_\_\_\_\_\_\_\_ diagnosis such as:
\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_
A
variety
prenatal
amniocentesis
chorionic villus sampling
preimplantation genetic diagnosis
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2
Q

carried at 16 weeks gestation, involves the withdrawal of ______ from the ______
this test can detect _________ like ________ and ________ can be detected as an elevation in _______ level in the fluid
________ - indicates a _______ when an increase in which protein is evident

A

amniocentesis
amniotic fluid, uterus
neural tube defects, spina bifida, anencephaly, alpha fetoprotein
amniocentesis, neural tube defect

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3
Q

carried out at 10 to 12 weeks gestation, this is performed by extracting a small amount of _________ directly from the ______
the most clinically useful technique for prenatal diagnosis of _________ abnormalities at ___ months gestation

A
chorionic villus sampling
villus tissue
chorion
chromosomal 
3
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4
Q

chromosomal ________
- ________
- is usually the cause of aneuploidy
- is the failure of homologous chromosomes or sister chromatids to separate normally during _____ or ____
the most common cause of ________ is maternal ________

A
aberrations
nondisjunction
mitosis, meiosis 
down syndrome
nondisjunction
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5
Q
example of \_\_\_\_\_\_ aneuploidy
is the best known example of aneuploidy
- trisomy \_\_\_
- occurs 1 in \_\_\_\_ live births
- manifestations:  \_\_\_\_\_ challenges, low \_\_\_\_ bridge, \_\_\_\_\_ folds, \_\_\_\_\_\_ tongue, \_\_\_, \_\_\_\_ ears, and poor \_\_\_\_\_
risk increases with \_\_\_\_\_ age
has an increased risk of \_\_\_\_\_\_\_\_\_\_\_\_ disease, \_\_\_\_\_\_ infections, and \_\_\_\_\_\_\_
IQ of \_\_\_-\_\_\_
A
autosomal
down sydrome
21
800
mental
nasal
epicanthal
protruding
flat, low-set
muscle tone
maternal 
congenital heart
respiratory
leukemia
25-70
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6
Q
females have only one \_\_\_ chromosome
denoted as karyotype \_\_\_,X
characteristics include:
absence of \_\_\_\_
\_\_\_\_ stature
\_\_\_\_\_ of the neck
\_\_\_\_\_ spaced \_\_\_\_
high number of \_\_\_\_\_\_\_
X chromosome that is usually inherited from the \_\_\_\_\_\_
occurs in 1 in \_\_\_\_\_ \_\_\_\_ births
teenagers receive \_\_\_\_\_\_
absent of \_\_\_\_\_\_\_\_ X chromosomes with only a \_\_\_\_\_ X chromosome
A
sex chromosome aneuploidy
X
45
ovaries
short
webbing
widely, nipples
aborted fetuses
mother
2500 female
estrogen
homologous
single
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7
Q

individuals with at least one ___ and two ___ chromosomes
characteristics include:
____ appearance
female like _____ (______)
small ____
sparse _____
1 in ____ ____ births
some individuals can be _____ and _____; will have ____ appearance; abnormalities will ____ with each __; can also have an extra ___ chromosome
disorder increases with _______
____, XXY
chromosomal variation that causes this syndrome ______ of _____ chromosome in the _____

A
sex chromosome aneuploidy
Klinefelter's syndrome
Y, X
male
breasts, gynecomastia
testes
body hair
1000, male
XXXY, XXXXY
male
increase, X
Y
maternal age
47
nondisjunction, X, mother
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8
Q

site is on the ___ arm of the X chromosome. has an elevated number of ____ DNA sequences
is the ___ most commonly recognized genetic cause of __________

A
fragile syndrome
fragile X syndrome
long
repeated
second
mental retardation
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9
Q

chromosomal abnormalities are the leading cause of:

________ and ________

A

mental retardation

fetal miscarriage

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10
Q

elements of formal genetics
________: is the composition of genes at a given locus or the individuals makeup
________: is the outward appearance of an individual
results from the _____ and the ______
example: infant with phenylketonuria (PKU) has the PKU _________
if left untreated, the infant will have cognitive impairments, which is the PKU ______
if treated, the infant will still have the genotype but can have a _______

A
genotype
phenotype
genotype
environment
genotype
phenotype
normal phenotype
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11
Q

transmission of genetic diseases

four major types of genetic:

A

autosomal dominant
autosomal recessive
x-linked dominant
x-linked recessive

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12
Q

diseases are rare
occurs in fewer than 1 of ___ individuals
the union of a ____ parent with an affected ______ parent usually produces the _____ offspring
an affected parent can pass either a disease gene or a normal gene to his or her children; each event has a probability of ___; on average half will be ______ and will express the disease half will be normal

A
autosomal dominant inheritance
500
normal
heterozygous
affected
0.5
heterozygous
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13
Q

is rare, but many individuals are _____
abnormal allele is ____ and the person must be _____ to express the disease
trait usually appears in the ______, not the _____
example: ________
- gene forms _____ with defective transport, which leads to a ___ imbalance that results in abnormally thick, dehydrated _____. the ____ and ____ are affected; the person does not past __ years of age

characteristics:
condition is expressed _____ in males and females
is observed in ______ but not ____
approximately ___ of offspring will be affected
______ may be present: marriage between related individuals

A
autosomal recessive inheritance
carriers
recessive
homozygous
children
parents
cystic fibrosis
sodium channels
salt
mucus
lungs, pancreas
40
equally
siblings, parents
one quarter
consanguinity
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14
Q

known as inbreeding
____ of the two related individuals
offspring are termed ___
proportion of shared genes depends on the _____ of the biologic relationship
dramatically increases the ______ risk of _____ disorders
-offspring of marriages of ____ cousins who are affected by genetic diseases is approximately double that of the general population

A
consanguinity
mating
inbred
closeness
recurrence 
recessive
first
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15
Q

is a disorder that involves X and Y chromosomes
_____ are uncommon because the __ chromosome contains relatively few genes
females: have two X chromosomes; can be _____ for the disease and for normal, or _______
males: have one X chromosome; are always _____; if inherits an X recessive gene then he will ____ the disease because no normal allele is present to counteract the diseased alleles; ____ are affected more often with X recessive conditions

A
x-linked inheritance
y-linked 
y
homozygous
heterozygous
hemizygous
express
males
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16
Q

look for affected ____ who pass the gene only to their ____ (who become ___ but do not get the disease) and carrier _____ (family history in the ___ relatives), who pass the disease to their ____

A
x-linked recessive
fathers
daughters
carriers
mothers
males
sons
17
Q

which information indicates that the nurse has a good understanding of X-linked recessive inheritance?

  1. a sex-limited trait is one that occurs significantly more often in one sex than the other
  2. the trait is observed significantly more often in females than in males
  3. the gene is passed from an affected father to all of his daughters
  4. males are said to be heterozygous for the X chromosome
A

the gene is passed from an affected father to all of his daughters

18
Q

the advantage of human sequencing on genetic disorders focuses on:

A

identification of a mutate gene
diagnosis of the existing disorder
appropriate treatment