CHAPTER 4 Flashcards

Genes and Genetic Diseases

1
Q

_____ can be applied in a variety of context

  • _____
  • _____
  • _____
A

genetic testing
amniocentesis
chorionic villus sampling
preimplantation genetic diagnosis

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2
Q

Amniocentesis

  • carried at _____ gestation, involves the withdraw of _____ from _____
  • this test can detect _____ like _____ and _____ can be detected as an elevation in _____ in the amniotic fluid
  • anmiocentesis- indicates a _____ when an _____ in _____ is evident
A
16 weeks
amniotic fluid 
the uterus 
neural tube defects
spina bifida
anencephaly 
alpha fetoprotein level
neural tube defect
increase
protein
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3
Q

_____ (CVS)

  • carried out at _____ gestation CVS is performed by extracting a small amount of _____ directly from the _____
  • the most clinically useful technique for prenatal diagnosis of _____ at _____ gestation
A
chorionic villus sampling 
10-12 weeks
villus tissue
chorion
chromosomal abnormalities 
3 months (12 weeks)
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4
Q

chromosomal aberrations

  • _____
  • is usually the cause of aneuploidy
  • is the failure of _____ or _____ to separate normally during _____ or _____
  • the most common cause of down syndrome is _____
A
nondisjunction
homologous chromosomes
sister chromatids
mitosis
meiosis 
maternal nondisjunction
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5
Q

down syndrome

  • is the best-known example of _____
  • _____
  • occurs in _____ live births
  • manifestations: mental challenges, _____, _____ folds, protruding _____, _____ low set _____, and poor _____.
  • risk _____ with _____
  • has an increased risk of _____, _____, and _____
  • IQ of _____
A
aneuploidy
trisomy 21
1 in 800
low nasal bridges
epicanthal
tongue
flat
ears
muscle tone
increases
maternal age
congenital heart disease
respiratory infections
leukemia 
25-70
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6
Q

sex chromosome aneuploidy

  • _____
  • females have only one _____
  • denoted as karyotype _____
  • characteristics include:
  • absence of _____ (_____)
  • _____
  • webbing of _____
  • widely spaced _____
  • high number of _____
  • _____ that is usually inherited from the _____
  • occurs in _____ female births
  • teenagers receive _____
  • absence of _____ with only a _____ exhibits features that include a _____, widely spaced _____, and webbed _____
A
turner syndrome
X chromosome 
45,X
ovaries 
sterile
short stature
neck
nipples
aborted fetuses
X chromosome 
mother
1 in 2500
estrogen
homologous X chromosome
single X chromosome 
short stature
nipples
neck
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7
Q

sex chromosome aneuploidy

  • _____
  • males with at least _____ and _____ chromosomes
  • characteristics include:
  • _____ appearance
  • _____
  • small _____
  • sparse _____
  • _____ male births
  • some individuals can be XXXY and XXXXXY; will have _____ appearance; abnormalities will _____ with each _____; can also have an extra _____
  • disorder _____ with the mothers age
  • klinefelter syndrome karyotype: _____
  • chromosomal variation that causes klinefelter syndrome _____ of _____ in the _____
A
klinefelter syndrome 
one Y
two X
male
femalelike breasts (gynecomastia)
testes 
body hair
1 in 1000
male
increase
X
Y
increases
47,XXY
nondisjunction 
X chromosome 
mother
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8
Q

fragile sites

  • _____: site on the _____ of the _____; has an _____ number of repeated _____
  • is the second most commonly recognized genetic cause of _____
A
fragile site syndrome
long arm
X chromosome 
elevated
DNA sequences
mental retardation
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9
Q

chromosomal abnormalities are the leading cause of:

A

mental retardation and fetal miscarriages

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10
Q
  • _____: the composition of genes at a given locus or the individuals makeup
  • _____: is the outward appearance of an individual; results from genotype in the environment
  • example: infant with phenylkentonuria (PKU) has the _____
  • if left untreated, the infant will have _____, which is the _____
  • if treated, the infant will still have the _____ but can have a normal _____
A
genotype
phenotype
PKU genotype
cognitive impairments
PKU phenotype
PKU genotype
phenotype
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11
Q

four major types of genetic diseases:

  • _____
  • _____
  • _____
  • _____
A

autosomal dominant
autosomal recessive
x linked dominant
x linked recessive

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12
Q

autosomal dominant inheritance

  • diseases are _____
  • occurs in fewer than _____ individuals
  • the union of a _____ with a _____ usually produces the affected offspring
  • an affected parent can pass either a _____ or a _____ to his or her children; each event has a probability of _____; on average, half will be _____ and will express the disease and half will be _____
A
1 of 500
normal parent
affected heterozygous parent 
disease gene
normal gene
0.5
heterozygous
normal
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13
Q

autosomal recessive inheritance

  • is _____, but many individuals are carriers
  • abnormal allele is recessive, and the person must be _____ to express the disease
  • trait usually appears in _____, not in the _____
  • example: _____
  • gene forms _____ with defective _____, which leads to _____ imbalance that results in _____; the _____ and _____ are affected; the person does not survive past _____ years of age
  • characteristics:
  • condition is expressed _____ in males and females
  • is observed in _____ but not in _____
  • approximately _____ of offspring will be affected
  • _____ may be present: marriage between related individuals
A
rare
homozygous
children
parents
cystic fibrosis
sodium channels
transport
salt
abnormally thick, dehydrated mucous
lungs
pancreas
40
equally
siblings
parents
one quarter
consanguinity
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14
Q

_____

  • known as inbreeding
  • is the mating of two _____ individuals
  • offspring are termed _____
  • proportion of shared genes depends on the _____ of the biological relationship
  • dramatically _____ the reoccurrence risk of _____
  • offspring of marriages of first cousins who are affected by genetic diseases is approximately _____ that of the general population
A
consanguinity
related
inbred
closeness
increases
recessive
double
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15
Q

X linked inheritance

  • is a disorder that involves _____ and _____
  • Y linked disorders are _____ because the Y chromosome contains relatively _____ genes
  • females: have _____ X chromosomes; can be _____ for the _____, _____ for _____, or heterozygous
    males: have _____ X chromosome; are always _____; if inherits an _____, then he will express the disease because no _____ is present to counteract the _____; males are affected more often with X recessive conditions
A
X
Y chromosomes
uncommon
few
two
homozygous
disease
homozygous
normal
one
hemizygous
X recessive gene
normal allele
diseased allele
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16
Q

X linked recessive
-look for affected _____, who pass the gene only to their daughters (who become _____ but _____), and carrier _____ (family history in the _____ relatives), who pass the disease to their _____

A
fathers
carriers
do not get the disease 
mothers
male
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 another
  2. the trait is observed significantly more often in females than in males
  3. males are said to be heterozygous for the X chromosome
  4. the gene is passed from an affected father to all of his daughters
A

4

18
Q

the advantage of human sequencing on genetic disorders focuses on:

  • identification of a _____
  • diagnosis of the _____
  • appropriate _____
A

mutant gene
existing disorder
treatment