chromosomal abnormalities Flashcards

1
Q

define chromosomal investigations?

A

karyotypes
produced by cutting and pasting chromosome pictures

systemically organised set of chromosomes

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2
Q

two main classifications of chromosomal abnormalities

A

numerical - number of chromosome

structural - physical change to one of more chromosome

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3
Q

what 3 autosomal trisomy are viable in pregnancy?

A

trisomy 21 - downs syndrome

trisomy 18 - Edwards syndrome

trisomy 13 - pataus syndrome

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4
Q

downs syndrome characteristics

A

intellectual disability
infertility
hear disorders
eye disorders

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5
Q

Edwards syndrome characteristics

A

low birth weight.​

small head and jaw.​

an unusual-looking face and head.​

unusual hands and feet with overlapping fingers and webbed toes.​

problems with feeding, breathing, seeing and hearing.​

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6
Q

pataus syndrome charateristics

A

Uncommon​

Polydactyly​

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7
Q

what is used to visualise chromosome?

A

FISH

detect abnormalities

cytogenetic localisation of DNA

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8
Q

define robertsonian translocation?

A

breakage of 2 acrocentric chromosomes/ or close to centromere, form one chromosome, most common b/w 13 and 14

loss of one chromosome

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9
Q

define philadelphia chromosome?

A

reciprocal translocation b/w chromosomes 9 and 22

encodes for fusion protein (oncogene)

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10
Q

define chromosomal translocation

A

chromosomes break and stick to other.

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11
Q

define isochromosome

A

two non-identical chromosomes, one is a combination of two short arms, and the other is a combination of two long arms

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12
Q

define ring chromosome

A

loss of telomeres OR ends of both arms & formation of a ring structure

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13
Q

what are some indications for karyotyping

A

prenatal karyotyping
leukaemia
infertility
birth defects
recurent foetal loss
abnormal sexual development

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14
Q

klinefelter syndrome 47, XXY characteristics

A

symptoms appear after onset of puberty

reduced testosterone

gynecomastia (breast tissue)

intellectual deficiencies

treat w/ hormones and surgery

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15
Q

Turner Syndrome 45, X0 characteristics

A

short stature

broad chest

low hairline

low set ears

infertility

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16
Q

XYY syndrome 47,XYY characteristics

A

normal testosterone levels and fertility

slightly lower IQ

taller than average, increased growth rate

17
Q

XXX syndrome 47,XXX characteristics

A

females that are taller than average

usually not detected

18
Q

what medical conditions are screened for newborns?

A

PKU
sickle cell disease
cystic fibrosis
homocystinuria
congenital hyperthyroidism

19
Q

what ways can foetal DNA be isolated?

A

amniotic fluid cells - 15-20 weeks

chorion villus biopsy - 10-12 weeks

foetal DNA in mothers blood

20
Q

what is lyonisation?

A

transcriptional silencing occurs randomly for one of the two X chromosomes in female cells during development