Clincal Cytogenetics Flashcards

1
Q

Cytogenetics

A

Chromosomal abnormalities that may involve the presence of extra chromosomes, loss of chromosomes, or structural alterations

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2
Q

Dispermy

A

The fertilization of an ovum by two sperm cells

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3
Q

Triploidy

A

Cells that contain three copies of each chromosome 69 total

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4
Q

Robertsonian translocation involves the loss of

A

The short arms of the two Acrocentric chromosomes and the fusion of the long arms at the centromere

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5
Q

Monopolidy

A

The loss of a chromosome set- never seen in humans

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6
Q

Polyploidy

A

The gain of one of more entire chromosome sets

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7
Q

Trisomy 13 is also referred to as

A

Patau syndrome

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8
Q

Nondisjunction can occur in the gametes of

A

Both men and women

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9
Q

What is the most common trisomy among still borns

A

Trisomy 18 Edward Syndrome

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10
Q

Robertsonian translocation only involve ________ chromosomes which are:

A

Acrocentric

13, 14, 15, 21, 22

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11
Q

Down Syndrome characteristics

A
Intellectual disability
Almond eyes
GI tract obstruction
Congenital heart defect
High risk for leukemia
Alzheimer’s-like symptoms later in life
Male sterility 
Hearing loss
Eye abnormalities
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12
Q

Robertsonian translocation is not seen in which trisomy

A

18, Edward syndrome

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13
Q

Instead of 46 XX or 46 XY *normal, a Robertsonian translocation will have

A

45 XX or 45 XY

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14
Q

In a child-bearing female with Robertsonian translocation, the risk of Down Syndrome occurrence is:

A

Much higher than the risk in general population

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15
Q

Small arm of chromosome

A

P

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16
Q

Why are the individuals with Robertsonian translocations phenotypically normal

A

The short arms of the Acrocentric chromosomes contain redundant material (rRNA genes)

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17
Q

Which tirsomy is most compatible with live birth

A

Trisomy 21

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18
Q

Reciprocal translocation:

A

Chromosomal breaks on two chromosomes, the broken chromosomes exchange material resulting in derivative chromosomes

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19
Q

Aneuploidy

A

The gain of one or loss of a single chromosome

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20
Q

Why are abnormalities of the sex chromosomes more tolerated than abnormalities of the autosomes?

A

X-inactivation of most genes on X chromosome

21
Q

An individual who has a sex chromosome abnormality either _______ or ________ gene dosage of ______

A

Increased or decreased gene dosage of PAR1 and PAR2

22
Q

A translocation is the interchange of genetic material between:

A

Non-homologous chromosomes

23
Q

All autosomal monosomies are:

A

LETHAL

24
Q

Trisomy 18 is also referred to as

A

Edward Syndrome

25
Q

Alternate segregation

A

Two normal or two abnormal chromes in the gamete (no phenotype)

26
Q

5% of trisomy 13 is a result of

A

Robertsonian translocation

27
Q

Signs of Turner syndrome

A

Kidney abnormalities, congenital heart defects, ovarian dysgenesis, hypothyroidism, no intellectual disability but some learning disabilities

28
Q

Klinefelter syndrome:

A

47 XXY

29
Q

Symptoms of Trisomy 18 Edward syndrome

A
Death within one year
Intellectual/developmental disabilities
Diaphragmatic hernia/omaphalocele
Small eyes/mouth, receding jaw
Kidney defects
Clenched fists/overlapping fingers
Rocker-bottom feet, flexed big toe
30
Q

Trisomy 13 Patau syndrome symptoms

A
Death within a year
Holoprosencephaly *brain does not make two lobes
Postaxial polydactyly
Cleft lip/palate 
Deaf
Small eyes
31
Q

Why are autosomal trisomies 13, 18, and 21 compatible with life

A

Fewer genes on these chromosomes

32
Q

Most common sign of Klinefelter syndrome

A

Infertility

33
Q

Which autosomal trisomies are compatible with survival

A

13, 18, 21

34
Q

Monosomy for X chromosome is called

A

Turner syndrome 45, X

35
Q

XX males and XY females are errors during:

A

Recombination during the generation of gametes, SRY gene translocated

36
Q

Women under/over the age of 35 have 80% of the babies with Down syndrome?

A

Under

37
Q

Adjacent segregation

A

One normal and one abnormal chromosomes in the gamete (abnormal phenotype)

38
Q

Treatment for Turner syndrome

A

Growth hormone and estrogen therapy

39
Q

Why is Robertsonian translocation not possible in trisomy 18

A

Chromosome 18 is not Acrocentric

40
Q

The only kind of survivable monosomy:

A

X chromosome

41
Q

Nondisjunction

A

The failure of the two members of the chromosome pair to disjoin or separate during meiosis 1 or meiosis 2

42
Q

Long arm of chromosome

A

Q

43
Q

Chromosome abnormalities are the leading cause of:

A

Pregnancy loss and intellectual disability syndromes

44
Q

In Trisomy 13, 95% of cases are due to

A

Nondisjunction in the mother’s gametes

45
Q

What are the two types of translocation

A

Robertsonian

Reciprocal

46
Q

5% of trisomy 21 cases result from

A

Robertsonian translocation

47
Q

In 95% of trisomy 21 cases, the additional chromosome is contributed by:

A

The mother due to nondisjunction

48
Q

In males with 46, XX, where was the error

A

In the father of the individual, there was an aberrant recombination between the X and Y chromosomes that transferred the SRY gene to the X chromosome