Congenital Disorders Flashcards

1
Q

What is the pathogenesis of osteogenesis imperfecta?

A

Defect of organisation/maturation of type I collagen

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2
Q

Is osteogenesis imperfecta autosomal dominant or autosomal recessive?

A

Autosomal dominant

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3
Q

Give some signs and symptoms of osteogenesis imperfecta

A

Multiple fragility fractures
Blue sclerae
Hearing loss
Gracile bones on x-ray

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4
Q

How is osteogenesis imperfecta treated?

A

Splintage
Traction
Surgical stabilisation

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5
Q

What is the pathogenesis of achondroplasia?

A

Genetic error causes abnormal bone/connective tissue development

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6
Q

The majority of achondroplasia is sporadic. True/false?

A

True

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7
Q

What are the signs and symptoms of achondroplasia?

A

Disproportionately short limbs
Prominent forehead
Wide nose
Joint laxity

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8
Q

How is achondroplasia treated?

A

Supportively - prevent spinal cord compression/joint instability

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9
Q

Connective tissue disorders are a genetic disorder of what type collagen?

A

Type I

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10
Q

What is the pathogenesis of Marfan’s syndrome?

A

Mutation of the fibrillin gene causes excess elastin

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11
Q

Give some signs and symptoms of Marfan’s syndrome

A
Tall stature
Disproportionately long limbs
Ligamentous laxity
High arched palate
Scoliosis
Heart defects
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12
Q

What is the pathogenesis of Ehlers-Danlos syndrome?

A

Abnormal collagen and elastin formation

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13
Q

Is Ehlers-Danlos syndrome autosomal dominant or autosomal recessive?

A

Autosomal dominant

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14
Q

What are the signs and symptoms of Ehlers-Danlos syndrome?

A

Joint hypermobility and dislocations
Vascular fragility
Scoliosis

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15
Q

Muscular dystrophies have what pattern of inheritance?

A

X-linked recessive

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16
Q

What is the pathogenesis of Duchenne muscular dystrophy?

A

Defective dystrophin gene causes defective calcium transport

17
Q

What are the signs and symptoms of Duchenne muscular dystrophy?

A

Gower’s manoeuvre
Progressive muscle weakness
Death in early 20s

18
Q

How is Duchenne muscular dystrophy diagnosed?

A

Raised serum creatinine phosphokinase

Muscle biopsy