congenital/genetic disorders Flashcards

1
Q

what is a congenital disorder

A
  • “birth defect”
  • result of developmental errors in embryo manifesting at birth
  • present at birth, non-genetic
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2
Q

what is the period of vulnerability

A

a time in gestation when the embryo is most sensitive to developmental errors

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3
Q

organogenesis

A

period 15-60 days post-conception when organs begin to form

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4
Q

teratogen

A

any factor responsible for congenital abnormalities

ex. drugs, smoking, alcohol, malnutrition, infection

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5
Q

critical period for the CNS

A

2-5 weeks

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6
Q

critical period for the heart

A

2.5-5.5 weeks

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7
Q

critical period for the extremities

A

3.5-7 weeks

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8
Q

critical period for the eyes

A

3.5-7.5 weeks

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9
Q

critical period for the external genitalia

A

6.5-9 weeks

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10
Q

types of genetic abnormalities

A
  • monogenic
  • complex trait
  • mitochondrial
  • chromosomal
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11
Q

what is a monogenic abnormality

A

a single allele is affected; 3 types:

  • autosomal dominant
  • autosomal recessive
  • x-linked recessive
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12
Q

autosomal dominant disorder

A
  • monogenic abnormality
  • only 1 defective allele needed for disease manifestation
  • 50% probability
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13
Q

autosomal recessive disorder

A
  • monogenic abnormality
  • requires both defective alleles for disease manifestation
  • 25% affected, 25% unaffected, 50% carriers
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14
Q

define autosomal

A

non-sex dominant chromosome

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15
Q

x-linked recessive disorder

A
  • monogenic abnormality
  • associated w/ female (X) chromosome
  • males more often affected (XY)
  • females rarely experience affects d/t having XX, one is still normal
  • carrier mother = 50% sons affected, 50% daughter carriers
  • affected father = sons unaffected, all daughters carriers
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16
Q

mitochondrial gene disorders

A
  • maternal inheritance of mitochondrial genes (sperm lose mitochondria in tail)
  • involved in ATP production
  • code for enzymes involved in the respiratory chain (electron transport chain)
  • cause neuromuscular defects d/t high requirement for oxidative metabolism (more ATP)
17
Q

complex trait disorders

A
  • polygenic and environmental factors
  • is a predisposition
  • not caused by predisposition alone, must be paired with environmental factors
18
Q

define polygenic

A

caused by multiple genes

19
Q

how many mitochondrial genes are there

20
Q

how many chromosomes are there

A

46 (23 pairs)

21
Q

chromosomal defects

A

defects in number or structure of chromosomes

22
Q

what is a karyotype

A

a test to identify and evaluate the size, shape, and number of chromosomes in a sample

23
Q

numeric chromosomal abnormality

A
  • abnormal # chromosomes
  • aneuploidy, trisomy, monosomy
  • referred to by chromosome #
    ex. trisomy 21 = down syndrome
24
Q

aneuploidy

A

extra or missing chromosome

25
trisomy
extra chromosome in a pair (3 total)
26
monosomy
``` missing chromosome (1 total) will not occur w/ autosomal chromosome b/c absence of 50% of genetic material is not conducive to life ```
27
klinefelter's syndrome
- trisomy, numeric problem - male with additional X chromosome (XXY) - 1 in 500 - manifestations: narrow shoulders, gynecomastia, wide hips, testicular atrophy, long arms/legs etc.
28
turner's syndrome
- monosomy, numeric problem - female with only 1 X chromosome (XO) - 1 in 2500 - manifestations: broad chest, webbed neck, poor breast development, hormone deficiencies, infertility
29
structural chromosome abnormality
a section of the chromosome breaks off and does: - inversion - deletion - translocation
30
chromosome inversion
piece of the chromosome is inverted - pericentric: around the centrosome - paracentric: away from the centrosome
31
chromosome translocation
piece of the chromosome transfers to another - balanced: switch places - Robertsonian: 1 long chromosome, 1 small that is lost - isochromosomal: chromosomes split horizontally
32
chromosome deletion
- part of the chromosome is missing - leads to a loss of genetic material - ring formation: following deletion, forms ring
33
the word for extra or missing chromosomes
aneuploidy
34
the word for an extra chromosome in a pair (3)
trisomy
35
the word for missing a chromosome
monosomy