Deletion/Duplication Flashcards

1
Q

[Gene/Chr del/5p]

Characteristics of 5p deletion (Cri du chat syndrome)? (6)

A
  1. High-pitched cry
  2. Facial features: hypertelorism, low-set ears, micrognathia,
  3. Low birth weight
  4. Intellectual disability, microcephaly
  5. Hypotonia
  6. Heart defect
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2
Q

[Gene/Chr del]

Genetic cause of Wolf-Hirschhorn syndrome?

A

Heterozygous deletion of the Wolf-Hirschhorn syndrome critical region (WHSCR)
on chromosome 4p16.3

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3
Q

[Gene/Chr del/4p]

Name of the syndrome with ‘greek warrior helmet’ face and Characteristics? (5)

A

4p deletion syndrome (Wolf-Hirschhorn syndrome)

  1. Growth: prenatal-onset, postnatal growth retardation
  2. Neuro: hypotonia with muscle underdevelopment, developmental delay/intellectual disability, seizures,
  3. Auditory: hearing loss (mostly conductive)
  4. Skeletal: skeletal anomalies (60%-70%)
  5. Heart: congenital heart defects (~50%)
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4
Q

[Gen/Microdel]

Name of syndrome?
With cocktail party personality, short stature

A

Williams syndrome (del 7q11.23)

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5
Q

[Gen/Microdel]

7q11.23 deletion causes?

A

Williams Syndrome

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6
Q

[Gen/Microdel/Williams]

Facial characteristics of Williams syndrome (del 7q11.23)? (5)

A
  1. Broad forehead
  2. Periorbital fullness
  3. Shortened, upturned nose, flat nasal bridge
  4. Elongated philtrum
  5. Down-turned lower lip, wide mouth with full lips
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7
Q

[Gen/Microdel/Williams]

Eye findings of Williams (7q11.23)? (2)

A
  1. Stellate pattern of the iris
  2. Strabismus
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8
Q

[Gen/Microdel/Williams]

Neurologic/behavioral characteristics of Williams (del 7q11.23) (3)

A
  1. Friendly
  2. Intellectual disability
  3. Hypersensitivity to sounds
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9
Q

[Gen/Microdel/Williams]

Heart anomalies Williams (del 7q11.23)?

A

Supravalvular aortic stenosis

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10
Q

[Gen/Microdel/Williams]

Endocrine/connective disorders of Williams (del 7q11.23) (3)

A
  1. Hypercalcemia
  2. Connective tissue disorder
  3. Growth delay and short stature
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11
Q

[Gen/Microdel/Williams]

Causal gene of connective disorder for Williams (del 7q11.23)

A

Elastin gene (ELN)

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12
Q

[Gen/Microdel/WAGR]

WAGR (11p13 del) syndrome stands for?

A

Wilms tumor
Aniridia
Genitourinary malformation
Reduced intellectual abilities

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13
Q

[Gen/Microdel/WAGR]

Gene Deletion of WAGR syndsrome?

A

11p13

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14
Q

[Gen/Microdeletion]

Deletion of 11p13 causes?

A

WAGR syndrome

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15
Q

[Gen/Microdel/WAGR]

Causal genes for WAGR syndrome (del 11p13)? (2)

A

PAX6
WT1 (wilms tumor 1)

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16
Q

[Gen/Microdel/WAGR]

___ % of WAGR patients develop wilms tumor by ___ years old

A

50 % of WAGR patients develop wilms tumor by 3 years old

17
Q

[Gen/Microdel/WAGR]

Genital anomalies of WAGR syndrome (del 11p13)? (5)

A
  1. Hypospadias
  2. Cryptorchidism
  3. Small penis
  4. Hypoplastic scrotum
  5. Gonadoblastoma
18
Q

[Gen/Microdel/WAGR]

Facial characteristics of WAGR syndrome (del 11p13)? (5)

A
  1. Long face
  2. Upward-slanting palpebral fissures
  3. Ptosis
  4. Beaked nose
  5. Poorly formed ears
19
Q

[Gen/Microdel]

Most common microdeletion syndrome?

A

Del 22q11.2 (DiGeorge)

20
Q

[Gen/Microdel/22q11]

CATCH22 mnemonic for 22q11 deletion (DiGeorge)

A

Cardiac defect
Abnormal facies
Thymic hypoplasia (immune deficiency)
Cleft defects
Hypocalcemia (parathyroid gland hypoplasia)

21
Q

22q11.2 deletion syndrome
De novo vs inherited (%)

A

De novo: 90 %
Inherited: 10 %

22
Q

Responsible gene for 22q11.2 deletion syndrome

23
Q

[Gen/Microdel/22q11]

What defect in fetal development causes 22q11.2 deletion (DiGeorge) phenotypes?

A

3rd and 4th pharyngeal pouches
(Abnormal development of the pharyngeal arches related to TBX1 dosage)

24
Q

[Gen/Microdel/22q11]

Cardiac defects of 22q11.2 deletion (DiGeorge) (from the most common) (4)

A
  1. TOF
  2. Interrupted aortic arch
  3. VSD
  4. Truncus arteriosus
25
Q

[Gen/dup/CES]

Characteristics of cat eye syndrome (5)?

A
  1. eyes (iris coloboma)
  2. ears (preauricular pits and/or tags)
  3. anal region (anal atresia)
  4. heart and kidneys
  5. Intellectual disability (mild or borderline normal)
26
Q

[Gen/dup/CES]

Cause of cat eye syndrome (2)?

A

2/3: partial tetrasomy of 22pter-22q11(small supernumerary bisatellited marker chromosome)
1/3: this extra chromosome in mosaicism