Exam 2 Syndromes Flashcards

1
Q

what is trisomy 21 associated with?

A

down syndrome

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2
Q

what are the symptoms of down syndrome

A
Heart problems, 
50% vision and hearing problems
mild to moderate mental retardation
14 times more likely to develop AML (leukemia)
Premature aging (life expectancy 55 yrs)
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3
Q

does down syndrome increase or decrease with maternal age

A

sharp increase

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4
Q

what are the risk assessment test for down syndrome

A

triple test and nuchal translucency test

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5
Q

what are some congenital problems of down syndrome

A

60% of Down’s have one or more abnormalities:

40-45% cardiac
10% gastrointestinal
If any baby have either atrioventricular canal (heart) or duodenal atresia;
Down is suspected

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6
Q

what is trisomy 13 associated with

A

patau syndrome

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7
Q

what are some symptoms of patau syndrome

A
  • Average survival period for children with Patau syndrome is 2.5 days, 1 / 20 survive > 6 months
  • multiple malformations
  • severe developmental delay
  • no speech development
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8
Q

what is trisomy 19 assoicated with

A

edwards syndrome

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9
Q

what are the symptoms of edwards syndrome

A

Severe talipes
Horseshoe kidneys
Severe retardation
-low survival rates in first few years

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10
Q

what is the karyotype for turner syndrome

A

45,X (50%)

45,X / 46,XX (20%) and others

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11
Q

what is the karyotype for klinefelter syndrome

A

47 XXY

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12
Q

what is the karyotype for triple x syndrome

A

47 , XXX

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13
Q

what is the karyotype for XYY syndrome

A

47 XYY

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14
Q

what are the incidence rates for turner, klinefelter, triple X, and XYY syndromes respectively

A

TS-1/ 5000 females
KFS- 1/1000 males
XXX S-1/1000 females
XYY S-1/1000 males

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15
Q

what are the clinical features of turner syndrome

A

Short stature, infertility, oedema in womb, neck webbing

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16
Q

what are the clinical features of klinefelter syndrome

A

Tall, gynaecomastia,

Infertile, mild learning difficulties

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17
Q

what are the clinical features of triple X syndrome

A

Normal fertility, mild learning difficulties

Normal physically

18
Q

what are the clinical features of XYY syndrome

A

Tall, fertile, minor behavioural problems

19
Q

what is 4p-syndrome

A

wolf hirschorn syndrome

20
Q

what are the symptoms of 4p syndrome

A
Severe growth retardation 
Psychomotor delay and mental retardation
Dysgenesis of the corpus callosum 
Seizures
Renal hypoplasia 
Ventricular septal defect

Facial features (wide-set eyes, microcephaly)

21
Q

what is 5 p deletion syndrome also called

A

cri du chat syndrome

22
Q

what are the symptoms of cri du chat syndrome

A

name is French for “cry of the cat,“
The cry is caused by abnormal larynx development, which becomes normal within a few weeks of birth.

Low birth weight, 
may have respiratory problems,
Microcephaly,
Mental retardation, 
Facial features 
Normal life expectancy
23
Q

what is 7q11.2 sydnrome also called?

A

williams beuren syndrome

24
Q

what are the symptoms of williams beuren syndrome

A

mild mental retardation (some are normal);
Strengths in auditory memory and language, extreme weakness in 3D skills (writing, math);
Elastin artheriopahty (elastin gene is deleted), arteries is narrow;
distinctive facial features
Hypercalcemia
Overfriendliness, generalized anxiety, and attention deficit disorder

25
what is 11 q syndrome also called
jacobsen syndrome
26
what are the symptoms of jacobsen syndrome
``` mild to moderate psychomotor retardation, trigonocephaly, facial dysmorphism, cardiac defects, Thrombocytopenia (bleeding disorder) ```
27
what are some of the symptoms of smith magenis syndrome
-moderate mental retardation -an inversion of the circadian rhythm of melatonin : sleep disturbances (sleep whole day, party all night) self-injurious behavior: head banging; hand/nail biting; skin picking; pulling off fingernails and/or toenails “for fun and when bored”. Other behavioural disturbances
28
what are the names for 22q11 deletion syndrome
velo-cardio facial syndrome and digeorge syndrome
29
what are the symptoms of digeorge syndrome
a history of recurrent infection due to thymus agenesis or hypoplasia; parathyroid gland hypoplasia (hypocalcemia) heart defects facial features
30
what the defect of ATM
Failure to arrest cell division to allow for repair
31
what is the defect for bloom syndrome
Defect of helicase that unwinds DNA
32
what is the defect for fanconi anemia
Double strand break repair defect (13 genes)
33
what is the defect for xeroderma pigmentosum
Defect of nucleotide excision repair | 7 genes
34
what are the symptoms for atm
extreme radiosensitivity, immunodeficiency, sterility, Lymphomas, ATM +/- : breast cancer
35
what are the symptoms for bloom syndrome
small body size, sunlight sensitivity, immunodeficiency, male infertility, Cancer death before 30
36
what are the symptoms for fanconi anemia
extreme fatigue, frequent infections, acute myelogenous leukemia (AML) and at a very early age; other cancers are common
37
what are the symptoms for xeroderma pigmentosum
Excessive dryness of skin , Severe sunburns, many freckles, The mean patient age of skin cancer is 8 years in patients with XP compared to 60 years in the healthy population
38
what are the symptoms for nigmegen syndrome
``` congenital microcephaly, mild dysmorphic facial appearance, growth retardation, immunodeficiency, high risk for lymphoid malignancy ```
39
what is fetal alcohol syndrome's relation to mental retardation
Leading known cause of preventable mental retardation The majority of individuals with FAS do not have mental retardation
40
what are some of the symptoms of fetal alcohol syndrome
Difficulty with time Being where they should be on time Problems managing money Difficulty transferring learning to other situations Difficulty determining what to do in a given situation