Exam II Review Flashcards

1
Q

Define mutation

A

permanent change in the DNA of an organism

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2
Q

Define genomic mutation

A

Karyotypic change resulting in aneuploidy

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3
Q

Define chromosomal mutation

A

change in size, shape and structure of chromosomes

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4
Q

Define gene mutation

A

seen at the gene level only

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5
Q

Define point mutation

A

within coding sequence

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6
Q

Define deletion mutation

A

Deletion of NT’s

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7
Q

Define insertion mutation

A

Addition of NT’s

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8
Q

Define missense mutation

A

Point mutation resulting in a different AA

Sickle Cell

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9
Q

Define nonsense mutation

Example

A

early stop codon

Beta thalassemia

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10
Q

Define tri-nucleotide repeat

A

Repeat of 3 amino acid sequence

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11
Q

Define autosomal dominant

3 general characteristics

A
Only need one allele to have phenotype
Reduced penetrance
Variable expressivity
Males and females
Spontaneous mutations can occur
Onset is delayed
Proteins and metabolic control points
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12
Q

Define autosomal recessive

2 general characteristics

A

Need two alleles to have disorder
Early onset
Enzymes
Usually complete penetrance

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13
Q

Define x-linked recessive

A

Need to have one mutant X allele in males and two in females.

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14
Q

Define x-linked dominant

One example?

A

Only need one X allele to have disorder

Vitamin D resistant rickets

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15
Q

Define codominant

One example?

A

two different gene alleles are fully expressed together

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16
Q
Marfan's syndrome
Type of inheritance
Incidence
Chromosome involved
Protein involved
Three charcteristics of syndrome (MARFANS)
A

Autosomal dominant

Ch 15

Fibrillin

Mitral valve prolapse
Aortic aneurysm/Aortic valve incompetence
Retinal detachment
Fibrillin/Ch15
Arachnodactyly
Subluxulated lens
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17
Q
Ehlers danlos
Type of inheritance:
Protein involved
Five characteristics of syndrome
"Fellers Damn Loose"
A

All 3
Collagen

Stretchable skin
Hypermobile joints
Really easily injured skin
Increased lines on palma

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18
Q
Familial hypercholesterolemia
Type of inheritance
Incidence
Proteins/components involved
Two characteristics of syndrome
A

Autosomal Dominant
1 in 500 (MOST COMMON)
Defective LDL receptor

High blood cholesterol levels
Tendinous xanthomas

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19
Q
Tay Sachs
Type of inheritance
Incidence or population at risk
Protein/components involved
Two characteristics of syndrome
A

Autosomal Recessive
Ashkenazi Jews
Hexosaminidase A –> Gangliosides

Cherry Red Spot on macula
Blindness
NO hepatosplenomegaly

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20
Q
Gaucher
Type of inheritance
Incidence or population at risk
Protein/components involved
What types exist?
A

Autosomal Recessive
Eastern European Jews
Glucocerebrosidase
Type I(Phagocytes), Type II (Infantile), Type III (Intermediate)

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21
Q

Niemann-Pick
Type of inheritance
Protein/components involved
What types exist?

A

Autosomal recessive
Eastern European Jews (Type A&B)
NPC-1 gene –> Sphingomyelin
A (infantile), B, C (most common)

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22
Q

Mucopolysaccharidoses?
Most common type of inheritance
What form is X-linked recessive
Two general characteristics

A
All AR
Except Hunter Syndrome
Coarse facial features
Clouding of corneas
joint stiffness
mental retardation
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23
Q

Glycogenoses (Viagara Pills Cause A Major Hard On)
What is hepatic type?
Muscle type?
Lysosomal type?

A

Hepatic: Type I – Von Gierke’s
Muscle: Type V – McArdle’s
Lysosomal: Type II – Pompe’s

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24
Q
NF-1
Incidence
Chromosome involved
Protein involved and normal action
Three characteristics
A

1/3000
NF-1 gene on Chromosome 17q11
Neurofibromin - Tumor supressor

Neurofibromas
Cafe au lait macules
Lisch nodules

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25
``` NF-2 Incidence Chromosome involved Protein involved and normal action Three characteristics ```
``` 10% of NF's Ch 22 Merlin: Tumor suppressant Neurofibromas, Bilateral acoustic neuromas NO Lisch Nodules ```
26
Multifactorial disorders | Three examples?
Hypercholesterolemia Hypertension Height Eye color
27
``` Trisomy 21 Incidence Age relationship Types? Four characteristics ```
Mom's increasing age increases risk Nondisjunction 47 X? 21, Robertsonian translocation (46, X?, der 14,21) Mosaics (46X?, 47X? +21) Endocardial cushion Atresia of bowel Risk for leukemias Mental retardation, Alzheimer's
28
Trisomy 18 Incidence Four characteristics
1 in 8000 Rocker-bottom feet Renal problems CV problems Facial abnormalities
29
Trisomy 13 Incidence Four characteristics
1 in 15000 Polydactylyl Rocker bottom feet Facial problems Renal/CV problems
30
Klinefelter syndrome Types? Four characteristics
47XXY, 48XXXY, 49 XXXXY Additional X's increase mental retardation Gynecomastia Hair distribution
31
Turner syndrome Incidence Four characteristics
45, XO ``` Webbing of neck Cystic fibroma (lymphangioma) Short Broad chest (widely spaced nipples) Pigmentation Primary amenorrhea (1/3 of all) ```
32
``` Triple repeat disorders Example of X-linked R and AD forms Define anticipation Define sherman's paradox Give three characteristics of Fragile X syndrome ```
Fragile X: X-linked Huntington: AD (earlier onset) Friedrich's ataxia: AD Myotonic dystrophy: AD Anticipation: age of onset increases through generation Sherman's paradox: Your place in pedigree determines the risk of getting it End of long arm of X is messed up Hypergonadism
33
Mitochondrial disorders | – Give one example
Leber Hereditary Optic Neuropathy
34
Imprinting – Explain this process – Give two examples
Selective inactivation of either the maternal or paternal allele Paternal imprinting: Prader Willi Maternal imprinting: AngelMan's
35
``` Cystic fibrosis – Incidence and race – Chromosome involved – Protein involved – Most common and lethal mutation – List three characteristics (CF PANCREAS) ```
``` Whites: 1/2000, Blacks 1/15000 Rare in asians Long arm Chr 7 CFTR: CF transmembrane conductance regulator F-508 Chronic cough Failure to Thrive Pancreatic insufficiency Alkalosis Neonatal meconium ileus Clubbing of fingers Rectal prolapse Electrolyte elevation Absence of vas deferens Staph or pseudomonas ```
36
What is malformation? Intrinsic or extrinsic problem? What is etiology? Example?
a
37
What is a disruption? Extrinsic or intrinsic? What is etiology? Example?
a
38
``` Deformations Extrinsic or intrinsic? What % of newborns? What causes it? Most common cause? Increased risk factors? (7) ```
a
39
What is a sequence? What is the initiating event? Example?
a
40
What is Potter sequence? 4
a
41
What are malformation sequences? What are they generally caused by? Two examples
a
42
What are transcervical/ascending infections? What can they affect in terms of baby? (2) Occur with what risk factors? (2) What can it lead to? (3) 4 causes?
a
43
Transparental infections are what? Usual cause? What are the five exmaples (TORCH) Symptoms? (5)
a
44
What is prematurity? Risk factors? (4) Complications? (3)
a
45
Intrauterine growth retardation results in what?
a
46
Fetal causes of interuterine growth retardation?
a
47
Placental causes of intrauterine growth retardation?
a
48
Maternal factors causing intrauterine growth retardation
a
49
Risk factors for respiratory distress syndrome of newborn? (4)
a
50
Basic defec tin respiratory distress syndrome? What cell normally makes this? What will increase production? (2)
a
51
Survivors of respiratory distress syndrome may have what? (2)
a
52
``` What is necrotizing enterocolitis? Etiology? (2) What aggravates? (2) What parts of GI are affected? (3) Effect on GI organs? (4) Exam reveals what? (4) ```
a
53
Infants with necrotizing enterocolitis develop what symptoms? (4 Treatment? Healing can lead to what?
a
54
SIDS is defined how? How many cases a year? 90% are how old? What can reduce risk?
a
55
What is hydrops fetalis? | What causes it historically?
a
56
What is most frequent cause of hydrops fetalis now? | Causes? (5)
a
57
Hydrops fetalis care includes doing what? (4)
a
58
3 indoor air pollution?
wood smoke: Nitrogen and carbon oxides radon: Decay of urancium --> Broncho carcinomas bioaerosols: bacteria, viruses, fungi, dander
59
Organic compounds include? (4)
a
60
Chloroform and CCL4 lead to what?
CNS symptoms --> Coma
61
Polycyclic hydrocarbons do what?
Carcinogenic to lung and bladder
62
Vinyl chloride causes what cancer
Hepatic angiosarcoma
63
1,3-butadiene/rubber causes what?
leukemia
64
3 bad metals | Cancer for each
arsenic: lung and skin carcinoma + hepatic angiosarcoma chromium: Lung carcinoma nickel: Lung carcinoma
65
What are pneumoconioses | 3 size ranges?
Non-neoplastic lung diseases induced by inhaled organic and inorganic particulate matter and fumes. <1 um = reach alveoli and act like gases, without deposition or damage
66
Coal workers lung/black lung has what in simple form?
Asymptomatic anthracosis
67
Coal workers lung/black lung has what in complicated form?
progressive massive fibrosis
68
What is caplan syndrome? (2) | Symptoms? 2
Rheumatoid arthritis and pneumoconiosis 1. Coalescing nodules with central necrosis 2. palisading macrophages, fibroblasts and plasma cells
69
What is silicosis secondary to? Which form is better, which is worse? How many cases in US a year Acute form results in what? (3)
inhaled silica Crystalline forms more reactive than amorphous forms 1500/year respiratory symptoms, interstitial inflammation and proteinaceous fluid collections in alveolar sacs
70
Chronic form of silicosis results in what forming?
Nodular form with fibrosis nodules in upper zones of | the lungs and in subpleural locations
71
Complicated form results in what?
Progressive enlargement of nodules and destructions | of lung parenchyma (PMF)
72
Silicosis has what two diseases increase due to it?
TB | Cancer
73
Two major types of asbestos Which is more common Which causes mesotheliomas?
a
74
Serpentine asbestos has asbestos in what form? | Why is it more common?
a
75
Amphibole has what type of asbestos? | Why do they create damage?
a
76
5 forms of asbestos
a
77
What are asbestos bodies?
a
78
What is berylliosis acute form? Chronic form? Who is at risk?
a
79
Tobacco smoke has how many deaths? | What proportion is lung cancer
a