Final Exam Flashcards

1
Q

percentage of pregnancies that have chromosomal anupoloidy

A

15-20%

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2
Q

most common autosomal aneuploidy

A

trisomy 16, trisomy 21, trisomy 22

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3
Q

most common sex chromosome aneuploidy

A

monosomy x (turner syndrome)

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4
Q

with monosomy x, what percentage of fetuses will be aborted

A

95%

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5
Q

autosomal aneupoloidy in live births, why

A

trisomy 12, 18, and 21 because heterochromatic regions mostly, so less genes

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6
Q

why is aneupolidy ox sex chromosome less fatal

A

x chromosome inactivation

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7
Q

down syndrome also called

A

trisomy 21

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8
Q

trisomy 21 discovered in

A

1980s

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9
Q

chromosome findings of down syndrome

A

pure trisomy 95%, translocation 4%, mosaicism 1%

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10
Q

in pure trisomy cases, maternal chromosome non-disjunctions account for _%

A

90 %

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11
Q

phenotype of down syndrome

A

upward sloping palpebral fissue, protruding tongue, congenital heart disease (need surgery to repair defective heart)

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12
Q

down syndrome is correlated to an advanced maternal age (35 (+) years old) …what part of cell cycle specifically?

A

meiosis 1 nondisjunction

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13
Q

Patau syndrome trisomy 13

A

severe condition, poor prognonsis, severe cleft lip and palate, heart defects in 90% of cases.
incidence 1/5000 newborn babies, most infants due during first few days or weeks of life, correlation with

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14
Q

edward syndrome tisomy 18

A

1/5000 live birth, incidence at the conception is much higher, but 95% of trisomy 18 fetuses are aborted
severe malformation of the heart
prominent occiput (back of head)
characteristic fists clench, rocker bottom feet,
detect foot with ultrasound

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15
Q

turner syndrome monosomy x

A

incidence 1/5000 to 1/10000, only seen in females, puffy extremities (edema, too much fluid in tissue of hands and feet), webbed neck, low hair line, widely spaced nipples, 75% of turner pts have maternal x chromosome, therefore the missing sex chromosome is of paternal origin, occurs only in females, (45, x), not severe, abnormal ovaries (no viable eggs, have oval testes, need to be given growth hormone because they are abnormally small,

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16
Q

klinfelter syndrome

A

additional sex chromosome, 1/1000 male live birth, discovered 1959 (47, XXY), moderate learning difficulties, enlagrement of breats, infertility (100%), increased incidence of carcinoma of breasts in adult life, missing father’s sex chromosome contribution (father meiosis 1 homolog chromosome seperate, where x and y are supposed to seperate but didn’t, so 3 copies in one sperm and one sperm with no sex chromosome)

17
Q

fragile x syndrome

A

Martin and Bell 1940s (Martin Bell syndrome), 1/5000 males, 4-8% of all males with learning difficulties, x-linked disease , depression in the female carriers, discovered in 1969, learning difficulties, long face,