Gen Flashcards
What are the single congenital defects
Malformation
disruption
Deformation
dysplasia
What are the multiple congenital defects
Sequence
syndrome
Association
Define malformation
Primary structural defect
As a result of intrinsically abnormal development
Define disruption
Defect as a result of extrinsic interference with originally normal development
Define Deformation
Mechanical force is causing abnormal shape, form or position
Distorting structure
Define dysplasia
Abnormal organisation of cells in a tissue
Define sequence
Pattern of multiple abnormalities
Derived single known prior anomaly or factor
Define syndrome
Multiple abnormalities
Pathogenically related
Specific underlying cause
Eg. Downs
Define Association
Non-random occurrence of abnormality
not explained by syndrome due to unknown cause
What are the three problems that can occur with chromosomes
Aneuploidy- loss or gain of chromosomes
Structural- translocations, deletions, insertions, inversions, rings
Mosaicism- different cell lineages
Transfer of genetic material from one chromosome to another is normal in balanced translocations unless…
Disruption of a gene
Fusion product
Define monosomy
Loss of a single chromosome almost always lethal
Define trisomy
Gain of one chromosome can be tolerated for specific chromosomes
Define Mosaicism
Where different cells in the same individual have different numbers or arrangements of chromosomes
What type of trisomy is the most common
Trisomy 16
Fatal in Utero -miscarriage
What types of trisomies can be viable
13, 18, 21
13- patau syndrome
Heart defects, mental retardation
18- Edwards syndrome
Heart defects, kidney malformation, digestive tract defects, mental retardation
What are the clinical features of down syndrome
Newborn period
Hypotonia, lethargic, eXcesS nuchal skin
Craniofacial
Macroglossia, small ears, sloping palpebral fissures
Limbs
Single Palmar crease, wide gap between first and second toes
Other
Short stature, douodenal atresia
Low IQ but advanced social skills
What are the three different chromosome aberrations which lead to downs
Trisomy 21
90% due extra chromosome from mum
Non-disjunction homologous chromosomes in meiosis 1 (3 copies instead of 2)
Translocation
Break In Acrocentric chromosomes (13,14,15,21,22) and fusion long arms
No. Chroms still 46 but part/full copy chrom 21 attaches another chrom
Mosaicism
Mix of two types of cells some containing 46 chromosomes some containing 47
What is Monosomy X
Turner’s syndrome
Loss of X or Y in paternal meiosis
(Other causes: ring chromosome, single arm deletion, Mosaicism)
What are the characteristics of Turner’s
Prenatal
Generalised oedema and neck swelling
Newborn/child
Odematous hands and feet, Webbed neck, low set ears, low posterior hairline, broad chest, aortic defects, urinary defects
Adult
Short stature, infertility, diabetes, hypothyroidism
Normal intelligence
What is XXY
Klinefelter’s syndrome
Phenotypically male
Learning disability
Tall and infertile
Define dosage compensation
Process by which organisms equalise expression of genes between members of different biological sexes