Genetic Diseases Flashcards

1
Q

what is the pattern of inheritance in Duchenne muscular dystrophy?

A

X-linked recessive

only affects males

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2
Q

what does Duchenne muscular dystrophy cause?

A

a delay in motor development

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3
Q

when does weakness come on in Duchenne muscular dystrophy?

A

around 3-4 years of age

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4
Q

what muscles are affected by weakness in Duchenne muscular dystrophy?

A

pelvic and shoulder girdles

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5
Q

when does death occur in Duchenne muscular dystrophy and why?

A

usually in 20s

due to weakness of respiratory and cardiac muscles

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6
Q

what causes Duchenne muscular dystrophy?

A

dystrophin mutation on the X chromosome

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7
Q

what does dystrophin code for and what does disruption cause?

A

dystrophin protein which connects proteins

loss of muscle cells

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8
Q

what are the two main types of dystrophin mutations?

A

large deletions

point mutations, small insertions and deletions

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9
Q

what are some signs of muscle weakness in Duchenne muscular dystrophy?

A

Gower’s sign
toe walking
exaggerated lumbar lordosis

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10
Q

what is Gower’s sign?

A

when the arms are used to compensate for the weakness of the pelvic girdle when getting up from the floor

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11
Q

what sign of Duchenne muscular dystrophy is seen in the legs?

A

calf hypertrophy

muscles appear large but are very weak

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12
Q

what blood is high in Duchenne muscular dystrophy?

A

serum CK

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13
Q

what tests can be done to diagnose Duchenne muscular dystrophy?

A

serum CK
genetic testing
EMG
muscle biopsy

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14
Q

when is the onset of Huntington’s disease?

A

usually 30-50

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15
Q

how is Huntington’s disease inherited?

A

autosomal dominant pattern

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16
Q

what is the pathological process behind Huntington’s disease?

A

caudate atrophy

17
Q

where is the molecular defect in Huntington’s disease?

A

the Huntington gene

18
Q

what is the molecular defect causing Huntington’s disease?

A

repeat expansion of CAG coding for excessive glutamine

this is neurotoxic

19
Q

how does spinal muscular atrophy present?

A

muscle weakness and wasting

20
Q

what muscles are affected in spinal muscular atrophy?

A

proximal skeletal muscles

respiratory muscles

21
Q

what is the pathology behind spinal muscular atrophy?

A

loss of anterior horn cells

22
Q

what causes spinal muscular atrophy?

A

mutations of the SMN1 gene on chromosome 5

23
Q

what is the pattern of inheritance of spinal muscular atrophy?

A

autosomal recessive

24
Q

how can muscle weakness be prevented in spinal muscular atrophy?

A

treatment from birth