Genetic Disorder Flashcards

1
Q

What are the inheritance patterns of Ehler-Danlos syndrome?

A

Autosomal Dominant and Autosomal Recessive

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2
Q

What is the genetic defect found in Marfan Syndrome? Which chromosome can this be found?

A

Fibrillin - 1 gene ( chromosome 15)

Marfan = F a = F1
Marfan’s Syndrome = 15 letters = Chromosome 15

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3
Q

Name the two X-linked dominant disorders?

A
  1. Alport Syndrome
  2. Vitamin D- resistant Rickets
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4
Q

What is the most common lysosomal storage disorder? What is the defect in this disorder?

A
  1. Gaucher disease- Glucocerebrosidase ( B- glucosidase) deficiency
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5
Q

What cardiac finding is most associated in Trisomy 21?
What hematologic cancer is most commonly found in patients with this disorder?

A

Endocardial cushion defect;
Acute megakaryoblastic leukemia

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6
Q

What is the single most important cause of primary amenorrhea?

A

Turners syndrome

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7
Q

Most common chromosomal disorders, leading cause of MR , most common cause :
Nondisjunction of Ch21 during meiosis ; diagnostic clinical features: flat facial profile , oblique palpebral fissures, and epicanthal folds.

A

Trisomy 21 ( Down Syndrome )

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8
Q

Prominent occiput, mental retardation, micrognathia, low set ears, short neck , overlapping fingers , cardiac defects, renal malformations, limited hip adbuction , and rocker bottom feet are features of this syndrome?

A

Trisomy 18 ( Edward Syndrome)

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9
Q

Microcephaly and mental retardation, microphathalmia , cleft lip and palate, polydactyly, cardiac defects, and rocker-bottom feet are features of this syndrome.

A

Trisomy 13 ( Patau Syndrome)

Note: underlying features help distinguish syndrome from Trisomy 18

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10
Q

Which of the following is Not X-linked ?
a. Brutonagamaglubinemia
b. Ehler-Danlos Syndrome
c. G6PD deficiency
d. Hemophilia A

A

Ehler-Danlos Syndrome : Autosomal Dominant & Recessive

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11
Q

23/M with atherosclerotic cardiovascular disease and xanthomas. Family history of similar disease is noted. Elevated LDL-C with normal triglycerides. Diagnosis?

A

Familial hypercholesterolemia

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12
Q

Most common mutated gene in Familial hypercholesterolemia?

A

LDL receptor (LDLR) ( 80-85% of cases)

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13
Q

23/ M , 6’1” , presents with sharp anterior chest pain radiating to the back then downward. What disease should be considered?

A

Marfan Syndrome

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14
Q

Which of the following genetic abnormalities is NOT associated with the development of congenital heart disease ?
a. Trisomy 13
b. 15
c. 16
d. 18
e. 21

A

Trisomy 16

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15
Q

The following diseases are related to Marfan Syndrome. (3)

A
  1. Bicuspid aortic valve
  2. Familial thoracic aortic aneurysm
  3. Ehlers-Danlos Syndrome
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16
Q

Mutation in the gene of this lipoprotein results in a receptor disease of familial hypercholesterolemia.

A

LDL

17
Q

Characterized by a complete lack of immunoglobulin due to disordered B-cell maturation, where pre and pro-B cells fail to mature.

A

X- linked ( Burton) Agammaglobulinemia

18
Q

X linked disease typically seen almost exclusively in males and usually seen until 6 months of age?

A

X- linked ( Burton) Agammaglobulinemia

19
Q

Live vaccines such as Polio mus be avoided in these individuals?

A

X- linked ( Burton) Agammaglobulinemia

20
Q

Mutation in this gene leads to inability of leukocytes and platelets to reorganize the actin cytoskeleton, causing defective antigen presentation.

A

WAS Gene

Wiskott-Aldrich Syndrome

21
Q

Manifestations in Wiskott-Aldrich Syndrome?

A

WATER
Wiskott
Aldrich
Trombocytopenia
Eczema
Recurrent pyogenic infection

22
Q

Defect in LFA-1 integrin ( CD 18) protein on phagocytes results in impaired migration and chemotaxis.

A

Leukocyte Adhesion Deficiency ( Type 1)

23
Q

Genetic disposition of Leukocyte Adhesion Deficiency ( Type 1) ?

A

Autosomal Recessive

24
Q

Clinical features of this disease include late separation ( >30 days) of umbilical cord, absent pus, dysfunctional neutrophils, and recurrent skin and mucosal bacterial infections.

A

Leukocyte Adhesion Deficiency ( Type 1)

25
Q

Defect in lysosomal trafficking regulator gene (LYST) causes microtubule dysfunction in phagosome-lysosome fusion.

A

Chediak - Higashi Syndrome

26
Q

Genetic disposition of Chediak - Higashi Syndrome?

A

Autosomal Recessive

27
Q

Clinical presentation of Chediak - Higashi Syndrome?

A

PLAIN
Progressive neurodegeneration
Lymphohistiocytosis
Albinism (partial)
Recurrent pyogenic Infections , peripheral Neuropathy

28
Q

Defect in NADPH oxidase leads to reduced reactive oxygen species (eg. Superoxide) and impaired respiratory burst in neutrophils.

A

Chronic Granulomatous Disease

29
Q

Most common Genetic disposition of Chronic Granulomatous Disease?

A

X-linked form

30
Q

Disease which has increased susceptibility to catalase-positive organisms results in recurrent infections and granulomas.

A

Chronic Granulomatous Disease

31
Q

Oncogene associated with GIST and mastocytosis ?

A

c-KIT

32
Q

Oncogene that can be found in CML & ALL.

A

BCR-ABL

33
Q

Oncogene found in myeloproliferative neoplasm?

A

JAK2

34
Q

Oncogene mutations contributes to adenoma-carcinoma development? (3)

A
  1. KRAS mutation
  2. SMAD2/SMAD 4 losses
  3. TP53 inactivation
35
Q

Trinucleotide repeat expansion defect in Fragile X Syndrome?

A

CGG

Chin ( protruding)
Giant
Gonads

CGG balik sa imo Fragile na X na dakog itlog

36
Q

Trinucleotide repeat expansion defect in Huntington Disease?

A

CAG repeats
Caudate
decreases ACh
GABA

Huntington CAG Nawng

37
Q

Trinucleotide repeat expansion defect in Myotonic Dystrophy?

A

CTG repeats

Cataract
Toupee ( early balding in males)
Gonadal atrophy in males reduced fertility in females

38
Q

Trinucleotide repeat expansion defect in Friedreich ataxia?

A

GAA repeats

Ataxic GAAit