Genetic Disorders. Flashcards

1
Q

Propose what a child with Down syndrome is at risk for.

Venous thromboembolic disease

Gynecomastia

Testicular cancer

Cubitus valgus

A

Testicular cancer

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2
Q

Identify a key principle of Mendel’s theory.

Different traits have independent assortment.

Gametes are created through heterozygote segregation.

Genes are linked.

Homozygotic individuals have one dominant allele and one recessive allele.

A

Different traits have independent assortment.

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3
Q

Propose a variable symptom of 47 XXY.

Palmar crease

Low-set ears

Lanky facial appearance

Webbed neck

A

Lanky facial appearance

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4
Q

Janie is an obese 5-year-old who presents to the clinic for a new patient visit. Physical examination reveals a conductive hearing loss, a high waist-to-hip ratio, and low-set ears. You have your suspicions about a diagnosis. Recommend what kind of testing can confirm a diagnosis.

Amniocentesis

Cardiac evaluation

Spermiogram

Chorionic villus sampling

A

Cardiac evaluation

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5
Q

Conclude what trisomy 21 is associated with.

Reproductive sterility

Female gender

Mild intellectual disability

ADHD

A

Mild intellectual disability

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6
Q

Establish a symptom of Turner syndrome.

Conductive hearing loss in children

Fatigue

Lanky build

Decreased body hair

A

Conductive hearing loss in children

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7
Q

Predict how testosterone deficiency is manifested in Klinefelter syndrome.

Fibrotic gonadal structures

Microorchidism

Poor coordination

Less body hair

A

Less body hair

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8
Q

Propose what a child with Down syndrome is at risk for.

Certain blood cancers

Body dysmorphia

Gynecomastia

Venous thromboembolic disease

A

Certain blood cancers

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9
Q

Identify the type of learning disability that exists in a child with Turner syndrome.

Irregular speech

Nonverbal deficits

Problems in achieving developmental milestones

Difficulty reading

A

Nonverbal deficits

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10
Q

Establish a symptom of Turner syndrome.

Cubitus valgus

Lanky build

Decreased body hair

Fatigue

A

Cubitus valgus

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11
Q

Explain the meaning of a recessive trait in terms of phenotypic expression.

In a heterozygous pair of alleles, the phenotype expressed is that of the recessive allele.

Offspring can only inherit recessive traits from parents.

A homozygous individual is always recessive.

The only time a phenotype is recessive is when both alleles are recessive.

A

The only time a phenotype is recessive is when both alleles are recessive.

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12
Q

Determine an implication of Mendel’s second law.

In a dominant-recessive inheritance, 50% are of a recessive phenotype.

Genes of differing traits segregate independently during gamete formation.

Offspring in the second generation are identical in genotype and phenotype to their parents.

In a dominant-recessive inheritance, 25% are homozygous dominant.

A

n a dominant-recessive inheritance, 25% are homozygous dominant.

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13
Q

Conclude what trisomy 21 is associated with.

Physical growth delays

ADHD

Reproductive sterility

Female gender

A

Physical growth delays

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14
Q

Determine a unique characteristic of Klinefelter syndrome.

It occurs when one parent has a fractured Y chromosome.

It results from males born with two or more X chromosomes.

It is otherwise known as fragile X syndrome.

It is a condition exclusive to females.

A

It results from males born with two or more X chromosomes.

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15
Q

Establish what Mendel’s third law dictates.

Some alleles are dominant and some are recessive.

In a dominant-recessive inheritance, 25% of offspring express the recessive trait in the phenotype.

In a dihybrid cross, each of the two alleles is inherited independently from the other.

In a dominant-recessive inheritance, an average of 25% of offspring are homozygous with the dominant trait.

A

In a dihybrid cross, each of the two alleles is inherited independently from the other.

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16
Q

Janie is an obese 5-year-old who presents to the clinic for a new patient visit. Physical examination reveals a conductive hearing loss, a high waist-to-hip ratio, and low-set ears. You have your suspicions about a diagnosis. Recommend what kind of testing can confirm a diagnosis.

Amniocentesis

Maternal serum screening

Chromosomal analysis

Spermiogram

A

Chromosomal analysis

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17
Q

Conclude which dental issue is present in a child with Down syndrome.

Small chin

Celiac disease

Protruding tongue

Enamel hypocalcification

A

Enamel hypocalcification

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18
Q

Identify a key principle of Mendel’s theory.

Gametes are created through heterozygote segregation.

Genes are linked.

Different traits have independent assortment.

All alleles are similar.

A

Different traits have independent assortment.

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19
Q

Determine what causes a shorter life expectancy in children with Turner syndrome.

Mitral valve stenosis

Congenital hypothyroidism

Horseshoe kidney

Cardiac abnormalities

A

Cardiac abnormalities

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20
Q

Identify a physical characteristic of a child with Down syndrome.

Bruxism

Cubitus valgus

Congenital hypothyroidism

Hip dislocation

A

Hip dislocation

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21
Q

Determine what causes a shorter life expectancy in children with Turner syndrome.

Congenital hypothyroidism

Coarctation of the aorta

Horseshoe kidney

Mitral valve stenosis

A

Coarctation of the aorta

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22
Q

Identify a main principle in the law of dominance and unity.

Phenotypes of the second generation show a 1:1 ratio.

Genes of different traits can segregate independently during gamete formation.

Seventy-five percent of all offspring are homozygous regardless of parental genetics.

At least 50% of all offspring are homozygous, unless both parents are homozygous recessive.

A

At least 50% of all offspring are homozygous, unless both parents are homozygous recessive.

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23
Q

Propose a variable symptom of 47 XXY.

Low-set ears

Palmar crease

Small fingernails

Poor coordination

A

Poor coordination

24
Q

Explain the meaning of a recessive trait in terms of phenotypic expression.

A gene with one dominant allele and one recessive allele will be expressed with the dominant trait.

Offspring can only inherit recessive traits from parents.

In a heterozygous pair of alleles, the phenotype expressed is that of the recessive allele.

Every allele, whether dominant or recessive, is always expressed.

A

A gene with one dominant allele and one recessive allele will be expressed with the dominant trait.

25
Q

Establish a symptom of Turner syndrome.

Webbed neck

Microorchidism

Lanky build

Decreased body hair

A

Webbed neck

26
Q

Identify the type of learning disability that exists in a child with Turner syndrome.

Problems in achieving developmental milestones

Irregular speech

Problems with math

Difficulty reading

A

Problems with math

27
Q

Propose a characteristic of Turner syndrome.

There can be as many as five X chromosomes that can be present.

There are a minimum of three X chromosomes present.

It is the most common chromosomal abnormality.

It is typically not inherited.

A

It is typically not inherited.

28
Q

Identify a physical characteristic of a child with Down syndrome.

Congenital hypothyroidism

Bruxism

Cubitus valgus

Unstable atlantoaxial joint

A

Unstable atlantoaxial joint

29
Q

Predict how testosterone deficiency is manifested in Klinefelter syndrome.

Fibrotic gonadal structures

Poor coordination

Broader hips

Low posterior hairline

A

Broader hips

30
Q

Identify a main principle in the law of dominance and unity.

Phenotypes of the second generation show a 1:1 ratio.

Genes of different traits can segregate independently during gamete formation.

During gamete formation, the alleles for each gene segregate from each other.

Some alleles are dominant.

A

Some alleles are dominant.

31
Q

Describe a feature of a child with fragile X syndrome.

Thin vermilion

Poor motor coordination

Small hands

Large ears

A

Large ears

32
Q

Recommend a testing method that is useful in diagnosing fragile X syndrome.

BACs-on-Beads™

Ghent nosology

Array comparative hybridization

FMR1 sequencing

A

FMR1 sequencing

33
Q

Establish why fetal alcohol syndrome is a problem.

Alcohol increases the likelihood of multiple births.

Drinking alcohol can trigger Prader–Willi syndrome.

Drinking alcohol can cause tongue thrusting and swallowing disorders.

When alcohol crosses the blood–brain barrier, there may be direct effects on the baby.

A

When alcohol crosses the blood–brain barrier, there may be direct effects on the baby.

34
Q

You have evaluated a child with fragile X syndrome and are in the processes of ordering therapy for the child. Predict what would benefit this child.

Occupational therapy

Sensory integration

Art therapy

Nutritional therapy

A

Sensory integration

35
Q

Determine what kind of therapy is appropriate for a child with Angelman syndrome.

Pharmacologic therapy

Physical therapy

Cardiac rehabilitation

Dietary counseling

A

Physical therapy

36
Q

Identify a condition that is linked to fetal alcohol syndrome.

Attention deficit disorder

Infertility

Hypermotoric behavior

Porencephaly

A

Porencephaly

37
Q

Determine the function of fibrillin.

It plays a role in cell-to-cell communication.

It provides instructions for making intracellular protein.

It is breaks down collagen.

It provides a reservoir for growth factors.

A

It provides a reservoir for growth factors.

38
Q

Identify a condition that may mimic Angelman syndrome.

Prader–Willi syndrome

DiGeorge syndrome

Fragile X syndrome

Fetal alcohol syndrome

A

Prader–Willi syndrome

39
Q

Predict how the appearance of a child might be affected by prenatal exposure to alcohol.

The child may have polydactyly.

The child may have a cleft palate.

The child may have hepatosplenomegaly.

The child may have motor ataxia.

A

The child may have a cleft palate.

40
Q

Predict how a little girl with Marfan syndrome may be affected.

She probably has a speech impediment.

She is always eating.

She may have strabismus

She has a webbed neck.

A

She may have strabismus

41
Q

Establish why fetal alcohol syndrome is a problem.

When alcohol crosses the blood–brain barrier, there may be indirect effects on the baby.

Drinking alcohol can trigger Prader–Willi syndrome.

Alcohol increases the likelihood of multiple births.

Drinking alcohol can cause tongue thrusting and swallowing disorders.

A

When alcohol crosses the blood–brain barrier, there may be indirect effects on the baby.

42
Q

Identify a symptom of Prader–Willi syndrome in a school-aged child.

Hand-biting

Attention deficit

Esotropia

Self-talk

A

Esotropia

43
Q

Determine a behavioral characteristic of a child with Angelman syndrome.

Hyperphagia

Controlling behavior

Hand-flapping

Atypically happy demeanor

A

Atypically happy demeanor

44
Q

Identify a disorder belonging to fetal alcohol spectrum disorders (FASD).

Aarskog syndrome

Fragile X syndrome

Marfan syndrome

Partial fetal alcohol syndrome

A

Partial fetal alcohol syndrome

45
Q

Identify a condition that is linked to fetal alcohol syndrome.

Hydrocephalus

Hypermotoric behavior

Infertility

Attention deficit disorder

A

Hydrocephalus

46
Q

Determine what kind of therapy is appropriate for a child with Angelman syndrome.

Cognitive behavioral therapy

Melatonin supplementation

Pharmacologic therapy

Dietary counseling

A

Melatonin supplementation

47
Q

Determine a key feature of FASD that is used in determining a diagnosis.

Abnormal EEG tracing

Insatiable appetite

Excessive laughter

FAS facial features

A

FAS facial features

48
Q

A child with fragile X syndrome usually suffers from atypical social development. Recommend how the clinician will know that this is a case in a 5-year-old child with this diagnosis.

The child has trouble with visual–spatial relationships.

The child has problems remembering things that happened in school.

The child is irritable.

The child has difficulty with sensory integration.

A

The child has problems remembering things that happened in school.

49
Q

Determine a key feature of FASD that is used in determining a diagnosis.

Abnormal EEG tracing

Prenatal alcohol exposure

Insatiable appetite

Excessive laughter

A

Prenatal alcohol exposure

50
Q

Establish why fetal alcohol syndrome is a problem.

Alcohol increases the likelihood of multiple births.

Drinking alcohol can trigger Prader–Willi syndrome.

Drinking alcohol can cause tongue thrusting and swallowing disorders.

Drinking alcohol during a pregnancy is never safe.

A

Drinking alcohol during a pregnancy is never safe.

51
Q

Identify a condition that is linked to fetal alcohol syndrome.

Infertility

Hypermotoric behavior

Anterior commissure

Epilepsy

A

Anterior commissure

52
Q

Determine a behavioral characteristic of a child with Angelman syndrome.

Hyperphagia

Mood lability

Hand-flapping

Atypical and frequent laughter

A

Atypical and frequent laughter

53
Q

Identify a Marfan-like syndrome.

Dubowitz syndrome

Asperger syndrome

Homocystinuria

Sensory integration disorder

A

Homocystinuria

54
Q

Question 11
Establish how the brain is affected structurally relative to neurocognitive function in fetal alcohol spectrum disorders (FASD).

Fetal alcohol spectrum disorders can cause microcephaly.

Fetal alcohol spectrum disorders can impair motor coordination.

Prenatal alcohol exposure causes impairments in impulse control.

Prenatal alcohol exposure causes developmental delays.

A

Fetal alcohol spectrum disorders can cause microcephaly.

55
Q

Identify a symptom of Prader–Willi syndrome in a school-aged child.

Hand-biting

Self-talk

Obesity

Attention deficit

A

Obesity