Genetic testing Flashcards

1
Q

What is genetic testing?

A

The analysis of chromosomes, DNA, RNA, proteins, or other analytes to detect abnormalities that can cause genetic diseases.

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2
Q

What are the broad indications for genetic testing?

A

Prenatal diagnosis, heterozygote carrier detection, and presymptomatic diagnosis of genetic disease.

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3
Q

What is population screening?

A

Large-scale testing of populations to identify individuals who probably have a disease and those who do not

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4
Q

What is genetic screening?

A

Population screening for genetic variants that can cause disease in carriers or their descendants.

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5
Q

What are the key principles of screening?

A

Sensitivity (correctly identifying those with the disease) and specificity (correctly identifying those without the disease).

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6
Q

What are Mendelian disorders?

A

Disorders resulting from mutations in genes with high penetrance and varying expressivity, often leading to childhood or adult kidney phenotypes.

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7
Q

What is the purpose of newborn screening for inborn errors of metabolism?

A

To detect genetic diseases presymptomatically, such as sickle cell disease and other hemoglobin disorders.

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8
Q

What is heterozygote screening used for?

A

To identify carriers of autosomal recessive disorders, such as Tay-Sachs disease and β-thalassemia major.

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9
Q

What is presymptomatic diagnosis?

A

Testing at-risk individuals for genetic mutations to determine if they will develop a genetic disease, like Huntington’s disease.

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10
Q

What are the psychosocial implications of genetic screening?

A

Genetic screening can cause anxiety, stigma, and confusion over the results, which may not definitively diagnose a disease.

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11
Q

What is direct mutation analysis?

A

The detection of a disease-causing mutation, commonly used in genetic diagnosis.

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12
Q

What is the goal of prenatal genetic diagnosis?

A

To provide at-risk families with information to make informed pregnancy decisions and to prepare for the birth of a potentially affected child.

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13
Q

When is amniocentesis typically performed, and what does it involve?

A

Performed at 15 to 17 weeks of pregnancy, it involves using a needle to sample amniotic fluid for genetic testing.

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14
Q

What is CVS and when is it performed?

A

A prenatal diagnostic technique where fetal tissue is sampled at 10 to 11 weeks, providing earlier diagnosis than amniocentesis.

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15
Q

What is PUBS and its purpose?

A

A method to access fetal blood after the 16th week of gestation for prenatal genetic testing.

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16
Q

What is the role of ultrasonography in genetic screening?

A

It detects fetal malformations and enhances other prenatal diagnostic techniques like amniocentesis and CVS.

17
Q

What abnormalities can be detected with maternal serum AFP (MSAFP) screening?

A

Neural tube defects (NTDs), trisomy 18, and Down syndrome.

18
Q

How accurate is quadruple screening for Down syndrome?

A

It detects about 80% of Down syndrome pregnancies with a 5% false-positive rate.

19
Q

What is NIPS and its advantage?

A

A method to analyze cell-free fetal DNA in maternal blood for genetic mutations or aneuploidies, with no risk of fetal loss.