Genetics Flashcards

1
Q

Chorionic villus sampling

A

12 weeks

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2
Q

Amniocentesis

A

16 weeks

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3
Q

Genetic disorders caused by mutation in one gene

A

Monogenic inheritance

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4
Q

Genetic disorders caused by mutation in multiple genes

A

Multifactorial inheritance

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5
Q

Genetic disorders caused by combination of gene mutations and environmental factors

A

Epigenetics

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6
Q

Chances of having a child with X-linked recessive disorder if mother is carrier

A

25% disease

25% carriers
50% normal

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7
Q

Variable expressivity
Possible reduced penetrate
High risk for spontaneous mutation with no prior family history
Only way a disease can be transmitted from father to son

A

Autosomal dominant

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8
Q

Test necessary for imprinting disorders

(ie Prader-willi, angelman, beckwith-wiedeman, Russell-silver)

A

Methylation test

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9
Q

Short stature
Broad webbed neck
Bicuspid valve
Coarctation of aorta
Hypothyroidism
Gonadal dysgenesis
diffusely enlarged nodular thyroid gland

A

Turner syndrome

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10
Q

Screening for most common co-morbidities with Turner

A

ECHO
4 extremity BP
Renal US
TSH
Growth velocity

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11
Q

Most common chromosomal defect discovered in spontaneous abortions

A

Turner syndrome

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12
Q

Definitive diagnostic test for Turner syndrome

A

Karyotype

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13
Q

Pectus excavatum
Webbed neck
Low set ears
Pulmonary stenosis
Normal karyotype
Bleeding diatheses

A

Noonan syndrome

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14
Q

Major criteria for Marfan

A

(Must meet more than 2)

Progressive dilatation or dissection or ascending aorta
Lumbosacral Dural ecstasia
Ectopia lentis (upward slanting eyes)
Four skeletal manifestations
Family or generic history

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15
Q

Mutation in Marfan

A

Chromosome 15
Fibrillin gene

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16
Q

Asymmetric pectus carinatum

A

Marfan

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17
Q

Downward displaced eyes
Low IQ
Thrombosis

A

Homocystinuria

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18
Q

Autosomal recessive
Cholesterol synthesis defect (low total cholesterol)
SGA, intellectual disability
Syndactyly of 2nd and 3rd toes

A

Smith-Lemli-Opitz Syndrome (SLOS)
Deficiency of 7-dehydrocholestorol

Tx: cholesterol supplements
Poor prognosis - most dye in early childhood

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19
Q

Most common abnormality seen in Down syndrome

A

Hypotonia

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20
Q

Low set ears
Epicanthal folds
Upslanted palpebral fissures
Brushfield spots (speckled iris)
Single transverse palmar creases

A

Down syndrome

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21
Q

Complications of Down syndrome

A

Leukemia
Duodenal atresia
Endocardial cushion defect
Atlantoaxial instability

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22
Q

Diagnostic evaluation for Down syndrome

A

FISH

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23
Q

Clenched fist
Rocker bottom feet
Overlapping fingers
Hypoplastic nails
Prominent occiput,Microcephaly
Horseshoe kidneys

A

Trisomy 18 (Edward syndrome)

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24
Q

Bad Brain
Low set ears
Polydactyly
Bicornuate uterus
Cleft lip/palate
Cystic kidneys
Rocker bottom feet
Cutis aplasia (pathognomonic)

A

Trisomy 13

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25
Q

Tall
Small testes
Cryptorchidism
Gynecomastia

A

Klinefelter syndrome

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26
Q

Diagnostic test and management for Klinefelter syndrome

A

Chromosome analysis

Testosterone supplementation

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27
Q

Central hypogonadotropic hypogonadism
Anosmia
Tall/thin
Small testes/cryptorchidism
Cleft lip/palate
Mirror movements

A

Kallman syndrome

Mutation of the ANOS1 gene at Xp22.3

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28
Q

Neonatal hypotonia
FTT as infant
Voracious appetite
Obesity
Intellectual disability
OCD
small hands/feet
Almond-shaped eyes

A

Prader-will syndrome

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29
Q

Diagnostic test and management for Prader-Willi syndrome

A

Methylation test
15q11-13 deletion

Growth hormone
Nutritional management

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30
Q

Big smile
Intellectual disability
Ataxia/seizures
Laughter/excitability
Feeding issues

A

Angelman syndrome

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31
Q

Diagnostic test for Angelman syndrome

A

Methylation test
15q11-13 deletion

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32
Q

Macroglossia
Macrosomia
Hypoglycemia
Hemihypertrophy
Renal anomolies
Hypospadias
Omphalocele
Abdominal mass

A

Beckwith wiedeman syndrome

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33
Q

Most common imprinting disorder

A

Beckwith wiedeman syndrome

34
Q

Diagnostic test and management for beckwith wiedeman syndrome

A

Methylation test
11p15.5 alteration

Predisposed to malignancy
AFP every 6-12 weeks until 4yo
Abdominal US every 3 mo until 8yo

35
Q

Tumors children with beckwith wiedeman syndrome are at risk for

A

Rahbdomyosarcoma
Wilm’s (nephroblastoma)
Hepatoblastoma
Neuroblastoma

36
Q

Elfin facies
Prominent philtrum
Big lips/mouth
Cocktail party personality
Stellate irises

A

Williams syndrome

37
Q

Complications of Williams syndrome

A

Hypercalcemia
Supravalvular aortic stenosis

38
Q

Conotruncal defects (Tetrology of Fallot)
Abnormal Davies
Thymic aplasia/immunodeficiency
Cleft palate/cryptorchidism
Hypoparathyroidism

A

DiGeorge syndrome
22q11 deletion syndrome
Velocardialfacial syndrome

39
Q

Diagnostic test for DiGeorge syndrome

A

Chromosomal microarray (CMA)

40
Q

Coloboma/cognitive deficits
Heart defects
Atresia/stenosis (choanal)
Retarded growth/development
GU abnormalities
Ear anomalies (hearing loss)

A

CHARGE syndrome

Autosomal dominant in CHD7 gene

41
Q

Broad thumb
Cryptorchidism

A

Rubinstein-Taybi syndrome

42
Q

Bilateral coronal crani pay ptosis
Significant proptosis
Wide spaced eyes
Wide thumbs

A

Pfeiffer syndrome

43
Q

Similar head to Pfeiffer
No hand issues

A

Crouzon syndrome

44
Q

Craniosynostosis
Mitten hands +/- feet

A

Apert syndrome

45
Q

Face elongated
Repeat CGG
Autism, ADHD
Giant genitals (macroorchidism)
IQ Lower
Large hands/feet
Ears big
X-linked dominant

A

Fragile X syndrome

46
Q

Diagnostic test for Fragile X

A

DNA testing
Triplet CGG expansion on FMR1 gene

47
Q

Most common single-gene cause of Autism spectrum disorder

A

Fragile X

48
Q

Most common cause of X-linked intellectual disability

A

Fragile X

49
Q

Regression of developmental milestones
Autistic-like behavior
Wringing hands
X-linked dominant
Only on Females (males don’t survive pregnancy)

A

Rhett syndrome

50
Q

Most common preventable teratogenic cause of intellectual disability

A

Fetal alcohol syndrome

51
Q

Flat Philtrum
Thin vermilion border of upper lip
Midface hypoplasia
Short palpebral fissures
Deficient brain growth
Growth retardation
VSD

A

Fetal alcohol syndrome

52
Q

Low birth weight/IUGR
Higher miscarriage rates
Placental abruption
Placenta previa
Prematurity
Cleft lip/palate

A

Tobacco exposure

53
Q

Complications of prenatal tobacco exposure

A

Asthma
Otitis media
Wheezing
SIDS
Abnormal neurobehavior

54
Q

IUGR
Broad nose bridge
Fingernail hypoplasia
Neural tube defect
Anticonvulsants

A

Valproic acid
Carbamazepine

55
Q

Cleft palate
Postnatal bleeding
Microcephaly
Hypoplastic nails
Hypertelorism
Short, upturned nose
AED

A

Fetal hydantoin syndrome
(phenytoin)

56
Q

vertebral defects/tethered cord
Anal atresia
Cardiac defects
TE fistula
Renal abnormalities
Limb abnormalities

Single umbilical artery

A

VACTER-L

57
Q

Parallelogram head shape

A

Position plagiocephaly

Ipsilateral ear displacement
Ipsilateral frontal bossing

Normal sutures on CT Head
Most likely from lying on back
Will self-improve

58
Q

Trapezoidal head shape

A

Unilateral lamboid synostosis

Ipsilateral ear displacement
Contralateral frontal bossing

59
Q

Dolichocephaly
Scaphocephaly

A

Saggital synostosis

60
Q

Brachycephaly

(Crouzon, Pfeiffer syndrome)

A

Bilateral coronal sutures

61
Q

Trigonocephaly

A

Metopic sutures

62
Q

Cloverleaf skull

(Apert)

A

Multiple suture synostosis

63
Q

Cleft palate
Micrognathia
Glossoptosis (tongue sticks out)
Extremity/vertebral anomalies
Language/developmental delay

A

Pierre Robin syndrome

64
Q

Complication of Pierre Robin

A

Cor pulmonale sue to upper airway obstruction caused by glossoptosis

65
Q

Renal agenesis
Hypoplastic lungs
Limb malformations

A

Oligohydramnios sequence
(Potter sybdrome)

66
Q

Complication of Potter syndrome

A

Die of pulmonary complications

67
Q

Triangle face
Growth retardation

A

Russell Silver syndrome

68
Q

Lack of abdominal muscle development
Bladder outlet obstruction
Oligohydramnios
Pulmonary hypoplasia
Undescended testes

A

Prune belly syndrome

69
Q

Conductive hearing loss
Small jaw
Ear abnormalities
Lower eyelid abnormalities
Midface and mandibular dysmorphology

A

Treacher Collins syndrome
(Mandibulofacial dystosis)

70
Q

Macrocephaly
Frontal bossing
Genu Verum (bowlegs)
Short extremities (rhizomelic shortening)

A

Achondroplasia

Autosomal dominant

71
Q

Complications of achondroplasia

A

Cervicomedullary junction compression (most common cause of death in children) due to small foremen magnum

Sleep apnea
Otitis
Hearing loss

72
Q

IUGR
Limb anomalies (short fingers, absent UE)
Synophrys
Arched eyebrows
Small upturned nose
Microcephaly
Hirsutism
Oligodactyly

A

Cornelia de Lange

73
Q

Paucity of intrahepatic bile ducts (confirmed with liver biopsy)
Butterfly vertebrae
Cholestatic jaundice

A

Alagille syndrome

74
Q

Clinical criteria for neurofibromatosis 1
(Von recklinghausen disease, ch 17)

A

> 6 cafe au lait spots (> 5mm in diameter in prepubertal and > 15 mm in post pubertal)

Axillary or inguinal freckles

> 2 typical neurofibromas or > 1 plexiform neurofibroma

Optic nerve glioma

> 2 iris hamartomas (lisch nodules)

Sphenoid dysplasia
Tibial pseudoarthrosis

1st degree relative with NF1

75
Q

Congenital sensorineural hearing loss
Heterochromia
Hair hypopigmentation (white forelock)
Displacement of medial canthi
Cutaneous depigmentation

A

Waardenburg syndrome

76
Q

Wilms tumor
Aniridia
GU abnormalities
Reduced intellectual abilities

A

WAGR

77
Q

Multilocular cystic mass in nuchal region
Aneuoloidy

A

Cystic hygroma

78
Q

Benign proliferating bone disease
Infants
Extreme irritability
Fever
Soft tissue swelling
Cortical hyperostosis

A

Caffey disease

79
Q

Keyhole like or notch like defect affecting iris, ciliary body, retina, and/or optic nerve
Microphthalmia
Nystagmus

A

Coloboma

80
Q

Sudden death with growth hormone administration

A

Prader-Willi syndrome