Genetics Flashcards

1
Q

3 Primary Types of Mutations

A

genome mutation
chromosomal mutation
gene variant

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2
Q

genome mutation

A

loss or gain of an entire chromosome

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3
Q

chromosomal mutation

A

alteration of a segment of chromosome

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4
Q

gene varient

A

partial or complete deletion of a gene

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5
Q

how many chromosomes in a typical human

A

46, 23 pairs

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6
Q

how many autosomal chromosomes pairs

A

22 pairs

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7
Q

hereditary or familial

A

condition derived from parents due to a genetic mutation

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8
Q

congenital

A

condition present at birth; may be hereditary or derived from action or exposure during pregnancy or birth

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9
Q

autosomal dominant

A

the gene in question is located on one of the 44 numbered, or non-sex, chromosomes

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10
Q

dominant

A

a single copy of the mutated gene is enough to cause phenotypic expression

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11
Q

clinical manifestations of familial hypercholesterolemia

A
  • Elevated blood cholesterol levels
  • Atherosclerosis resulting in cardiovascular disease
  • Death before the age of 30 due to uncontrolled CVD
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12
Q

hypercholesterolemia is a mutation of

A

LDL
receptor mutation that results in impaired uptake of cholesterol into cells

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13
Q

clinical manifestation of marfan syndrome

A

Skeletal: Long arms, legs, and fingers
Eye: Bilateral dislocation of the lens
Cardiovascular: Aortic root dilation, leading to aortic insufficiency, Myxomatous mitral valve, Ascending thoracic aortic aneurysms, Aortic dissection

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14
Q

T or F osteogenesis imperfecta is heterogeneous

A

T

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15
Q

osteogenesis imperfecta

A

Pleiotropic - one gene influences >2 phenotypic traits
80% autosomal dominant
20% autosomal recessive
90% of cases are cause by a mutation of collagene coding gene

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16
Q

pathophysiology of osteogenesis imperfecta

A

Disease of the Type 1 Collagen: major extracellular protein in the body
Dermis
Connective Tissue of the organs, GI, and vascular system
Bones

16
Q

osteogenesis imperfecta

A

Brittle Bone disease
Significant phenotypic heterogeneity between subtypes and within subtypes
X-rays show mild osteopenia

17
Q

type 1 OI

A

mildest form of OI
fracture
blue sclera
short stature
75% autosomal dominant inheritance - 25% new mutations

18
Q

type 2 OI: perinatal lethal

A
  • Most severe form of brittle bone disease
    Can be life-threatening presents at or before birth with multiple fractures, bony deformities, significant fragility of nonbony connective tissue, blue sclera, short limbs, small chest, and soft skull
    Inadequate and poor quality collagen production
    Hallmark characteristic  Hips in external rotation & abduction  ‘frog-leg’ position

Typically results in death in infancy

Radiologic findings isolated “islands” of mineralization in the skull and beaded appearance in the ribs
Nearly all cases are a new dominant mutation no family history

19
Q

type 3 OI: severe- progressive deforming

A

Presents at birth or infancy with progressive bony deformities, multiple fractures, and blue sclera

  • Most individuals will require multiple corrective surgeries and lose the ability to walk by early adulthood

Nearly all cases due to dominant mutation – rarely inherited recessively

20
Q

type 4 OI: moderately severe

A
  • Moderate to severe growth retardation distinguishing factor from Type 1
  • Bony deformities, blue sclera, very short ‘long” bones
  • Postnatal fractures ranging from severity of Type 1 to Type 3
  • Child may fracture later  when learning to walk

Severity of symptoms: Type 1 < Type 4< Type 3 < Type 2

21
Q

cycstic fibrosis clinical
manifestations

A
  • Fibrosis of pancreas
    -Recurrent pulmonary infections  pneumonia
    -Chronic bronchitis, bronchiectasis
    -Meconium ileus
    -Biliary cirrhosis, leading to impaired absorption of the fat-soluble vitamins A, D, E, and K
    -Infertility in males secondary to absence of vas deferens
    -Thick and sticky mucus  secondary to absence of chloride on cell surface
22
Q

x linked recessive

A

Refers to genetic conditions associated with mutations in genes on an X chromosome

23
Q

x linked recessive: Muscular dystrophy clinical manifestation

A
  • Weakness of pelvis first  delayed ability to walk
  • Pseudohypertrophy  enlargement of calf muscles due to replacement with fat
  • Gower maneuver  use of hands to rise to a standing position
  • Muscle atrophy and weakness progress relentlessly wheelchair dependent by the second decade
  • In most cases, death due to respiratory insufficiency and cardiac failure
24
Q

x linked recessive muscular dystrophy

A
  • profound male predominance; female carriers of the disease are typically asymptomatic
  • Clinical course: Disease manifests by the age of 5 years associated muscular weakness leads to immobility by the early teens  usually death by the 20s or 30s. Cardiomyopathy and non-progressive cognitive abnormalities are also fairly common
25
Q

chromosomal inheritance pattern

A

Mutation of a large segment or entire chromosome

26
Q

down syndrome

A

extra copy of chromosome 21 in each cell - trisomy 21
1 in 700 newborns

27
Q

down syndrome clinical manifestations

A

Intelectual disability
Characteristic facial features
Hypotonia
Protruding tongue
Congenital heart disease

28
Q

trisomy 18 clinical manifestation

A

Heart/organ defects
Small and abnormally shaped head, small jaw and mouth
Clenched fists with overlapping fingers

29
Q

ehlers-danlos-syndrome

A

Hereditary collagen disorder characterized by articular hypermobility, dermal hyperelasticity, and widespread tissue fragility
- mutations in at least 20 genes

30
Q

EDS clinical manifestation

A

Hyperextensible skin
Fragile tissue
Poor wound healing
Joint hypermobility
Increased propensity for joint subluxation
Muscle weakness
Delayed motor development
Fatigue
Gait defects
Chronic pain

31
Q

cystic fibrosis mutation

A

Cystic fibrosis transmembrane conductance regulator (CFTR) gene on chromosome 7

32
Q

cystic fibrosis epidemiology

A

: 1 in 3500 live births; whites predominantly

33
Q

duchenne muscular dystrophy epidemiology

A

1 in 3000 infants; profound male predominance; female carriers of the disease are typically asymptomatic
Clinical course: Disease manifests by the age of 5 years associated muscular weakness leads to immobility by the early teens  usually death by the 20s or 30s. Cardiomyopathy and non-progressive cognitive abnormalities are also fairly common

34
Q

trisomy 18 facts

A

Individuals with trisomy 18 often have slow growth before birth  low birth weight
Due to the presence of several life-threatening medical problems, many individuals with trisomy 18 die before birth or within their first month.
Five to 10 percent of children with this condition live past their first year, and these children often have severe intellectual disability.
Epidemiology: 1 in 5,000 live births

35
Q

genetic conditions with mixed inheritance patterns

A

Depending on the condition and the gene involved, the inheritance pattern can be autosomal dominant, autosomal recessive, or X-linked recessive

Ehlers-Danlos Syndrome

36
Q

PT implications of EDS

A

Joint stability  low resistance, high repetition
Assistive device for loading relief
Bracing to promote joint stability decrease incidence of subluxing
Pain management