Genetics Flashcards
What are three signs of a chromosome abnormality
dysmorphic features, congenital malformations, developmental delay
Chromosomal syndrome that presents with hypotonia, cardiac defects, and a single palmar crease?
Trisomy 21 (Down syndrome)
Chromosomal syndrome that presents with rocker-bottom feet and spasticity?
Trisomy 18 (Edwards syndrome)
Chromosomal syndrome that presents with rocker-bottom feet, urinary tract abnormalities, and cleft palate?
Trisomy 13 (Patau’s syndrome)
Chromosomal abnormality that presents with short stature, webbed neck, lymphedema of hands/feet, and congenital heart disease?
Turner’s syndrome (45, X)
Chromosomal abnormality that presents with tall stature, gynecomastia, and learning/behavioral problems?
Klienfelter’s syndrome (47, XXY)
What are three broad categories of proven teratogens?
infectious agents (TORCHES), Drugs, Maternal diseases (DM)
What are short palpebral fissures?
small eye openings
What is hypertelorism?
widely spaced eyes
What is camptodactyly?
fixed flexion contractures of the PIPs or DIPs
What is clinodactyly?
digit is laterally curved
What is brachydactyly?
short middle finger
What is the least restrictive orthotic that supports the arch but not the subtalar joint?
UCBL
What ankle joint does a SMO not support?
talocrural in A-P direction
What metabolic disease presents with macrocephaly, subdural hemorrhages and retinal hemorrhages that can be mistaken for non accidental trauma?
Glutaric Aciduria Type I (GA-I)
What is the cause of severe dystonia superimposed on generalized hypotonia in glutaric acuduria type I (GA-I) which can cause a misdiagnosis as CP?
striatal necrosis (usually 3 month to 3 years)
When does self mutilation emerge in Lesch-Nyhan syndrome?
2 to 3 years old
What metabolic disorder presents with truncal hypotonia, dystonia, and orange sediment in the diaper?
Lesch-Nyhan syndrome
What is the pathogenies of hereditary spastic paraplegia?
axonal degeneration of the long fibers of the corticospinal tract
In addition to spasticity and weakness, what are 3 other symptoms that can be seen in nonsyndromic HSP?
paresthesias, decreased vibration sense, and urinary urgency
What metabolic disorder presents with spastic paraparesis and toe walking between 2 to 4 years old and can be misdiagnosed as CP?
arginase deficiency
What is the treatment for arginase deficiency?
protein-restricted diet
What are brain imaging findings in arginase deficiency?
atrophy and abnormal myelination
What presents with gait and limb ataxia around 12 years old?
Friedrich Ataxia
What is the genetic abnormality seen in Friedrich Ataxia?
GAA trinucleotide repeat
What are 3 medical complications seen with Friedrich Ataxia?
hypertrophic cardiomyopahty, diabetes mellitus, and overactive bladder
What are three types of exercise that should be avoided in McArdle Disease due to dependence on anaerobic glycolysis?
high-intensity, isometric, and weightlifting
What metabolic disorder is often misdiagnosed at ADHD?
X-linked Adrenoleukodystrophy
What presents with seizures, migraines and weakness with patchy lesions on MRI in a 10 year old?
Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-Like Episodes (MELAS)
What are three orthopedic problems seen in Prader-Willi syndrome?
scoliosis, genu varum, and limb malalignment
What is the standard of care for Prader-Willi syndrome?
growth hormone
What are two primary movement deficits seen in Angelman Syndrome?
ataxia and spasticity
What X-linked disorder presents with rapid regression, stereotypic movements, and self-injurious behavior in female between 1 and 4 years old?
Rett Syndrome
What percentage of Down syndrome patient have A-A instability?
about 15%
What is another name for Mucopolysaccharidosis Type IV?
Morquio syndrome
What 5 orthopedic abnormalities are seen in Morquio syndrome?
short stature, A-A instability, scoliosis, hip dysplasia, genu valgum
What can cause weakness and spasticity in a patient with Morquio syndrome?
myelopathy due to spinal cord compression
How often should patients with Mucopolysaccharidosid Type I and II get MRI to evaluate for cervical instability or spinal stenosis?
at least twice a year
What are two musculoskeletal abnormalities seen in children with Fragile X?
hypotonia and joint hypermobility