Genetics Flashcards

1
Q

Embryogenesis

A

Post fertilization zygote divides, and three days becomes the morula

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2
Q

Blastocyst

A

Center cavity of morula

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3
Q

Embryo

A

Cells from inner cell mass

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4
Q

Trophoblast

A

Cells from the outer layer
Turns into placenta

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5
Q

For the first six weeks any loss of cells inside the inner mass becomes this

A

Congenital deformity

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6
Q

First trimester

A

Expensive cell division
Cell migration, apoptosis
Cell to cell interaction

Skeleton and bones done by week 6 to 7

Critical -Environmental factors can cause developmental defects

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7
Q

Fetal life

A

Nine months or 36 to 40 weeks

No true development after first trimester only growth, Except for the brain and sexual characters and function

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8
Q

Functional fetal cells versus adult

A

Liver alpha-fetoprotein as major plasma proteins adult liver, secretes albumin

Lung surfactant in fetus is different than in adult life because the fetus is not breathing the surfactant is not fully formed

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9
Q

Causes of congenital defects

A

Chemical teratogens- thalidomide, alcohol,

Microbial teratogens- virus, bacteria, protozoal, parasites

indirect effect from the mothers, exhaustion or weakening, low body weight premature delivery
Direct effect- secondary to transplacental passage to fetus

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10
Q

Down syndrome

A

Autosomal

Trisomy 21
One in 20 births mother age over 40 years

Mental - early onset Alzheimer’s, 40 years old

Simian crease
Clinodactyly
Predisposition to leukemia and infections

Atlantoaxial instability related to manual therapy, soccer horse riding

Neck surgery -contraindicated

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11
Q

Turner’s syndrome

A

Monosomy x
No Y chromosome

Short stature
Heart-shaped face
Neck webbing
Heart disease coarctation of aorta
Reproductive system, infantile, sexual characteristics, no puberty
Cubitus valgas

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12
Q

Klinefelter syndrome

A

Phenotypical makes XXY
no secondary sex characteristics
Infertility
Testicular atrophy
Gynecomastia
Female like hips

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13
Q

Marfan syndrome

A

Autosomal dominant disorder

Structural protein deficit, febrillin
multisystemic condition

Slender skeleton
Elongated head, dolichocephalic
Heart defects
Aortic aneurysms
Floppy mitral valve

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14
Q

Cystic fibrosis

A

Recessive disease
1/25 are asymptomatic carriers of the gene

Viscid mucus obstructs lumen of organs
Exocrine, secretions, are thick
can cause malnutrition food, not digested properly

Bronchi and lungs have hyper viscosity of mucus lead to infection- intussusception steatorrhea

Increased salt in sweat
Salt does not get reabsorbed

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15
Q

Hemophilia

A

Hemorrhagic disorder linked to mutation of genes that code for coagulation factor VII or IX

Factor VIII def= hemophilia A, mild, moderate, or severe presentation

Factor IX def= hemophilia B, always severe

Bleeding may be spontaneous, or after minor trauma
hemarthrosis- joint deformity is common

Death post cerebral bleeding was common

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16
Q

Muscular dystrophy

A

Genetic disease
Progressive weakness, gradual loss of strength

Symmetrical wasting and effects, heart, and involuntary muscles

Elevated CPK creatine phosphokinase
(Muscle cell injury)

17
Q

Types of muscular dystrophy

A

Duchennes- pseudohypertrophic 50% of all cases

Beckers - benign pseudo hypertrophic

Facioscapulohumeral - landouzy dejerine

Limb girdle

18
Q

Osteogenesis imperfecta

A

Autosomal dominant disease

Parent is a carrier of the gene spontaneous mutation

Type one collagen is found in ECF matrix of bone skin tendon

19
Q

Osteogenesis imperfecta effect on bones

A

Defect in bone modeling
Then cortex of long bones, small volume of cancellous bone

Fractures in utero and deformities at birth

Joint hypermobility

Hearing impairment due to auditory bone deformity

20
Q

Osteogenesis imperfecta effect on skin

A

Thin skin bruise easily, some blue gray sclera

21
Q

Diagnosis of osteogenesis imperfecta

A

Skin biopsy of collagen
X-rays for fractures

22
Q

Therapy application for osteogenesis imperfecta

A

Fracture prevention
May need orthosis or intramedullary rods
Gentle ROM
rotational forces are contraindicated