Genetics Flashcards

1
Q

What is Autosomal Dominant Inheritance?

A
  • Heterozygous for the dominant allele;
  • On each pregnancy an affected individual has 50% chance of passing it;
  • Homozygous (2 copies of the dominant allele) is rare.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Give examples of Autosomal Dominant Inheritance?

A
  • Huntington’s disease
  • Polycystic kidney disease
  • Neurofibromatosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is Autossomal recessive inheritance?

A
  • Both parents MUST be carriers (only one copy) or have the disease themselves (two copies);
  • The trait (disorder) can only manifest when 2 copies of the gene (one from each parent) are inherited.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Give example Autossomal recessive inheritance conditions?

A
  • Cystic fibrosis
  • Sickle cell anaemia
  • Thalassemia
  • Congenital adrenal hyperplasia
  • Haemochromatosis
  • Wilson’s disease

CATCH WILSON
Cystic fibrosis
Anaemia (sickle cell)
Thalassemia
Congenital adrenal hyperplasia
Haemochromatosis
Wilson’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Autosomal recessive with both parents being carriers (they don’t have the disease). What are the chances of an affected child?
Ex: cystic fibrosis

A
  • 25% chance of an affected child
  • 50% chance of a child being a carrier
  • 25% chance of a child who doesn’t have the disease and is not a carrier.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is X-linked recessive inheritance?

A
  • Disorders that are caused by mutations in genes on the X chromosome;
  • Males only have a single X chromosome and if affected that is all that is needed to cause the disease;
  • Females require 2 copies of X chromosome to fully express the disease (since it’s recessive);
  • On a female if only one X affected is passed, she becomes a carrier
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Examples of X-linked recessive inheritance?

A
  • Haemophilia A
  • Duchenne muscular dystrophy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the chances of having an affected child in X-linked recessive inheritance?
- Father doesn’t have the disease;
- Mother is a carrier.

A
  • There is a 25% chance of having a boy affected
  • 25% chance of having a female carrier.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A couple is expecting a boy. The mother is a carrier for haemophilia A. The father doesn’t have the disease.
- What are the chances of an affected child?

A

X-linked recessive inheritance
- 50 %
- Because it already says it’s a boy.
- There is 50% chance of having a healthy boy and 50% chance of an affected child.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A couple is expecting a baby. The father has haemophilia A. The mother is normal.
- What are the chances of an affected child?

A

X linked recessive inheritance
- There is 0% chance of an affected child.
- 50% chance of the child being a carrier
- All females will be carriers
- All boys will be unaffected and won’t be carriers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Example of X linked dominant inheritance.

A
  • Fragile X syndrome.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A 25 yo woman just gave birth. Her father (the grandparent) has Huntington’s disease. She hasn’t been tested and doesn’t present any symptoms.
- What are the chances of the baby being affected?

A
  • Huntington’s is autosomal dominant.
  • The woman has a 50% chance of being affected.
  • Her baby has half her chances so 25% chance of being affected.
  • If you knew for sure that the mother of the baby was affected, than the baby would have had 50% chance of being affected. Since it’s not known the status of the mom (she could be affected or not have the gene) than the baby has 25% chances.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe the autosomal dominant pedigree chart.

A
  • Every affected person has at least one affected parent.
  • Both males and females can be equally affected.
  • Trait does not skip generations.
  • Approximately half of the offspring of an affected person, are affected.
  • Unaffected individual do not pass the trait.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the autosomal recessive pedigree chart.

A
  • Affected individuals often have unaffected parents (parents will be carriers only);
  • It can skip generations;
  • Approximately 25% of offspring are affected when both parents are carriers;
  • All children of two affected parents are affected;
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the X-linked recessive pedigree chart.

A
  • More males are affected than females;
  • No male to male transmission (dad’s can only give Y chromosome to their sons);
  • Affected males often have unaffected parents (happens when the mother is the carrier).
  • All daughters of affected males are carriers (males can only pass the affected X chromosome);
  • Half the sons of carrier females are affected.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe the X-linked dominant pedigree chart.

A
  • Both males and females can be affected;
  • No male-to-male transmission;
  • Affected fathers will have all affected daughters;
  • Traits do not skip generations.
17
Q

A child has cystic fibrosis.
What are the chances of the grandfather (paternal) being a carrier?

A
  • Cystic fibrosis is autosomal recessive.
  • For the child to be affected both parents HAVE to be carriers. Hence it is confirmed that the dad is a carrier since the child is affected.
  • The grandfather has a 50% chance.
18
Q

What will be the chances of inheritance of sickle cell anaemia if:
- One parent is homozygous (for sickle);
- The other parent is heterozygous (for sickle).

A
  • 50% chances of offspring being affected;
  • 50% chances of offspring being carriers.
19
Q

What are the investigations done in Duchenne muscular dystrophy?

A

Initial test: creatinine kinase

Others
- Muscle biopsy
- Genetic testing (after +ve biopsy)

20
Q

DDx between:
- Duchenne muscular dystrophy
- Becker muscular dystrophy

A
  • Both x-linked recessive

Duchenne
- Onset of symptoms by age 3
- Diagnosis between 4-8 years.

Becker
- Later onset of symptoms (16 years)

21
Q

What are the congenital defects associated with Down syndrome?

A
  • Atrioventricular septal defect
  • Duodenal atresia
22
Q

What are the symptoms of DiGeorge Syndrome?

A

CATCH-22

  • Cardiac abnormalities
  • Abnormal face
  • Thymic aplasia (absent)
  • Cleft palate
  • Hypocalcaemia/Hypoparathroidism
  • Chromosome 22 abnormalities
23
Q

What are the symptoms of Angelman syndrome?

A

Neonatal period:
- Normal head circumference;
- Developmental delay signs by 6 months;

Childhood period:
- Severe developmental delay;
- Disproportionate head circumference growth.

24
Q

What are the features of Klinefelter syndrome?

AKA: 47 XXY

A
  • Affects males only

G-FELTER
- Gynecomastia
- Facial hair (low)
- Estrogen is ⬆︎ and testoterone is ⬇︎
- Long limbs
- Tall and slim
- Elevates FSH and LH
- Rage (agressive behaviour)

Hypogonadism
- Small testes
- Azoospermia (no sperms in semen)
- Infertility

25
Q

How is the diagnosis of Klinefelter syndrome done?

A

Karotyping - chromossome analysis 47 XXY.

26
Q

What are the symptoms of Huntington’s disease?

A
  • Autossomal dominant / Family Hx
  • Changes of personalities
  • Self neglect, clumsiness
  • Memory loss
  • Poor concentration
  • Chorea (jerky involuntary movements)
  • Dystonia
  • Rigidity
  • Dementia

Symptoms in next generation appear earlier and earlier.

27
Q

Describe how investigation for potential genetic diseases is done?

A

Before pregnancy:
- Preimplantation genetic diagnosis (in vitro)

After pregnancy:
➜ Week 11-14 (late 1st trimester)
- Chorionic villus sampling (placenta testing)

➜ Week 15-18 (early 2nd trimester)
- Amniocentesis (amniotic fluid tested)

28
Q

What is the prenatal test done in sickle cell anaemia?

A

1st line:Maternal haemonoglobinapathy
- To test if the mother carries the sickle cell trait.
- If the test is positive than CVS or amniocentecis can be done.

29
Q

What is the mode of inheritance for BRCA1 gene mutation?

A

Autosomal dominant with incomplete penetrance.

30
Q

What is the gene mutation associated with MEN breast cancer and prostate cancer?

A

BRCA2.

31
Q

What are the features of Alport syndrome?

A
  • X-linked disease
  • Haematuria + Proteinuria
  • End stage renal disease
  • Sensorineural hearing loss
  • Eyes abnormalities
32
Q

What is the gene associated with Diabetes and coeliac disease?

A

HLA-DQ2.