Genetics Flashcards

1
Q

Does autosomal dominant skip a generation?

A

NO

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2
Q

Does autosomal recessive skip a generation?

A

maybe yes

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3
Q

Prenatal screening tests?

A

1) mom’s age - 35yo+: down
2) maternal serum screning
3) fetal US

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4
Q

Down sx prenatal screening?

A

quadruple screen

1) low aFP
2) low unconjugated estriol
3) HIGH hCG
4) HIGH inhibin A

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5
Q

Down sx - sx?

A
mental retardation
mongolian face
macroglossia
micrognathasia
short stature
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6
Q

Down sx - complications?

A
neuro:
-seizures
-early alzheimer's/dementia
eyes:
-early cataracts
ENT:
-hearing loss
-eustachian tube dsyfxn
Cardiac:
-50% has cardiac anaomolies - US
Lungs:
-pulm HTN
Endocrine:
-hypothyroid
MS:
-atlano-axial instability
GI:
-bilious vomiting 
GU:
-infertile
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7
Q

Trisomy 18- sx?

A
hypotonia
micrognathia
micropthalmia
clenched hand with overlapping fingers
rock bottom feet
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8
Q

Trisomy 18 - prognosis?

A

not living past 1yo

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9
Q

Trisomy 13 -sx?

A

polydactyl

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10
Q

Trisomy 13 - prognosis?

A

not living past 6mo

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11
Q

Klinfeleter sx?

A

extra X chromosome

males

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12
Q

Klinfeleter sx - sx?

A
very tall
no muscle
socially awkward
mild delay in school 
doesnt' follow tanner/SMR stages
scoliosis
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13
Q

Klinfeleter sx - labs?

A

LOW TESTOSTERONE

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14
Q

Turner sx?

A

females

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15
Q

Turner sx - sx?

A
normal IQ
lymphedema of hands and feet
short stature
little pubic hair
NO ovaries
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16
Q

Turner sx - associated sx?

A

congenital heart defect (coarctation of aorta)
horse shoe kidneys
NO ovaries but has working uterus - able to get pregnant

17
Q

Fragile X sx?

A

inherited mental retardation that worsens w/ generation

males

18
Q

Fragile X sx - PE?

A

elongated face
protruding ears
flatted nose bridge
macroorchidism

19
Q

Fragile X tx?

A

ADHD meds

20
Q

Prader Willi sx - sx/PE?

A
hypotonia w/ poor feeding
voracious appetite in early childhood - obesity
developmental delay 
emotional lability
almond shaped eyes
small hands and feet
21
Q

Angelman sx - PE?

A
maxillary hypoplasia
large mouth
short stature
ataxic gait
jerky movements
puppet like movement 
laughter