Genetics Flashcards
What is the typical incidence of rare things?
1-3%
What is the typical incidence with 1 risk factor?
10%
What is the typical incidence with 2 risk factors?
50%
What is the typical incidence with 3 risk factors?
90%
What does Autosomal Dominant usually indicate?
Structural problems, 50% chance of passing it on
What does Autosomal Recessive usually indicate?
Enzyme deficiency, 1/4 get it, 2/3 carry it
What are the x-linked recessive deficiencies?
“Lesch-Nyhan went Hunting For Pirates and Gold Cookies”
LeschNyhan (HGPRT def): self mutilation, gout, neuropathy
Hunter’s (iduronidase def)
Fabry’s (alpha galactosidase def): corneal clouding, attacks baby’s kidneys
PDH deficiency
G-6PD deficiency: infxns, hemolytic anemia
Chronic Granulomatous Dz: NADPH oxidase deficiency
Where did x-linked Recessive diseases come from?
From maternal uncle or grandpa
What are the X-linked Dominant diseases?
Na-resistant rickets (kidney leaks phosphorus): waddling gait
Pseudohypoparathyroidism: sausage digits, osteodystrophy
Where did X-linked Dominant diseases come from?
Dad->daughter
What are the Mitochondrial diseases?
Leber's = atrophy of optic nerve Leigh's= subacute necrotizing encephalomyelopathy
Where did Mitochondrial diseases come from?
Mom-> all kids
Why do we stop CPR after 20-30 mins?
The brain has irreversible cell injury
Why do we only have 6 hrs to use t-PA?
The body has irreversible cell injury
What is Turner’s
(X,O): web neck, cystic hygroma, shield chest, coarctation of aorta, rib notching
What is Klinefelter’s?
(47,XXY): tall, gynecomastia, infertility, decrease testosterone
What is XXX syndrome?
(47,XXX): normal female w/two Barr bodies
What is XYY syndrome?
(47, XYY): tall agressive male
What is trisomy 13?
Patau’s, polydactyly, high arch palate, pee problem, holoprosencephaly
What is trisomy 18?
Edward’s, rocker bottom feet
What is trisomy 21?
Down’s, simian crease, wide 1st/2nd toes, macroglossia, mongolian slant of eyes, brushfield spots, retardation
What disease has a dinucleotide repeat?
HNPCC (Hereditary nonpolyposis colorectal cancer)
What disease have Trinucleotide repeats?
Huntington’s, Fragile X, Myotonic Dystrophy, Friedreichs Ataxia
What is Agelman’s?
“Happy puppet syndrome”, ataxia
What is Prader-Willi?
Hyperphagia, hypogonadism, almond shaped eyes
What is Kallman’s?
Anosmia, small testes
What is Anaplasia?
Regress to infantile state
What is Atrophy?
Decreased organ or tissue size
What is Desmoplasia?
Cell wraps itself w/dense fibrous tissue
What is Dysplasia “carcinoma in situ”?
Lose contact inhibition (cells crawl on each other)
What is Hyperplasia?
Increased cell number
What is Hypertrophy?
Increased cell size
What is Metaplasia?
Change from one adult cell type to another
What is Neoplasm?
New growth
What is Benign?
Well circumscribed, freely movable, maintains capsule, obeys physiology, hurts by compression, slow growing
What is Malignant?
Not well circumscribed, fixed, no capsule, doesn’t obey physiology, hurts by metastasis, rapidly growing (outgrows blood supply) -> hunts for blood -> secretes angiogenin and endostatin to inhibit blood supply of other tumors.
What are the fastes killing cancers?
Pancreatic cancer, esophageal cancer
What does Adeno - tell you?
Glandular
What does Leiomyo- tell you?
Smooth muscle
What does Rhabdomyo - tell you?
Skeletal muscle
What does Hemangio - tell you?
Blood vessel
What does Lipo- tell you?
Fat
What does Osteo - tell you?
Bone
What does Fibro - tell you?
Fibrous tissue
What does -oma tell you?
Tumor
What does -carcinoma tell you?
Cancer
What does -sarcoma tell you?
Connective Tissue cancer
What is Hamartoma?
Abnormal growth of normal tissue
What is Choristoma?
Normal tissue in the wrong place
What is the most common anterior mediastinum tumor?
Thymoma
What is the most common middle mediastinum tumor?
Pericardial
What is the most common posterior mediastinum tumor?
Neuro tumors
What organs have the most common occurrence of metastasis?
"BBLLAP" Brain (grey-white jxn) Bone (bone marrow) Lung Liver (portal vein, hepatic artery) Adrenal glands (renal arteries) Pericardium (coronary arteries)
What cancers have psammomma bodies?
Papillary (thyroid) Serous (ovary) Adenocarcinoma (ovary) Meningioma Mesothelioma
What cancer has CA-125?
Ovarian
What cancer has CA-19?
Pancreatic
What cancer has S-100?
Melanoma (if you would use Sunblock 100, it wouldn’t happen)
What cancer has BRCA?
Breast
What cancer has PSA?
Prostate
What cancer has CEA?
Colon, pancreatic
What cancer has AFP?
Liver, Yolk sac
What cancer has Rb?
Ewing sarcoma, Retinoblastoma
What cancer has Ret?
Medullary thyroid cancer
What cancer has Ras?
Colon
What cancer has bcl-2?
follicular lymphoma
What cancer has c-myc?
Burkitt’s lymphoma
What cancer has L-myc?
small cell lung carcinoma
What cancer has N-myc?
Neuroblastoma => pseudorosettes
What cancer has Bombesin?
Neuroblastoma
What cancer has B-HCG?
Choriocarcinoma
What cancer has 5-HT?
Carcinoid syndrome
What has t (9,22)?
CML (bcr-abl gene)
What has t(14,18)?
Follicular lymphoma (bcl-2 gene)
What has t(8,14)?
Burkitt’s lymphoma (c-myc gene)
What has t(15,17)?
AML M3
What has HLA A3, A6?
Hemochromatosis
What has HLA B5?
Behcet’s
What has HLA B13?
Psoriasis without arthritis
What has HLAB27?
Psoriasis
Ankylosing spondylitis
Reiter’s
What has HLA DR2?
Goodpasture’s, MS
What has HLA DR3?
Celiac Sprue
What has HLA DR4?
Pemphigus Vulgaris
What has HLA DR5?
Pernicious anemia