Genetics Flashcards

1
Q

Mutation in Marfan syndrome

A

Fibrillin 1

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2
Q

Most common cardiac malformation in Downs syndrome

A

Complete atrioventricular septal defect

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3
Q

Mutation in Edwards syndrome

A

Trisomy 18

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4
Q

Mutation in Noonans syndrome

A

Defect in RAS pathway

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5
Q

MOA of MircoRNA

A

MicroRNAs (miRNAs) are small, endogenous, non-coding RNAs (length 18 to 24 nucleotides) that regulate gene expression by binding to the untranslated regions of mRNAs and inducing mRNA degradation or inhibiting protein translation. .

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6
Q

Gene causing MEN1 and gene causing MEN2

A
MEN1 = MEN1 gene 
MEN2 = C-RET gene
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7
Q

Symptoms of Wolfram (or DIDMOAD) syndrome

A

diabetes insipidus, diabetes mellitus, optic atrophy, and deafness

WFS1 gene

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8
Q

Marfan’s criteria

A

FBN1/ Fibrillin1 gene
Aortic root dilation
Ectopia lentis

Other features:

  • Wrist-thumb sign
  • pectus excarvatum
  • scoliosis
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9
Q

Disease associated with sinus inversus

A

Primary ciliary dyskinesia

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10
Q

What is Lyonisation

A

X-inactivation

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11
Q

What is heteroplasmy

A

Having multiple different sets of mitochondrial DNA in one cell - affects the severity of mitochondrial diseases.

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12
Q

Alzheimers gene and chromosome location

A

APP gene. Ch 21.

Increased Alzheimers in Downs syndrome.

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13
Q

In females, what is the most common medical complication of Fragile X premutations?

A

Premature menopause

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14
Q

What is the primary disease mechanism for the CAG gene expansion that causes
Huntington disease?

A

Protein gain of toxic function

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15
Q

Mitochondrial disease inheritance

A

ALL; Mitochondrial disorders can be cause by mutations in the mitochondrial genome or in the
nuclear genome. When the mutations are in nuclear genes, they can be inherited as autosomal
dominant, autosomal recessive, or X-linked.

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16
Q

Gauchers disease gene, inheritance and presentation.

A

GD is an autosomal recessive disorder. Glucocerebroside is needed for cell membranes, it is broken down into non-toxic components in the macrophage lysosomes by the GBA enzyme. Genetic defect in the enzyme (GBA1), located on chromosome 1 causes the disease.

Presentation: Lipid filled macrophages build up in organs. Enzymes released causing scarring.

  • Bone marrow - anaemia, leukopenia, thrombocytopenia
  • Bone - Osteoporosis/ flask deformity
  • Heaptosplenomegaly
  • Neurological/ brain stem symptoms. Seizures
17
Q

Mutation in DMD

A

deletion of multiple exons.

If large deletions or duplications are not found, then check for point mutations (less common)

18
Q

Fabry’s disease gene, inheritance and presentation

A

Due to defect in GLA gene (alpha Gal)
GLA enzyme breaks down GL3/ ceramide/ glycosphnigolipids in lysosomes.

X-linked condition

Presentation:

  • neuropathic pain
  • angiokeratomas
  • anhydrosis
  • renal disease
  • arhythmias and cardiomyopathy
  • strokes

Testing - alpha gal levels for males. GLA gene for females.

19
Q

Hormone profile in Turners

A

High FSH
High LH
low oestrogen
low progesterone

20
Q

Tay Sach’s disease features

A

Tashya Sathyajits gang of 6 small jews.

  • Tay Sachs
  • Ganglioside build up
  • Hexoaminidase enzyme mutation
  • no hepatosplenomegaly
  • occurs in Ashkenazi jews
21
Q

Tay Sach’s disease features

A

Tashya Sathyajits gang of 6 cherry jewels.

  • Tay Sachs
  • Ganglioside build up
  • Hexoaminidase enzyme mutation
  • no hepatosplenomegaly
  • cherry red spot
  • occurs in Ashkenazi jews
22
Q

Neiman- Pick features

A

Pick you big nose with your sphinger

  • Neimann pick
  • big liver and spleen
  • sphingomyelin build up
23
Q

Disease caused by WNK4

A

hyperkalemic hypertension/ Gordons syndrome/ Type 4 RTA/ pseudo hypoaldosteronism

24
Q

FSGS gene

A

NPHS

25
Q

MOA of Antisense oligonucleotides

A

These are similar to microRNA’s but are man made in the lab - they work to affect gene expression by inhibiting mRNA - causes “RNA interference”

Used in Huntingtons, DMD, SMA.

26
Q

Surveillance for what conditions is needed in neurofibromatosis 1

A
  • Optic pathway glioma - needs surveillance from childhood
  • Breast ca
  • Pheochromocytoma
27
Q

Mutation in which protein causes HOCM

A

Titin genes

28
Q

HOCM gene with highest VT risk

A

LMNA gene

29
Q

What is Naxos disease

A

An autosomal recessive variant of ARVD - has wooly hair and skin changes.

30
Q

Function of topoisomerase

A

super-coiling

31
Q

Mechanism of Lyonization

A

hypermethylation

32
Q

Features of tuberous sclerosis

A
  • corticol tubers
  • Angiofibromas
  • renal angiomyolipomas
  • LAM
  • cardiac rhabdomyomas
  • shargreen patch
  • ash leaf spots
33
Q

Features of Von Hipple Lindau

A
  • CNS, adrenal, kidney and pancreatic tumors.
  • Haemangioblastomas.
  • lots of cysts
  • phaeochromocytoma
  • hearing loss from cysts
  • is a tumor suppressor gene mutation.
  • autosomal dominant