Genetics and Genetics Counselling Flashcards

1
Q

• Is a study of the way such disorders occurs.
• the scientific study of inherited variation.
• a science that deals with all characteristics of
genes.

A

Genetics

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2
Q

Healthy People 2030 Goals

A

• Reduce anxiety and depression in
the family caregivers of people with disabilities
• Increase proportion of infants with
hearing loss who get intervention services by 6 months
• Increase the proportion of children
with developmental delays
• Reduce the proportion of people
with intellectual and developmental disabilities

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3
Q

It is the study of chromosomes by light microscopy and the method by which chromosomal aberrations are identified

A

Cytogenetics

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4
Q

These are the basic units of heredity that determine both the physical and cognitive characteristics of people. It is composed of segments of DNA, they are woven into strands in the nucleus

A

Genes

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5
Q

These are threadlike structures of nucleic acids and protein found in the nucleus of most living cells, carrying genetic information in the form of genes.

A

Chromosomes

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6
Q

• In humans, each cell, except for the sperm and ovum, contains _____ chromosomes (_____pair of autosomes and _____pair of sex chromosomes

A

46 chromosomes
22 pairs of autosomes
1pair os sex chromosomes

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7
Q

These are two like genes

A

Alleles

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8
Q

XX

A

Female

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9
Q

Xy

A

Male

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10
Q

It is a progressive neurologic disorder characterized by loss of motor control and intellectual deterioration, symptoms usually manifest at 35-45 y/o.

A

Huntington disease

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11
Q

Examples include cystic fibrosis, albinism, Tay-Sachs disease, galactosemia, phenylketonuria, Rh Incompatibility.

A

Autosomal RECESSIVE Inheritance

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12
Q

Provide preventive measures and early treatment option. To identify individuals who have higher risk of disorder and carry a specific gene for a disorder.

A

Genetic Screening

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13
Q

Disease detected by Carrier Screening

A

Cystic fibrosis
Fragile C syndrome
Sickle cell disease
Tay-sachs disease

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14
Q

Disease detected by Prenatal screening

A

Down syndrome
Edwards syndrome
Brain or neural tube defects such as Spina Bifida and Anencephaly

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15
Q

Also known as Quadruple Marker test, Quad screen, Maternal Serum Screen, AFP plus, AFP maternal, MSAFP, and 4-marker screen, is one of the most common prenatal screening that measures levels of four substances in a woman’s blood.

A

Quadruple Screening test

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16
Q

A protein produced by the growing baby

A

Alpha fetoprotein (AFP)

17
Q

A protein produced by the growing baby

A

Alpha fetoprotein (AFP

18
Q

A hormone produced in the placenta

A

Human chorionic gonadotropin (hCG)

19
Q

A form of the hormone estrogen produced in the fetus and the placenta

A

Unconjugated Estriol (uE3)

20
Q

another hormone released by the placenta

21
Q

test typically performed between the 15th and 20th weeks of the pregnancy i.e. during the second trimester. It evaluates the chances of carrying a baby who may have any of the following disorders:

•Down syndrome (Trisomy 21): A chromosomal disorder that causes lifelong intellectual disability and developmental delays. Down syndrome symptoms can include short, stocky physical size, with a short neck, flattened facial features, small ears, hands, and feet, delays in speech and language development, attention problems.

•Trisomy 18: A chromosomal disorder that is often fatal and causes severe developmental delays and abnormalities in the structure of the body.

•Spina bifida: A birth defect that occurs when a portion of the neural tube fails to develop or close properly, causing defects in the spinal cord and in the bones of the spine.

•Abdominal wall defects: In these birth defects, the baby’s intestines or other abdominal organs stick through the belly button

A

Quadruple Screening Test

22
Q

A chromosomal disorder that causes lifelong intellectual disability and developmental delays. Down syndrome symptoms can include short, stocky physical size, with a short neck, flattened facial features, small ears, hands, and feet, delays in speech and language development, attention problems

A

Down syndrome (Trisomy 21)

23
Q

A chromosomal disorder that is often fatal and causes severe developmental delays and abnormalities in the structure of the body

A

Trisomy 18

24
Q

A birth defect that occurs when a portion of the neural tube fails to develop or close properly, causing defects in the spinal cord and in the bones of the spine

A

Spina bifida

25
In these birth defects, the baby’s intestines or other abdominal organs stick through the belly button
Abdominal wall defects
26
▪ To give you information about how genetic conditions could affect you or your family. ▪ The genetic counselor or other healthcare professionals will collect your personal and family history. ▪ To determine how likely it is that you or your family member has a genetic condition. ▪ Based on this information, the genetic counselor can help you decide whether a genetic test might be right for you or your family
Genetic Counseling
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• Process: visualization • Non-invasive • s informed consent • ↑OFI (if <20 weeks) • Insturct not to void
Ultrasound
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AMNIOCENTESIS
• Process: aspiration • Invasive • Informed consent • Instruct to void since there will be a puncture at the left abdomen near the bladder • Amount of aspirate: 15-30 cc
29
Purposes: • To checkthe calcium in the placenta • To locate placenta and determine gender • To measure amount of amniotic fluid
ULTRASOUND
30
Purposes: • L:S ratio – fetal lung maturity • Chromosomal defect • Neural tube defect • Monitor UC p amniocentesis – might administer tocolytics
AMNIOCENTESIS
31
Process: catheter insertion • 10th – 12th week • For: chromosomal defect
Chorionic Villi Sampling (CVS)
32
Process: blood extraction • 14th – 16th week • Blood sample: • <38 mg/dL – chromosomal defect • >42 mg/dL – neural tube defect
Maternal Serum Alpha Fetoprotein (MSAFP)
33
• Indication: to determine reaction of FHR to fetal activity • 30th – 32nd week Outcome: • Expected: normal FHR acceleration • Reactive: additional 15 bpm
Non-stress Test(NST
34
Indication: to determine reaction of FHR to uterine contraction • 34th – 36th week Outcome: • Expected: normal FHR • Reactive: fetal deceleration
Contraction Stress Test (CST)
35
• To ensure baby is awake, the mother should take breakfast • increased glucose makes the baby awake To immediately awake the baby, ring a bell over the abdomen
Non-stress Test (NST)
36
• Place the mother in left lateral position • Attach fetal monitor • Instruct the mother to do nipple rolling for 10 min • Expect mild UC
Contraction Stress Test (CST)