genetics and imaging Flashcards

1
Q

if horizontal appearance of phenotype between siblings, likely what type of genetics

A

autosomal recessive

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2
Q

mitochondrial inheritance is transmitted by mum or dad

A

mum only - fathers do not transmit mitochondrial genes

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3
Q

how is mitochondrial inheritance different from mitochondrial disease

A

mitochondrial disease can be passed down by mum or dad, bc there are mitochondrial genes in the nuclear genome

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4
Q

enzyme deficient in albinism

A

tyrosinase

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5
Q

what is osteogenesis imperfecta, what is main effect of mutation

A

defect in collagen causes kink and prevents strand alignment, main effect is brittle bones, autosomal dom or reces

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6
Q

ehlers danlos syndrome, type of inheritance

A

mutations in collagen infer tendon flexibility, autosomal dom

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7
Q

prenatal testing for what genetic disease

A

PKU
congenital hypothyrodism
CF
galactosaemia

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8
Q

PKU and CF inheritance pattern

A

autosomal rec

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9
Q

what is problem in PKU

A

lack of phenylalanine hydroxylase leads to elevated phenylpyruvate which damages brain (and inhibits tyrosinase)

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10
Q

what do you test for to test for CF

A

elevated immunoreactive trypsinogen

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11
Q

cretinism

A

primary congenital hypothyroidism

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12
Q

what is most common cause of preventable intellectual disabiliyt

A

primary congenital hypothyroidism

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13
Q

when in development do you have embryonic vs foetal Hb

A

embryonic 1st 3 months

foetal after 3 months

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14
Q

alpha thalasaemia most common in which countries

A

south east asia

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15
Q

beta thalasaemia most common in which countries

A

south europe and middle east

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16
Q

what is pathology in thalasaemia due to

A

imbalance between alpha and beta resulting in homotetramers

17
Q

alpha and beta usually due to what types of mutations

A

alpha - large deletions

beta - point mutations

18
Q

untreated B thalassaemia leads to

A

hepatosplenomegaly
bone marrow expansion
increased iron absorption - HF, liver cirrhosis

19
Q

type of anaemia in B thalassaemia

A

microcytic, hypochromic, tear shapes

20
Q

treatment for B thalassaemia

A

blood transfusion every 3 weeks and chelation therapy

21
Q

south east Asian vs mediterranian alpha thalassaemia mutaiton
what is significance

A

asian is alpha alpha/ –
mediterranian is alpha - /alpha -
significance is if asian mutation - 1/4 chance of having –/–

22
Q

what is a compound heterozygote

A

individuals with 2 different allele mutations e.g. alpha and sickle cell

23
Q

double heterozygote

A

alpha globin and beta globin mutations

24
Q

what do you need for a good CXR (6)

A

full inspiration
PA - heart closer to film
hug machine to move scapula out of the way
erect
sternal notch in line with spinous processes
7 anterior ribs

25
Q

what is it if see meniscus on lung

A

hydrothorax - effusion

26
Q

what is it if see straight line on lung

A

hydropneumothorax - air and water

27
Q

when is fat bright in MRI

A

T1 and T2

28
Q

when is fluid bright in MRI

A

T2

29
Q

what attaches to AIIS and groove above acetabulum

A

rectus femoris

30
Q

what attaches to ASIS

A

sartorius

31
Q

when do different epipheses appear - femoral head, greater trochanter, lesser trochanter

A

femoral head - 6-9 months
greater trochanter - 10 yrs
lesser trochanter - 12 years

32
Q

where does fluid go in joint effusion

A

suprapatella bursa