Genetics (non-Hersh) Flashcards

1
Q

A couple is considering pregnancy and the male partner had bilateral retinoblastoma. What is the risk for a future child to develop retinoblastoma? Assume there is 80% penetrance.

A

40% risk. 0.5 x 0.8 = 0.40.

50% chance that child will inherit the gene for Rb

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2
Q

What is the chance that 2 carrier parents will have an unaffected child? What about an unaffected carrier? Chance of having an affected child?

A

affected child = 1/4
unaffected child = 3/4
unaffected carrier = 1/2

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3
Q

Unaffected sibling of an individual with an autosomal recessive condition. What is their risk of being a carrier?

A

2/3

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4
Q

1st degree relatives share how much of their genetic information?

A

1/2

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5
Q

How to calculate risk of having a child affected with an autosomal recessive disorder

A

mother’s carrier risk x father’s carrier risk x 1/4

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6
Q

Hardy-Weinberg equilibrium

A

p + q = 1. P and q represent proportions of the population genes (what proportion are common/wild v. disease?)

  • p typically refers to more common or wild-type allel
  • q typically refers to the disease allele
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7
Q

Hardy-Weinberg equilibrium in a 2 allele system.

A
p2 + 2pq + q2 = 1
Represents frequency of genotypes in a population. Equation that shows likelihood of inheriting the p or q allele from one parent AND the p or q allele from the other parent.
p2 = unaffected homozygotes
2pq = carrier heterozygotes
q2 = affected homozygotes
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8
Q

If 1 out of every 250,000 people have disease X, a non-lethal autosomal recessive disorder, what is the approximate carrier frequency of this disease? (Assume Hardy-Weinberg equilibrium)

A
q2 = incidence of the disease
q2 = 1 in 250,000**
q = 1/500
p = 1 - q = 499/500 = ~1
carrier frequency = 2pq = 2 x (1/500) x 1 = 1/250

*short cut to taking square root of big #s = square root of # in front and cut the number of zeros in half

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9
Q

What is 2pq represent in the Hardy-Weinberg equation? p2 and q2? What about just p and q?

A

p and q = frequency of alleles. Whereas p2 and q2 = frequency of genotypes:
p2 = incidence of normal (wild-type) homozygotes
q2 = incidence of disease
2pq = carrier frequencyp = frequency of normal (wild-type) allele
q = frequency of disease allele

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10
Q

For rare, recessive conditions. What can the carrier frequency be estimated to?

A

carrier frequency = 2q. Since the condition is rare, p (the frequency of the normal allele) can be estimated to ~1, thus 2pq (the carrier frequency) = 2q

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11
Q

For the ABO blood group, the allele frequencies are:
A = 0.30 (p)
B = 0.10 (q)
O = 0.60 (r)
What percent of the population should be blood group A?

A

Total genotype frequency = p2 + q2 + r2 + 2pq + 2pr + 2qr = 1
Phenotype A can be A/A (p2) or A/O (2pr), thus incidence of A blood grp =
p2 + 2pr = (0.3)^2 + 2(0.30)(0.60) = 0.45

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12
Q

Incidence of PKU is 1 in 10,000. If the father has a brother with PKU, what is the risk for the pregnancy to be affected?

A

Father’s carrier risk = 2/3. For mother (population)…
q2 = 1/10,000
q = 1/100
2pq = 1/50
So mother’s carrier risk = 1/50. Overall risk for pregnancy to be affected = 2/3 x 1/50 x 1/4 = 1/300

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13
Q

When doing problems of X-linked inheritance, what should you pay attention to in the question stem?

A

Note whether the question is asking for the risk to have an affected CHILD or the risk to have an affected SON. If son, need to multiply the risk of inheriting the allele by 1/2 (risk for child to be boy)

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14
Q

How does the Hardy-Weinberg equation differ between males and females when it comes to X-linked inheritance?

A
For males, you are only looking at p and q (since they only have 1 X):
p = unaffected HEMIzygotes
q = affected hemizygotes
For females:
p2 = unaffected homozygotes
2pq = carrier heterozygotes
q2 = affected homozygotes
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15
Q

The incidence of an X-linked trait is 1/40. What is the frequency of female unaffected carriers? How many females will be affected?

A

incidence of trait in MALES = q = 1/40 (freq of disease gene)
frequency of female carriers = 2pq = 2(1/40)(39/40) =~1/20
freq of affected FEMALES = q2 = (1/40)^2 = 1/1600

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16
Q

Given the observed genotypes in a given population, what is the frequency of the M allele?
MM = 100
MN = 100
NN = 300

A

p = [(2 x 100) + 100]/1000 = 0.30 or 30%

500 individuals = 1000 total alleles

17
Q

What is eugenics? What are some consequences of the eugenic movement?

A

comes from the Greek for “well-born.” Eugenics is the science that deals with all influences that improve the inborn quality of the human race, particularly through the control of hereditary factors.

Eugenics movement has resulted in involuntary sterilization in many countries of people with psych disorders, mental retardation, seizures, and those convicted of a crime.

18
Q

“Genetic Hygiene”

A

arose out of the need for legitimate scientists and physicians to distance themselves from the horrible results of the eugenic movement. Start of hereditary clinics in the US in the 1940s

19
Q

Name the 5 basic tenets of genetic counseling

A
  1. respect for autonomy
  2. privacy of the individual
  3. need for informed consent
  4. confidentiality
  5. sensitivity to the tendency toward directiveness and paternalism
20
Q

4 ways in which genetic counseling is different from eugenics?

A
  1. genetic counseling does not ‘give advice’ like eugenics
  2. process takes place over time, so client can gradually assimilate complex and distressing info
  3. emphasis on client autonomy in decision making
  4. psychotherapeutic component
21
Q

preimplantation genetic diagnosis

A

an option for avoiding a genetic condition or chromosome abnormality. Involves performing IVF and genetic testing on the fertilized eggs. Then implant the embryos that do not have the genetic abnormality.

most common method = blastocyst sampling. Then amniocentesis for confirmation of success.

22
Q

Nondirectiveness

A

not pushing clients in one direction or another. This is very important in the choice of action part of genetic counseling, where they must decide what to do in view of their risk, family goals, and their ethical/religious standards. This philosophy stems from a firm belief that genetic counseling should be devoid of any eugenic motivation.

Nondirectiveness could be achieved by suggesting diff scenarios to help the family think through their decision

23
Q

Genetic counseling seeks the answer to what four questions?

A
  1. What is wrong? = Dx
  2. What is going to happen? = Prognosis
  3. Why did it happen? = Prevention
  4. What can be done about it? = Treatment
24
Q

What are the 5 components of the genetic counseling interaction?

A
  1. Info gathering (family and medical hx, etc)
  2. Establishing or verifying dx
  3. Risk assessment
  4. Information giving
  5. Psychological counseling
25
Q

Name 2 exceptions for using nondirectiveness

A
  1. When primary prevention or effective tx are available. Ex. PKU
  2. If self-harm or psych issues are a possibility
    Ex. Huntington’s