Genetics- Predisposition to Adult Diseases Flashcards

1
Q

why are adults referred to the genetics clininc

A
for diagnosis 
predictive testing 
carrier testing 
family history 
fetal loss
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2
Q

what are the mechanisms of adult onset genetic disease

A

single gene
chromosomal
mitochondrial
multifactorial

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3
Q

explain prediction and uncertainty

A

test information must only be useable for prevention or treatment
susceptibility testing requires adequate information
predictive prequries proper counselling
children only tested if there are medical benefits of knowing

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4
Q

what is shared genetic heritage

A

genetic diseases which affect families

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5
Q

what are the genetics of ALS

A

generally sporadic

5-10% sporadic

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6
Q

what are the clinical features of amyotrophic lateral sclerosis

A

progressive muscle weakness
wasting
increased reflexes
death due to resp failure

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7
Q

what is SOD

A
superoxide dismutase
function is it catalysis conversion of intracellular superoxide radicals producied during normal metabolsim
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8
Q

were is SOD present

A

chromosomes 21, 6 and 4

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9
Q

what would you discuss before testing

A
inhertiacne and the risks 
implications of positive or negative result 
variability 
insurance 
employment 
children
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10
Q

what is the genetics of huntingsons

A

autosomal domaint

50% chance of inheriting

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11
Q

what movements does it cause

A

chorea
athetosis
rigidity

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12
Q

what cognitive affects does it have

A

poor planing
memory
subcOtrical dementia

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13
Q

what affects does it have on personality

A

irrtaible
loss of emptahy
self centred

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14
Q

what psychiatric effects

A

depression
paranoid
mania

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15
Q

what are the advantages of testing

A

make plans
arrangement of surveillance
treatment

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16
Q

what are the disadvantaged. of testing

A

removes hope

contines uncertainety