How Do Mutations Affect Health and Craniofacial Development? Flashcards

1
Q

What are multifactorial diseases caused by?

A

NOT a single mutation, but by interacting genetic and environmental risk factors

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2
Q

What results from failed palatogenesis?

A

a cleft lip and palate

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3
Q

Where do the neural crest cells lay?

A

on the dorsal side of the neural tube

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4
Q

What are some characteristics of patients with Down syndrome that are not craniofacial-related?

A
  • low muscle tone
  • small stature
  • cognitive delay
  • transverse palmar crease*
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5
Q

___ or Mendelian disorders are mutations in a single gene and can be dominant or recessive.

A

Single-gene disorders

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6
Q

What are the 3 ways Down syndrome can happen?

A

Nondisjunction
Mosaicism
Translocation

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7
Q

What happens in the translocation of chromosome 21 to cause Down syndrome?

A

a full or partial copy of chromosome 21 attaches to another chromosome (usually 14)

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8
Q

What is the most common cause of Down syndrome?

A

Nondisjunction (95%)

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9
Q

What chromosome is affected in Cri-du-Chat syndrome?

A

chromosome 5 (partial loss)

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10
Q

What questions MUST be asked of a patient with Down syndrome in clinic?

A

What heart defects do you have?

Do you have any spinal problems?

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11
Q

How many chromosomes do those with mosaic Down syndrome have?

A

some cells have 46 and some cells have 47

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12
Q

Where do the cells from the palate and jaw regions originate from?

A

the neural crest mesenchyme and rhombomeres 1 and 2

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13
Q

What is the Simian crease?

A

a transverse palmar crease

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14
Q

Which chromosomal rearrangements are likely to cause disease?

A

only those that change the copy number of genes or break apart an important gene

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15
Q

How many mutations is the average child born with not present in the parents?

A

100-200

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16
Q

What forms the primary palate in a developing embryo?

A

the median palatal process (derived from medial nasal processes and frontonasal process)

17
Q

What are chromosomal rearrangements caused by?

A

chromosome breakage or by recombination between mispaired chromosomes during meiosis

18
Q

What are some facial defects seen in patients with Cri-du-Chat syndrome?

A
  • wide set eyes (hypertelorism)
  • low-set ears
  • small jaw (micrognathia)
  • rounded/moon face
  • epicanthal folds
  • broad nasal bridge
  • downward slanting eyes
19
Q

What are the key facial characteristics of Down syndrome?

A
  • upslanting eyes
  • flattened nasal bridge
  • Brushfield spots (eyes)
  • epicanthal fold
  • short neck
  • low-set small folded ears
20
Q

What is the nasal septum derived from in the basic steps of palatogenesis?

A

frontonasal prominence

21
Q

What are some examples of multifactorial diseases?

A

allergies, diabetes, coronary heart disease

22
Q

80% of children born with Down sydrome are born to what kind of mothers?

A

technically younger mothers due to higher birth rates among younger women

23
Q

Where do most cases of aneuploidy originate from?

A

female meiosis I (risk increases with age)

24
Q

The 1 in 50 infants born with a diagnosable condition can be attributed to what?

A

1 single mutation

25
Q

Is syndromic or non-syndromic cleft lip and palate more common?

A

non-syndromic clefting (70% of cases)

26
Q

___ is an aberration in chromosome number caused by faulty separation of chromosomes during mitosis or meiosis.

A

aneuploidy

27
Q

How do the neural crest cells migrate out to form the face?

A

bilaterally to the anterior portion

28
Q

Is heredity a factor in trisomy 21?

A

not for nondisjunction and mosaicism

29
Q

What are the palatal shelves derived from in the basic steps of palatogenesis?

A

maxillary process of the first pharyngeal arch

30
Q

What is a major characteristic of Cri-du-Chat syndrome?

A

infants have a high-pitched cry that sounds like a cat

31
Q

What are some traits of Cri-du-Chat syndrome?

A
  • intellectual disability
  • microcephaly
  • low birth weight
  • weak muscle tone
  • transverse palmar crease*
  • heart defects