lecture 6 - analysis of chromosomal disorders 1 Flashcards

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1
Q

What a karyotype, what do the bands represent?

A

Regions of heterochromatin (less active) or euchromatin (more active) DNA

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2
Q

What do the dark bands of a stained chromosome represent?

A

Inactive DNA - heterochromatin

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3
Q

What do the light bands of a stained chromosome represent?

A

Active DNA - euchromatin

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4
Q

What are the 2 classifications of chromosome based on their centromere position?

A

Acrocentric, metacentric

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5
Q

What is an acrocentric chromosome?

A

Chromosome with the centromere near the end, so has a long and short arm

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6
Q

What is a metacentric chromosome?

A

Chromosome with a central centromere and 2 equally sized arms

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7
Q

What is a telomere?

A

A region of replicated material at the end of the arm of a chromosome

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8
Q

What is the name for the long arm of a chromosome?

A

q arm

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9
Q

What is the name for the short arm of a chromosome?

A

p arm

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10
Q

What technique is used to provide a genome-wide survey for imbalances?

A

Chromosomal microarray

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11
Q

What are the clinical indication for assessing chromosomal structure?

A

Abnormality of growth or development, intellectual disability, recurrent miscarriage, cancer investigation

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12
Q

What sex does Turner Syndrome affect?

A

Girls

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13
Q

What are the presentations of Turner Syndrome?

A

webbed neck, coarction of aorta, growth delay, amenorrhoea, short stature

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14
Q

What are the chromosomal causes of Turner Syndrome?

A

Missing X chromosome or structural abnormality to X chromosome

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15
Q

What is mosaic Turner Syndrome?

A

Abnormality where not all cells in the body are missing an X chromosome

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16
Q

Why is Turner Syndrome often mosaic?

A

Because the loss of an X chromosome is often post-zygotic (not a result of non-disjunction in meiosis) so some cells have X and some don’t

17
Q

Why does Turner Syndrome cause abnormalities when females normally have one X inactivated anyway?

A

Because the inactivated X chromosome in normal females is only 80% inactivated, and the 20% of genes still expressed are important to normal function

18
Q

Is Turner Syndrome recurrent for mothers?

A

No

19
Q

What is the karyotype for Turner Syndrome?

A

45,X

20
Q

What is the karyotype of Klinefelter Syndrome?

A

47,XXY

21
Q

What are the presentations of Klinefelter Syndrome?

A

Reduced Testicular function, tall stature, low IQ

22
Q

What is the cause of Klinefelter Syndrome?

A

Meiotic non-disjunction leading to an extra X chromosome

23
Q

What is chromosomal non-disjunction?

A

Failure of homologous chromosome to seperate during meiosis 1 or 2

24
Q

What is the karyotype for Down Syndrome?

A

47,XX,+21 (additional chromosome 21 - trisomy 21)

25
Q

What condition results from trisomy 21?

A

Down Syndrome

26
Q

What type of translocation occurs in down syndrome?

A

Robertsonian translocation of Chromosome 21 (centric fusion

27
Q

How can down syndrome be recurrent?

A

If the parent is a carrier for a robertsonian translocation

28
Q

What is a robertsonian translocation?

A

When the long arms of 2 chromosomes gets fused together

29
Q

What are reciprocal translocations?

A

The balanced transfer of material from one chromosome to another

30
Q

What are the signs of reciprocal chromosomal translocations?

A

Recurrent miscarriage, family history