Lecture 9 Flashcards

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1
Q

Autosomal recessive inheritance with complete penetrance will affect who?

A

25% of siblings, males and females equally affected. Typically on affected parent and no affected children of person affected

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2
Q

Autosomal recessive yields which type of pedigree pattern?

A

horizontal pedigree pattern

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3
Q

Examples of autosomal recessive inheritance

A

cystic fibrosis, albinism, sickle cell, phenylketonuria

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4
Q

Most common genetic disorder in this country

A

Cystic Fibrosis

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5
Q

Define cystic fibrosis

A

autosomal recessive disorder- males and females equally affected

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6
Q

In someone with cystic fibrosis, where is the mutation>

A

located in chromosome 7- due to mutation in CFTR gene

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7
Q

Most disease is highest incidence in Ireland?

A

Cystic Fibrosis

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8
Q

What does cystic fibrosis affect?

A

affects chloride reabsorption, resulting in thick secretions- lungs and pancreas most affected, many are asymptomatic

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9
Q

What will happen to newborns with cystic fibrosis?

A

Atelectasis- collapsed lung

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10
Q

What happens in the GIT with cystic fibrosis?

A

meconium ileus, pancreatic enzyme deficiency leading to malabsorption, steatorrhea, bile obstruction– biliary cirrhosis

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11
Q

What may occur just in men with cystic fibrosis?

A

infertility due to absence of vas deferens resulting in azoospermia

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12
Q

Test done to screen for cystic fibrosis?

A

Sweat test- chloride level in sweats will be high

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13
Q

What will will be seen on a patient’s fingers who has cystic fibrosis?

A

clubbing of fingers in chronic lung infection

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14
Q

define albinism

A

a congenital disorder characterized by the complete or partial absence or defect of an enzyme involved in the production of melanin

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15
Q

Two types of albinism

A

Oculo cutaneous albinism, ocular albinism

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16
Q

Define Oculo cutaneous albinism

A

pigment lacking in eyes, skin and hear- autosomal recessive

17
Q

What can Oculo cutaneous albinism cause?

A

skin can burn easily, photophobia, nystagmus (rapid movement of eye), poor vision

18
Q

Define Ocular albinism

A

sex linked recessive disorder- only the eyes lack pigment- normal hair and skin color

19
Q

types of x linked inheritance

A

color blindness, duchene muscular dystrophy, fragile X syndrome

20
Q

Who does color blindness affect?

A

x linked recessive inheritance so it only affects males and females are carriers

21
Q

Who discovered color blindness?

A

John Dalton- atomic theory- he was colorblind

22
Q

what colors relate to color blindness

A

red/green

23
Q

Define Protonopia

A

red cones defective

24
Q

Define Deutonopia

A

green cones defective

25
Q

In what ethnicities is colorblindness common?

A

caucasians, asians, africans

26
Q

Difference between rods and cones

A

rods- night vision, cones- day vision

27
Q

Define Tritonopia

A

Blue/Yellow color blindness- defective gene on chromosome 7. not x linked!

28
Q

Causes of color blindness

A

vitamin A deficiency, brain injury, effects to medicine

29
Q

What is Duchenne Muscular Dystrophy?

A

a severe form of muscular dystrophy characterized by rapid progression of muscle degeneration, eventually leading to loss of ambulation and death- X linked recessive, females carriers

30
Q

At what age does Duchenne Muscular Dystrophy occur?

A

age 5- by age 10 braces may be required for walking, wheelchair dependent by age 12, life expectancy is around 20

31
Q

What will the calves of someone with Duchennes look like?

A

pseudo hypertrophy of calf muscles

32
Q

Organizations specific to DMD?

A

The foundation to eradicate Duchenne, The shakti Foundation, Famous sufferers of DMD- who design engine for Flat Deno Car

33
Q

Fragile X is due to mutation where?

A

mutation of FMR1 gene on the X chromosome- gene contains 200 repeats of the CGG codon

34
Q

Do we know if Fragile X syndrome is recessive or dominant?

A

NO- carrier mother has some symptoms as well - inheritance pattern resembles recessive

35
Q

WHen will carrier women of fragile X go through menopause?

A

before the age of 40- premature menopause

36
Q

Clinical features of someone with fragile X

A

high forehead, large ears, prominent jaw, males have large testes, connective tissue weakness, hyper extensible joints, learning difficulties, speech issues

37
Q

The most frequently diagnosed autosomal recessive disorders are…

A

cystic fibrosis, betathalassemia, and sickle cell disease

38
Q

THe most common dominant diseases….

A

myotonic dystrophy, huntington’s disease