Medical Genetics Flashcards

1
Q

Aneuploidy

A

A missing or extra chromosome. (Diagnosed via CMA or Karyotype)

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2
Q

Copy Number Variant

A

Gain or loss of several genes. AKA chromosomal deletions/duplications. (Diagnosed on CMA)

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3
Q

Point Mutation

A

A genetic variant (single gene mutation) that causes disease (pathogenic)

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4
Q

Benign Polymorphism

A

A genetic variant that does not cause disease (not pathogenic)

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5
Q

Single Nucleotide Polymorphisms (SNPs)

A

Variations from the reference genome at a single nucleotide. May occur in coding or non-coding regions. May or may not be pathogenic (usually isn’t).

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6
Q

Whole Genome Sequencing

A

Sequences the ENTIRE genome, including non-coding region. Detects Mendelian disease-causing variants.

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7
Q

Whole Exome Sequencing

A

Sequences only the coding region of the genome (1%). Can detect most point mutations.

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8
Q

Genome-Wide Association Studies (GWAS)

A

Research test used to “tease out” contribution of small genetic factors in multifactorial disease. Looks at SNPs across the whole genome. NOT used for polygenetic disease

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9
Q

Multifactorial Disease vs Polygenetic Disease

A

Multiple SNPs AND the environment cause disease vs ONLY multiple SNPs cause disease

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10
Q

Can Multifactorial or Polygenetic diseases be detected with genetic testing?

A

NO

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11
Q

What do Karyotypes/Complete Microarrays (CMAs) test for?

A

Chromosomal disorders/ Aneuploidy

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12
Q

What does DNA sequencing (with del/dup analysis) test for?

A

SNPs

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13
Q

What does a Next Generation DNA Sequencing Panel test for?

A

A phenotype caused by many genes (ie. Cardiomyopathy is caused by 80+ genes)

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14
Q

What does Whole Exome Sequencing test for?

A

Used to test phenotypes thought to be Mendelian, but no suspected singe gene OR for a limited differential of genes.

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15
Q

Epigenetics

A

The study of how genes are EXPRESSED.

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16
Q

Recurrence Risk

A

How likely a disease will reoccur in future generations of children birthed by disease-carrying parents. (3%) NOT MENDELIAN

17
Q

Mendelian Inheritance

A

RARE. Disease due to change in 1 gene. Most genetic diseases are non-mendelian.

18
Q

What type of tissues are affected in mitochondrial DNA mutations?

A

Tissues high in energy (ie. brain, heart, muscle)

19
Q

Haploinsufficiency

A

1 functional copy of a gene is lost leading to disease/abnormality.

20
Q

Types of Non-Mendelian Inheritance

A
  1. Multifactorial
  2. Mitochondrial
  3. Complex Gene and Epigenetic DIsorders
  4. Polygenetic
21
Q

Both types of inheritance (Mendel/Non-Mendel) can be tracked in a…

A

Family History Pedigree (Family Tree)

22
Q

Genotype-phenotype correlation

A

The relationship between the genes (genotype) and what is expressed (phenotype)

23
Q

The 3 causes of genetic mutations

A
  1. Exposure to mutagenic agens
  2. Inheritance
  3. Spontaneous/De novo
24
Q

Main Types of Genetic Mutations:

A
  1. Nonsense
  2. Missense
  3. Duplication
  4. Deletion
  5. Frameshift
  6. Insertion
25
Q

General steps of DNA Replication (4)

A
  1. Unwinding
  2. Breaking apart at bases
  3. Addition of new bases
  4. Rewinding
26
Q

3 Steps of Transcription

A
  1. Initiation
  2. Elongation
  3. Termination