Muscular Dystrophy Flashcards

1
Q

What is the most prevalent form of muscular dystrophy in adults

A

Myotonic muscular dystrophy

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2
Q

What type of genetic mutation is myotonic muscular dystrophy

A

Autosomal dominant

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3
Q

What are the two distinct forms of myotonic muscular dystrophy

A

Dystrophy myotonica (DM1)
Proximal myotonic myopathy (DM2)

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4
Q

What causes DM1

A

It is transmitted by an intronic mutation of an unstable expansion of CTG

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5
Q

What causes DM2

A

DNA expansion of CCTG repeat

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6
Q

What specific gene is involved with Myotonic muscular dystrophy type 1

A

DMPK

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7
Q

What are some symptoms of DM1

A

Hatched shaped face
Frontal baldness
Weakness in wrists and fingers
foot drop
Distal muscles effected

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8
Q

What are some symptoms of DM2

A

Proximal muscles
cataracts
testicular atrophy
Constipation

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9
Q

Why do you get a serum CK when testing for myotonic muscular dystrophy

A

Looking for muscle breakdown

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10
Q

What is the definitive diagnosis for Myotonic muscular dystrophy

A

DNA analysis

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11
Q

What is the most common and severe form of childhood muscular dystrophy

A

Duchenne muscular dystrophy

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12
Q

Which gender is effected by Duchenne muscular dystrophy

A

Males exclusively

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13
Q

What is the largest gene in the human genome

A

Dystrophin

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14
Q

What happens when there is a mutation in the Dystrophin gene

A

Ongoing myofiber necrosis and regeneration

There will be a marked variation in size with the new myofiber

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15
Q

Which muscles are effected by the dystrophin genes

A

Cardiac
Skeletal

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16
Q

What is a Gowers sign

A

Climbing their thighs with their hands to stand up from sitting on the floor