myRisk terms Flashcards

1
Q

Autosomal Dominant

A

A pattern of inheritance in which an affected individual has one copy of a mutant gene and one normal gene on a pair of autosomal chromosomes. 50% chance of first-degree relative also having the mutant gene

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2
Q

Autosomal Recessive

A

A pattern of inheritance in which two copies of an abnormal gene must be present in order for the disease or trait to develop. If both parents carry a change in a single copy of the gene change, there is a 25% chance both will pass on the non-working copies and have an affected child.

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3
Q

Deleterious

A

Having a harmful effect; disease-causing

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4
Q

Exon

A

the coding region of the DNA/gene

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5
Q

Hereditary Cancer

A

Cancer occurs when an altered gene (gene change) is passed down in the family from parent to child. People with hereditary cancers are more likely to have relatives with the same type or a related type of cancer. They may develop more than one cancer and their cancer often occurs at an earlier than average age

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6
Q

Heterozygous

A

Genes come in pairs, called alleles, and each pair is located in a specific position (or locus) on a chromosome. If the two alleles at a locus are identical to each other, they are homozygous; if they are different from one another, they are _____

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7
Q

Homozygous

A

Genes come in pairs, called alleles, and each pair is located in a specific position (or locus) on a chromosome. If the two alleles at a locus are identical to each other they are ____; if they are different from one another, they are heterozygous

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8
Q

Intron

A

is a portion of a gene that does not code for amino acids. In the cells of plants and animals, most gene sequences are broken up by one or more ____. The parts of the gene sequence that are expressed in the protein are called exons, because they are expressed, while the parts of the gene sequence that are not expressed in the protein are called ____, because they come in between the exons.

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9
Q

Pseudogene

A

A DNA sequence that resembles a gene but has been mutated into an inactive form over the course of evolution. It often lacks introns and other essential DNA sequences necessary for function. Though genetically similar to the original functional gene, _____ do not result in functional proteins, although some may have regulatory effects.

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10
Q

Carrier

A

is an individual who carries and is capable of passing on a genetic mutation associated with a disease and may or may not display disease symptoms. ____ area associated with diseases inherited as recessive traits.

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11
Q

Next Generation Sequencing (NGS)

A

is a high-throughput methodology that enables rapid sequencing of the base pairs in DNA or RNA samples.

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12
Q

Single Nucleotide Polymorphisms (SNPS)

A

are the most common type of genetic variation among people. Each ​___ represents a difference in a ​single DNA building block, called a ​nucleotide​.

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13
Q

Affordable Care Act (ACA)

A

The comprehensive health care reform law enacted in March 2010 (sometimes known as ___, PPACA, or “Obamacare”)

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14
Q

Affordable Care Act

The law has 3 primary goals:

A

●Make affordable health insurance available to more people. The law provides consumers with subsidies (“premium tax credits”) that lower costs for households with incomes between 100% and 400% of the​ ​federal poverty level​.
●Expand the Medicaid program​ to cover all adults with income below 138% of the federal poverty level. (Not all states have expanded their Medicaid programs.)
●Support innovative medical care delivery methods designed to lower the costs of health care generally.

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15
Q

Benign

A

Of no danger to health; not disease-causing

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16
Q

Breast Density

A

A term used to describe the amount of dense tissue compared to the amount of fatty tissue in the breast on a mammogram. ____ _____ tissue has more fibrous and glandular tissue than fat. There are different levels of breast density, ranging from little or no dense tissue to very dense tissue. The more density, the harder it may be to find tumors or other changes on a mammogram.

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17
Q

Clinical Breast Exam (CBE)

A

A physical exam of the breasts and underarms that is performed by a trained medical provider, to look for any lumps or other changes.

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18
Q

CA-125 Measurement

A

A test that measures the amount of the protein ____ in your blood. A ____test may be used to monitor certain cancers during and after treatment. In some cases, a ____ test may be used to look for early signs of ovarian cancer in people with a very high risk of the disease.

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19
Q

Somatic Mutation

A

An alteration in DNA that occurs after conception. ______ can occur in any of the cells of the body except the germ cells (sperm and egg) and therefore are not passed onto children. These alterations can (but do not always) cause cancer or other diseases.

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20
Q

Germline Mutation

A

A gene change in a body’s reproductive cell (egg or sperm) that becomes incorporated into the DNA of every cell in the body of the offspring. _____are passed on from parents to offspring. Also called hereditary mutation.

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21
Q

Gleason Score

A

is the grading system used to determine the aggressiveness of prostate cancer. The higher the ____, the more likely that the cancer will grow and spread quickly. Scores of 6 or less describe cancer cells that look similar to normal cells and suggest that the cancer is likely to grow slowly. Scores of 7 or greater indicate a more aggressive prostate cancer and warrant hereditary testing

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22
Q

Familial Cancer

A

Cancer likely caused by a combination of genetic and environmental risk factors. People with familial cancer may have one or more relatives with the same type of cancer; however, there does not appear to be a specific pattern of inheritance (e.g., the cancer risk is not clearly passed from parent to child).

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23
Q

Genetic Information Nondiscrimination Act (GINA)

A

federal law that provides protections against genetic discrimination in health insurance and in employment. It was passed in 2008. It does no protect patients against discrimination in life, long-term and disability insurance.

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24
Q

Hereditary Breast and Ovarian Cancer (HBOC)

A

primarily associated with mutations in ​BRCA1​ or BRCA2​ genes. ​BRCA​ gene mutations can be inherited from either the mother or father, and only one copy of the mutation is needed to be at risk.

25
Q

Hysterectomy

A

an operation to remove a woman’s uterus. A woman may have a hysterectomy for different reasons, including: Uterine fibroids that cause pain, bleeding, or other problems.

26
Q

Lumpectomy

A

A surgical operation in which a lump is removed from the breast, typically when cancer is present but has not spread.

27
Q

Lynch Syndrome/HNPCC

A

is due to mutations in the mismatch repair ​(MMR) genes. Individuals with this are more likely to get colorectal, uterine (endometrial), ovarian, stomach, small bowel, hepatobiliary tract (liver, pancreas, gallbladder), urinary tract (kidney, bladder, ureters), brain, and skin cancers. About 3% of colorectal cancers and 4% of uterine (endometrial) cancers are due to this.

28
Q

Mastectomy

A

is the removal of the whole breast. There are five different types of mastectomy: “simple” or “total” mastectomy, modified radical mastectomy, radical mastectomy, partial mastectomy, and subcutaneous (nipple-sparing) mastectomy.

29
Q

MCo (mutation co-occurance)

A

A statistical model unique to Myriad used to discover benign variants, which leverages the rarity of multiple deleterious mutations in the same pathway co-occurring in a single patient.

30
Q

Mismatch Repair (MMR) genes

A

Any of a number of genes (e.g., MLH1, PMS1, MSH2, etc.) which codes for an enzyme whose job is to find and repair errors of mismatched bases in the DNA. Defects in mismatch repair genes result in replication errors and genetic instability.

31
Q

National Comprehensive Cancer Network (NCCN)

A

is a not-for-profit alliance of 28 leading cancer centers devoted to patient care, research, and education. This organization is dedicated to improving and facilitating quality, effective, efficient, and accessible cancer care so patients can live better lives.

32
Q

Oral Contraceptives (OCP)

A

are hormone-containing medications that are taken by mouth to prevent pregnancy. Studies have shown that the risks of ​breast​ and cervical​ cancers can increase in women who use oral contraceptives, whereas the risks of endometrial, ovarian, and colorectal cancers are reduced.

33
Q

Pap Smear

A

is a procedure to test for cervical cancer in women. A Pap smear involves collecting cells from your cervix — the lower, narrow end of your uterus that’s at the top of the vagina.

34
Q

PARP inhibitor (poly (ADP-ribose) polymerase)

A

inhibitors, are a novel type of medication that works by preventing cancer cells from repairing their DNA once they have been damaged by other chemotherapy agents. This type of therapy works well in patients with certain genetic mutations, including BRCA1 and BRCA2.

35
Q

Pheno

A

A family history statistical weighting algorithm unique to Myriad. Compares the severity of family histories of patients who carry a specific variant to that of families who carry no deleterious mutations.

36
Q

PREMM Model (PREdiction Model for gene Mutations)

A

is recommended by several professional societies, including the National Comprehensive Cancer Network, the American College of Gastroenterology, and the U.S. Multi-Society Task Force on Colorectal Cancer. The PREMM5 model (2017) estimates the overall cumulative probability of having an MLH1, MSH2, MSH6, PMS2, and EPCAM gene mutation. This model replaces the PREMM1, 2 ,6 model. It includes age at genetic testing as a predictor variable and factors in updated upper and lower age limits related to cancer diagnosis in the patient and first- and second-degree relatives to adjust for any extreme ages of cancer diagnoses

37
Q

RiskScore

A

precision medicine tool is clinically validated to predict a woman’s risk of developing breast cancer using clinical risk factors and genetic-markers. It provides women with their remaining lifetime and 5-year risk for developing breast cancer.

38
Q

Raloxifene

A

The active ingredient in a drug used to reduce the risk of invasive breast cancer in postmenopausal women who are at high risk of the disease or who have osteoporosis. It is also used to prevent and treat osteoporosis in postmenopausal women. It is also being studied in the treatment of other types of cancer. It blocks the effects of the hormone estrogen in breast tissue, which may help keep breast cancer cells from growing. It may also help keep bone from breaking down. Raloxifene is a type of selective estrogen receptor modulator (SERM).

39
Q

Salpingo Oophorectomy (BSO)

A

is the surgery to remove the ovaries and fallopian tubes. Removal of one ovary and fallopian tube is called a unilateral ____. When both are removed, it’s called a bilateral ____. This procedure is used to treat a variety of conditions, including ovarian cancer.

40
Q

Tamoxifen

A

is a selective estrogen receptor modulator (SERM)

41
Q

Tamoxifen is approved by the FDA to:

A
  • Treat women and men diagnosed with hormone-receptor-positive, early-stage breast cancer after surgery (or possibly chemotherapy and radiation) to reduce the risk of the cancer coming back (recurring)
  • Treat women and men diagnosed with advanced-stage or metastatic hormone-receptor-positive disease
  • Reduce breast cancer risk in women who haven’t been diagnosed but are at higher-than-average risk for the disease.
42
Q

Trans-vaginal ultrasound

A

is a test used to look at a woman’s uterus, ovaries, tubes, cervix and pelvic area. ​____ means across or through the ​vagina​. The ​ultrasound​ probe will be placed inside the ​vagina​.

43
Q

Tumor Suppressor Gene

A

are normal genes that slow down cell division, repair DNA mistakes, or tell cells when to die (a process known as apoptosis ​or ​programmed cell death​). When tumor suppressor genes don’t work properly, cells can grow out of control, which can lead to cancer. An example is BRCA1 and BRCA2

44
Q

Tyrer-Cuzick/IBIS breast cancer model

A

Software - based risk model used to calculate a woman’s lifetime risk of breast cancer based on family history and other risk factors. Lifetime risk equal to or above 20%, according to guidelines, qualifies a woman for increased breast surveillance.

45
Q

United States Preventive Services Task Force (USPSTF)

A

is an independent, volunteer panel of national experts in disease prevention and evidence-based medicine. ____ works to improve the health of all Americans by making evidence-based recommendations about clinical preventive services.

46
Q

Variant of Uncertain Significance (VUS)

A

is an allele, or variant form of a gene, which has been identified through genetic testing, but whose significance to the function or health of an organism is not known.

47
Q

ACOG- American College of Obstetricians and Gynecologists

A

is a professional membership organization, made up of >58K board-certified Ob/Gyns, dedicated to the improvement of women’s health. Its activities include, but are not limited to, producing practice guidelines and other educational material for practicing ob/gyns.

48
Q

Ashkenazi Jewish Ancestry

A

are those who originated in Eastern Europe. (Sephardic Jews, by contrast, are from the areas around the Mediterranean Sea, including Portugal, Spain, the Middle East and Northern Africa.)

49
Q

Pharmacogenomics

A

uses information about a person’s genetic makeup to choose the drugs and drug doses that are likely to work best for that particular person. The study of how a person’s individual DNA affects their response to medications.

50
Q

Alleles

A

different versions of the same gene

51
Q

Genotype

A

the combination of the 2 alleles an individual has for a gene

52
Q

Phenotype

A

the effect these alleles produce; this can be a physical characteristic such as hair color, or something you can’t see, like the ability to metabolize a certain medication

53
Q

Polymorphism

A

change in the genetic sequence

54
Q

Wild Type

A

the most common version of a gene

55
Q

DNA

A

a double stranded entity that is made up of nucleotides that pair together; carries all the information about a living thing

56
Q

Chromosomes

A

structures that help organize our DNA

57
Q

Enzymes

A

break down medications in our livers so they can be removed from our bodies

58
Q

Gene

A

sequence of DNA that creates a protein; tells the body how to perform and function on a daily basis

59
Q

Protein

A

major structural components of our bodies; plays roles that help us function – as enzymes, transporters, etc.