Lecture 18 Flashcards

1
Q

what is genetic counseling?

A

the process of advising individuals and families affected by or at risk for genetic disorders to help them understand and adapt to the medical psychological, and familial implications of genetic contributions to disease

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2
Q

what three things does the process of genetic counseling integrate?

A
  1. interpretation of familial medical history to assess the chance of disease occurrence and reoccurrence
  2. education about inheritance, testing, management of genetic information, prevention, and resources
  3. counseling to promote informed couches and adaptation to the risks of the condition
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3
Q

describe the inheritance pattern for an autosomal dominant disorder:

A

vertical transmission of disease - at least on affected individual in each generation

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4
Q

what is required in order to present the disease in an autosomal dominant disorder?

A

only one mutated copy of the gene

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5
Q

even though an autosomal dominant disorder is passed down through every generation, what is possible in regards to the presentation of the disorder?

A

the reduction of penetrance is possible - not all individuals who inherit the mutation develop the disease

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6
Q

what is Charcot -Marie -Tooth Syndrome?

A

a type of inherited neurological disorder that affects the peripheral nerves

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7
Q

what is achondroplasia?

A

a disorder of bone growth that prevents the changing of cartilage (particularly in long bones of the arms or legs) to bone

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8
Q

what type of inheritance pattern is an autosomal recessive disorder characterized by?

A

horizontal transmission - affected individual receives two mutated copies from their parents that are healthy carriers

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9
Q

if there is an x-linked dominant disorder, what is the probability that the disease will be passed down to the offspring?

A

affected father: all suns are unaffected but all daughters are affected
affected mother: 50% of all offspring affected

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10
Q

if there is an x-linked recessive disorder, what is the probability that the disease will be passed down to the offspring?

A

affected father: all sons are unaffected and all daughters are carriers
affected mother: 50% of sons are affected, and 50% of daughters are carriers

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11
Q

if there is a y-linked disorder, what is the inheritance pattern?

A
  • only males affected
  • affected males usually have affected fathers
  • affected males will have affected sons
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12
Q

what is mitochondrial inheritance?

A

a sever disorder due to mutations in genes encoded by mitochondrial DNA

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13
Q

who is mitochondrial DNA transmitted by?

A

mothers

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14
Q

in some cases, genetic disorders are characterized by specific craniofacial abnormalities - what is measured after birth to screen for these?

A
  • head circumference
  • external and internal intercanthal distance (distance between orbits)
  • facial characteristics
  • palate evaluation
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15
Q

what is it called when the size of the head is more than two standard deviations under the normal measurement?

A

microencephaly of the occipital front circumference (OFC)

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16
Q

what is it called when the size of the head is more than two standard deviations above the normal measurement?

A

macroencephaly of the occipital front circumference

17
Q

what is an increased distance between the orbits called?

A

hypertelorism

18
Q

what is a reduced distance between the orbits called?

A

hypotelorism

19
Q

what is a epicanthic fold?

A

skin fold of the upper eyelid that covers the inner corner of the eye, extending from the nose to the eyebrow

20
Q

what is the epicanthus inversus?

A

a fold of skin that stretches from the lower eyelid upward and toward the nose

21
Q

what does the reoccurrence risk depend on?

A

the inheritance manner

22
Q

what is prenatal genetic counseling?

A

performed during the pregnancy and has the aim to help the couple understand if the fetus is affected by a genetic condition before birth

23
Q

who can receive post-natal genetic counseling?

A

single individuals (newborns, children, or adolescents) or couples

24
Q

what is the most famous example of a teratological drug?

A

thalidomide

25
Q

what did thalidomide cause?

A

a drug taken in the first 4-6 weeks of pregnancy used as an antiemetic and cause phocomelia (malformations of the arms and legs)

26
Q

what are 5 possible indication that an invasive diagnosis is needed?

A
  1. maternal age of > 35
  2. ultrasound abnormalities
  3. previous child with chromosomal aberration
  4. either parent is a carrier of a chromosomal abnormality
  5. repeated miscarriages
27
Q

what is myelomeningocele?

A

a congenital condition in which the child’s backbone and spinal canal doesn’t close before birth - characterized by neuronal tube defects and an increased level of alpha-fetoprotein in the amniotic fluid