Clinical genetics Flashcards

1
Q

Which of the following is/are characteristic/s of autosomal dominant inheritance?

A. Male to daughter transmission occurs. 
B. Male to male transmission occurs. 
C. Males can have unaffected daughters. 
D. A and C are correct. 
E. All are correct.
A

E

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2
Q

Which is/are TRUE of an X-linked recessive inheritance?

A. The gene cannot be transmitted directly from father to son.
B. Heterozygous females can manifest the disorder.
C. Carrier females have a 50% chance of having unaffected carrier daughters.
D. All are correct.
E. A and C are correct.

A

E

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3
Q

Which of the following manifest as non-Mendelian inheritance pattern?

A. Triplet repeat expansion disorders
B. Mitochondrial disorders
C. Genomic imprinting
D. All of the above

A

D

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4
Q

Which of the following characterize triplet repeat expansion disorders?

A. Segments of DNA that contains a repeat of three nucleotides.
B. All affected members of a family share the same number of triplet repeat numbers.
C. An expansion of the triplet repeats can happen from one generation to the next.
D. A and C are correct.
E. All are correct.

A

D

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5
Q

Which of the following characterizes mitochondrial disorders?

A. The father does not transmit the condition to his children.
B. Females are more affected often than males in multiple generations.
C. There is little variability in clinical manifestations.
D. All of the above

A

A

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6
Q

Which of the following characterizes multifactorial inheritance pattern?

A. Males are affected more severely.
B. There is no clear pattern.
C. There is no generation skipping.
D. All of the above

A

B

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7
Q

Which of the following BEST describes an autosomal dominant condition?

A. Variability in the severity of clinical disease expression is observed.
B. Homozygotes are less severely affected than heterozygotes.
C. The condition is only seen in one generation.
D. Only the father can only transmit the genes to his daughter.

A

A

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8
Q

Which of the following describes imprinting?

A. A parent of origin effect in which modification of a gene allows it to be expressed differently
B. Inactivation of the imprinted copy of the gene which prevents gene expression
C. Conditions such a Prader Willi Syndrome and Angelman Syndrome
D. All of the above

A

D

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9
Q

Which of the following is NOT included in the newborn screening in the Philippines?

A. Glucose-6-phosphate deficiency
B. Galactosemia
C. Congenital adrenal hyperplasia
D. Neural tube defects

A

D

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10
Q

Which characterizes neural tube defects?

A. The beneficial effects of folic acid supplementation rule out the involvement of genetic machinery.
B. Folic acid supplementation is most effectively taken before the neural tube forms.
C. Neural tube defects are likely to be mediated by a single gene defect.
D. The risk of neural tube defects is not increased in patients with previous episodes.

A

B

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11
Q

Which of the following LEAST demonstrates a potential effect of the environment to the phenotype?

A. Increase in the rate of a fetal disease on intake of alcohol or tobacco
B. Avoiding teratogens that harms the fetus
C. Increased chance of neural tube defect due to incidents in family member
D. Preventing undernutrition during pregnancy

A

C

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12
Q

Which of the following a CORRECT match with regards to sex testing?

A. Maternal blood: fetal DNA
B. Chorionic villi: fetal RNA
C. Ultrasound: fetal protein
D. Amnionic fluid: fetal phenotype

A

A

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13
Q

Which of the following is INCORRECT about complex/multifactorial traits?

A. Phenotypes of these traits are very distinct.
B. Environment likely plays a role.
C. Several gene and their interactions are involved.
D. Obesity, intelligence, and neural tube defects are examples of complex traits.

A

A

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14
Q

The family pedigree is a useful diagnostic tool due to the following reasons:

 A. Establishes pattern of inheritance 
 B. Identifies at-risk family members 
 C. Help families decide on their reproductive options 
 D.NOTA 
 E. AOTA
A

E

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15
Q

Consanguinity is associated with what pattern of inheritance?

A. Autosomal dominant
B. Autosomal recessive
C. X-linked dominant
D. X-linked recessive

A

B

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16
Q

Male to male transmission is a key feature of which pattern of inheritance?

A. Autosomal dominant
B. Autosomal recessive
C. X-linked dominant
D. X-linked recessive

A

A

17
Q

Which of the following statements is TRUE in autosomal recessive disorders?

A. Males and females are equally affected
B. Parents of an affected child are symptomatic carriers of
mutant alleles
C. The recurrence risk is 1 in 4, if both parents are
heterozygous for the mutant allele
D. A and C are correct
E. All are correct

A

D

18
Q

Neurofibromatosis Type 1 is one of the most common autosomal dominant disorders. A woman with neurofibromatosis type 1 has an unaffected partner. Which is correct regarding their children?

A. The probability that each child will be affected is 1 in 4
B. The probability that the second child will be affected if the first is affected is 1 in 4
C. The probability that their third child will be affected if
their first two are affected is 1 in 2
D. If the first child is affected then the second child will not
be affected

A

C

19
Q

Maple syrup urine disease shows autosomal recessive inheritance. Parents of a newly diagnosed affected child are referred for genetic counseling. It would be correct to tell them that:

A. The probability that their next child will be affected is 1/2
B. The probability that the older unaffected sister of the
affected child is a carrier is 1 in 2
C. The fact that their last child was affected means that their
next three children will not be affected.
D. The probability that each parent is a carrier is 1

A

B

20
Q

Characteristics of autosomal dominant inheritance include which of the following?

A. Male to male transmission occurs (male to female yung nakalagay but mas applicable if male)
B. Females are more severely affected than males
C. De novo mutations of an autosomal dominant gene do not occur
D. A and C are correct
E. All are correct

A

A

21
Q

In an X-linked recessive inheritance, which of the following
statements is/are TRUE?

A. The gene is never transmitted directly from father to son.
B. Carrier females have a 50% chance of having unaffected,
non-carrier daughters
C. Heterozygous females can manifest the disorder
D. All are correct
E. All are incorrect

A

D

22
Q

Which if the ff is NOT an example of an unusual pattern of
inheritance

A. Triplet repeat expansion disorders 
B. Mitochondrial disorders 
C. Genetic Imprinting 
D. None of the above
E. All of the above
A

D

23
Q

Which of the following factors does not increase the risk of
multifactorial inheritance disease?

A. Proband of the more rarely affected sex
B. Severe or early onset of disease in proband
C. Low heritability of the disease
D. A and C
E. All of the above

A

C

24
Q

Which of the following DOES NOT refer to imprinting?

A. A parent of origin effect in which a modification of a gene are also expressed differently. (not sure if the italicized words are correct)
B. Inactivation of the imprinted copy of the gene which
prevents expression
C. Anticipation is one of its characteristics
D. None of the above

A

D

25
Q

Which of the following is/are true in an X-linked recessive inheritance?

A. Heterozygous females can manifest the disorder
B. The gene is never transmitted directly from father to son
C. Carrier females have a 50% chance of having unaffected
carrier daughters
D. All of the above
E. None of the above

A

D

26
Q

Which of the following does not show non-mendelian pattern of inheritance?

A. Mitochondrial
B. Triple repeat expansion
C. Genomic imprinting
D. All do not show the pattern
E. All show the pattern
A

E

27
Q

Which of the following is/are TRUE about mitochondrial disorders?

A. Organs requiring high energy use are affected by mitochondrial disorders
B. Disorders caused by mitochondrial disorders follow the mitochondrial pattern instead of mendelian inheritance patterns
C. Heteroplasmy is the presence of normal and mutant DNA in one cell
D. All are true
E. Only A and C are true

A

D

28
Q

Which is/are TRUE of multifactorial pattern of inheritance?

A. Only Males are more severely affected
B. There is no pattern
C. There is no generation skipping
D. All of the above
E. None of the above
A

B

29
Q

Angel decided to sign up for a program…and found out that she carries the gene FTO predisposing her to obesity. What advice would you give her?

A. Angel will not be anything but obese because of this gene.
B. Angel should learn to exercise to fight the effects of the gene.
C. Angel can never fight her liking of rich fatty foods.
D. Angel’s offspring will all be obese.

A

B

30
Q

Which of the following is/are true about pedigree as a diagnostic tool?

a. It can establish the pattern of inheritance in a family
b. It helps in identifying at risk family members
c. It can explore the patients level of understanding his/her illness
d. All are correct
e. All are incorrect

A

d

31
Q

Confounding factors of patterns of inheritance except:

a. small family
b. non paternity
c. sex influenced/limited gene expression
d. NOTA
e. AOTA

A

b

32
Q

Which statement is correct regarding autosomal recessive disorder?

a. Male and females children are equally affected
b. Parents carry mutant allele and are symptomatic
c. There is 1 out of 4 recurrence risk
d. A and C
e. All of the above

A

d

33
Q

Which is true for an autosomal dominant trait with 1 parent affected?

a. Male-Female transmission
b. Male-Male transmission
c. Male can have unaffected daughters
d. A&C
e. AOTA

A

e

34
Q

Unusual inheritance patterns is/are seen in the following EXCEPT

a. Triple repeat expansion disorders
b. Mitochondrial disorders
c. Genome imprinting
d. NOTA
e. AOTA

A

d

35
Q

What is/are characteristics of triple repeat expansion disorders?

a. Segments of DNA that contains a repeat of 3 nucleotides
b. All affected members of a family share the same number of triplet repeat nucleotides
c. c. An expansion of the triplet repeats can happen one generation to the next
d. A and C
e. AOTA

A

c

36
Q

Characteristics of mitochondrial disorders:

a. Organs with high energy use most affected by mutant mitochondria
b. Follows mitochondrial pattern instead of Mendelian inheritance
c. Heteroplasmy refers to presence of mutant and normal mitochondria in cell
d. A and C only
e. All of the above

A

e

37
Q

Which of the following is/are true regarding X-linked dominant disorders?

a. It is often lethal in males.
b. There is male to male transmission.
c. Females usually express the condition.
d. A and C are correct.
e. AOTA

A

d

38
Q

True of autosomal dominant disorders:

a. Males are more affected than females
b. Cute si Dane
c. These is generation skipping
d. All are correct
e. All are incorrect

A

e