Dysmorphology and Bioinformatics Flashcards

1
Q

What is dysmorphology?

A

The study of congenital malformations (birth defects).

-particularly anatomy related

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2
Q

What proportion of births have congenital malformations?

A

2-3%.

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3
Q

What congenital malformations are more likely to be genetic?

A
  • Dysmorphic
  • Multiple malformations
  • FH
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4
Q

What is ectrodactyly?

A

Split / cleft hand.

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5
Q

What is Waardenburg syndrome?

A

Autosomal dominant condition.

|&raquo_space; deaf, cleft lip, iris heterochromia, premature greying

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6
Q

What is Pallister-Killian syndrome?

A

Tetrasomy 12p mosaicism.

|&raquo_space; developmental delay, hypotonia

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7
Q

What does 22q11.2 deletion lead to?

A

DiGeorge syndrome.

  • learning difficulties
  • cleft palate
  • congenital heart defect
  • seizures
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8
Q

What is achondroplasia?

A

Form of dwarfism.

  • short limbs (Rhizomelic), hydrocephalus, large head
  • autosomal dominant inheritance
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9
Q

What increases the risk of achondroplasia?

A

Increased paternal age.

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10
Q

What are the features of Beckwith-Weidemann syndrome?

A
  • Large tongue
  • Ear creases
  • Exomphalos
  • Hemihypertrophy
  • Increased Wilms tumour risk
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11
Q

What does a single palmar crease indicate?

A

Down syndrome.

-however, 4% (unilateral) / 1% (bilateral) of the population have it

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12
Q

What is Down syndrome associated with?

A
Learning difficulties
Congenital heart disease
Cataracts
Hypothyroidism
Leukaemia
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13
Q

What are the main features of Kabuki syndrome?

A

Learning difficulties
Congenital heart disease
Poor growth
Cleft palate

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14
Q

What condition is associated with persistent foetal finger pads (96%)?

A

Kabuki syndrome.

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15
Q

What condition is associated with GI polyps and malignancies (colorectal, gastric, breast, ovarian)?

A

Peutz-Jeghers syndrome.

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16
Q

What is Treacher-Collins syndrome?

A

Autosomal dominant.

-very variable; cleft palate, hearing impairment

17
Q

What genetic abnormality leads to William’s syndrome?

A

7q11 deletion.

18
Q

What are the main features of William’s syndrome?

A

Learning difficulties
‘Cocktail party’ speech
Congenital heart defect
Hypercalcaemia

19
Q

What is Gestalt diagnosis?

A

Making a diagnosis based on a few signs.

-e.g. physical features at birth

20
Q

What is bioinformatics?

A

Applying computer technology to management of biological information.

21
Q

Where should you get information from for bioinformatics?

A

The internet.

-textbooks are out of date

22
Q

What are useful bioinformatics resources? (4)

A
  • OMIM (genes, mode of inheritance)
  • GeneReviews (prevalence, diagnosis)
  • Orphanet
  • GARD
23
Q

What website is commonly used for genetic diagnosis?

A

UK genetic testing network (UKGTN).

24
Q

What information do array CGH results contain?

A
  • Chromosomal imbalances
  • Copy number variation
  • Gene duplication / deletion
25
Q

What is Cockayne syndrome?

A

Autosomal recessive.

|&raquo_space; decreased growth, premature aging, microcephaly, impaired NS development