Sketchy Path: Neuro - "Neurofibromatosis" Flashcards

1
Q

NF-1 is a mutation in which chromosome?

A

17

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2
Q

What inheritance pattern does NF-1 have?

A
  • Autosomal dominant (dominant domino sign)

* 100% penetrance (coffee beans 100% Peruvian)

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3
Q

What protein is broken in NF-1?

A
  • Tumor suppressor (cancer-fighting ribbon)

* RAS (like the rat being swept away)

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4
Q

Review the signs/symptoms of NF-1.

A
  • Café-au-lait macules (spilled coffee on barista’s apron)
  • Axillary freckling (spots on her apron)
  • Lisch nodules in the eye (like the deLISCH mocha advertised on the counter)
  • Neurofibromas, which are benign growths of Schwann cells (like the swirled latté)
  • Optic gliomas (like the lights with bulges in them)
  • CNS tumors of other kinds, like meningiomas, astrocytomas, and gliomas
  • Pheochromocytoma (rainbow frappé)
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5
Q

Optic gliomas have what pathologic characteristics?

A
  • Rosenthal fibers (red strands by stars)

* Astrocyte derivation (stars)

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6
Q

NF-2 results from a mutation in ________________.

A

the tumor-suppressor protein Merlin on chromosome 22 (like Merlin in the poster with 22 on his cloak)

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7
Q

NF-2 has what inheritance pattern?

A

AD (like the dominant domino)

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8
Q

NF-2 causes what pathologies?

A
  • Bilateral acoustic Schwannomas (kid with white headphones)
  • Meningiomas (girl with dural beanie)
  • Cataracts (girl with white glasses)
  • Spinal Schwannoma (guy with headphone microphone placed conspicuously on his back)
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9
Q

Acoustic Schwannomas can cause what signs/symptoms?

A
  • Dysequilibrium (kid having trouble carrying coffees)
  • Nystagmus (dropped cups with eyes on the bottoms)
  • Facial numbness (girl trying to feel her face)
  • Facial paralysis (guy with droopy face)
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10
Q

Both kinds of NF will stain for ________________.

A

S-100 (the marker for neural crest cells)

Think of the Spresso-100 machine and the total of $100 on the other side.

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