Cystic Fibrosis Flashcards

1
Q

what is cystic fibrosis?

A

a genetic disease that causes an inherited defects in cell Chloride channels

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2
Q

what happens to the cell chloride channels in a patient with cystic fibrosis?

A

reduced ability to control flow of chloride ions

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3
Q

what does cystic fibrosis cause?

A
  • production of excess, sticky mucous

- any secretions affected (mainly lung and pancreas)

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4
Q

what gene is affected in patients with cystic fibrosis?

A

the CFTR gene (cystic fibrosis transmembrane regulator gene) becomes mutated

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5
Q

what is the most common genetic mutation present in cystic fibrosis patients?

A

F508del mutation

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6
Q

what type of disease is cystic fibrosis?

A

a recessive disease (both parents need to have a copy of the mutated gene in order for it to present in children)

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7
Q

what tests can help diagnose cystic fibrosis?

A
  • prenatal screening (amniocentesis)
  • perinatal testing
  • ‘sweat test’ where CF suspected
  • CFTR gene testing
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8
Q

what perinatal screening occurs nowadays?

A

ALL children now screened at day 5 (blood spot test) which checks for 9 serious diseases.

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9
Q

why is the ‘sweat test’ used in suspected CF patients?

A
  • measures salt content of sweat

- greater salt content in CF patients

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10
Q

what are the main symptoms of CF in children?

A
  • troublesome cough
  • repeated chest infections
  • prolonged diarrhoea
  • poor weight gain
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11
Q

what are the consequences of cystic fibrosis?

A
  • liver dysfunction
  • osteoporosis proneness
  • diabetes symptoms
  • reduced fertility
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12
Q

why does liver dysfunction occur in CF patients?

A

due to cirrhosis

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13
Q

why are CF patients prone to osteoporosis?

A

poor absorbance of nutrients such as vitamin D

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14
Q

why do CF patients have diabetes symptoms?

A

due to prolonged pancreas disease

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15
Q

what treatment is used for CF patients?

A
  • physiotherapy
  • medication
  • exercise
  • transplantation
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16
Q

how can physiotherapy help CF patients?

A
  • helps to remove the mucous secretions from the lungs

- 10 to 60 mins daily needed

17
Q

what medication is used in CF patients to aid the lungs?

A
  • bronchodilators to open airways
  • antibiotics to reduce chest infection frequency
  • steroids to reduce airway inflammation
18
Q

what medication is used in CF patients to aid the pancreas?

A
  • pancreatic enzyme replacement

- nutritional supplements

19
Q

what other medications are used in CF patients?

A
  • CFTR modulators

- stem cell treatments

20
Q

what are examples of CFTR modulators?

A
  • ivacaftor
  • tezacaftor
  • elexacaftor