Genetic Concerns Flashcards

(41 cards)

1
Q

Phenotype

definition
examples (2)
A

Outward, physical manifestations

dysmorphic features
short stature

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2
Q

Genotype

A

Genetic makeup

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3
Q

Pedigree history

AKA
how many generations?

A

Genogram

Three generations

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4
Q

Typical characteristics of a child with PKU?

A

Blond, blue eyed, flat footed

Michael Poole

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5
Q

What is another name for Down’s Syndrome?

A

Trisomy 21

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6
Q

What causes people with Down’s sydrome to appear to have widely spaced eyes?

A

Their flattened nose

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7
Q

Why do people with Down’s syndrome appear to have a large tongue?

A

Low tone

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8
Q

What are inner epicanthal folds and who is likely to have them?

A

Redundant skin at the inner corner of the eye

Down’s syndrome likely to have

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9
Q

What palmar feature can often be found in those with Down’s syndrome?

A

Single transverse palmar crease

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10
Q

Down’s syndrome -

complications that may occur (8)

A
hearing or vision impairment
seizures
early dementia (age 30-40)
congenital heart disease such as septal defects
intestinal atresia
obesity
endocrine abnormalities - Diabetes
leukemia (4x greater risk)
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11
Q

What is another name for Klinefelter’s Syndrome?

A

XXY syndrome

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12
Q

Klinefelter’s syndrome -

males, females, or both

A

males

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13
Q

Klinefelter’s syndrome -
what is the genetic situation?
significance?

A

An extra X chromosome

which results in a “little more female-ness”

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14
Q

Klinefelter’s syndrome -

when do manifestations become apparent?

A

Puberty;

appears normal at birth

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15
Q

Klinefelter’s syndrome -

may present initially with what complaint?

A

Infertility

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16
Q
Klinefelter's syndrome -
phenotypical manifestations (7)
A
tall stature
abnormal body proportions
transverse palmar crease
underdeveloped secondary sex characteristics
gynecomastia
learning disability
personality impairment
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17
Q

What is another name for Turner’s syndrome?

18
Q

What is a KARYOTYPE?

A

The number and appearance of chromosomes

19
Q

Turner’s syndrome -

males, females, or both

20
Q

Turner’s syndrome -

What percent survive to term?

21
Q

Turner’s syndrome -

What is a key finding in utero?

A

Lymph-EDEMA

resulting in a “puffy baby” and webbed neck

22
Q
Turner's syndrome -
phenotypical presentation (7)
A
short stature
low hairline
webbed neck 
"shield-shaped" chest
lack of secondary sex characteristics
learning disabilities
hypertension --> coarctation of aorta
23
Q

What is Marfan syndrome?

A

Inherited CONNECTIVE TISSUE disorder

24
Q

Marfan syndrome -

what systems are affected?

A

skeletal
cardiac
ophthalmic

25
``` Marfan syndrome - phenotypical presentation (5) ```
``` tall arm span exceeds height pectus carinatum or excavatum kyphoscoliosis (curvature of spine) hyperextension of joints ```
26
Marfan syndrome - | typical facial appearance
long and narrow
27
Marfan syndrome - | typical palate
high-arched and narrow
28
Marfan syndrome - | cardiovascular significance
AR MVP AA
29
Marfan syndrome - | eye involvement - terms and definitions
ectopia lentis - lens dislocation | iridodonesis - tremulousness of the iris on movement of the eye
30
Tay-Sachs disease - | seen most in what population
Ashkenazic Jews
31
Tay-Sachs disease - | age of onset
Normal at birth; | deterioration begins between @ 3 - 6 months
32
Tay-Sachs disease - | life expectancy
usually die by age 7 to 8 years
33
``` Tay-Sachs disease - typical progression (7) ```
``` decreased muscle tone listlessness blindness deafness seizures vegetative state death ```
34
Tay-Sachs disease - | hallmark on eye exam
cherry red macula
35
DiGeorge Syndrome - | otherwise known as...
Velo-cardio-facial syndrome
36
DiGeorge Syndrome - | congenital defect affecting what areas of the body?
parathyroid thymus face (conotruncal anomalies)
37
``` DiGeorge Syndrome - phenotypic presentation (3) ```
``` increased INFECTION (due to thymic dysplasia) abnormal FACIES - lateral displacement of inner canthi - short palpebral fissures - short phitrum - micrognathia (receding chin) - ear anomalies AORTIC ARCH anomalies ```
38
DiGeorge Syndrome - | endocrine effects
hypoparathyroidism | --> HYPOcalcemia --> seizures in infancy
39
DiGeorge Syndrome - | cognitive and behavioral problems?
yes
40
DiGeorge Syndrome - | cause of neonatal morbidity and mortality related to what?
cardiac defects
41
Down's syndrome - | what eye condition can be associated?
Brushfield spots (salt and pepper speckling of the iris)