genetic diseases Flashcards

1
Q

Fabry disease

A

X linked

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2
Q

Myotonic dystrophy inheritcance

A

autosomal dominant triplet repeat expansion disorder
Genetic anticipation

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3
Q

What is the chance of a daughter of an affected male inheriting the gene

A

100% - all fathers pass condition to daughters

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4
Q

When are large expansions of triple repeat diseases more likely

A

More likely if mother is affected
Manifest w foetal akinesia and polyhydraminos

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5
Q

What is oncogensis

A

Swtiching on a normal allele by activating mutation

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6
Q

Which sex chromosome aneuploidies are likely to be incompatible with life

A

45 Y

45 X - tunrers syndrome
Often also fails early but more likely ot survive to term

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7
Q

Exampels of chromosome microdeletion conditions

A

Williams syndrome
Prader willi
Angelman
Smith Magenis

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8
Q

Inheritance of ehlers dhnalos

A

Range of different genes - collagen biosythnthesis and turnover
Autosomal dominant

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9
Q

What causes marfan syndrome

A

Autosomal dominant disorder caused by pathogenic variation in FBN1 gene

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10
Q

What is MSI testing

A

Somatic test of tumour tissue

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11
Q

What is Turners syndrome

A

45 XO karyotype

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12
Q

Features of turners syndrome

A

webbed neck
broad shield chest with widely spaced nipples
cubitus valgus
short fourth metacarpal
lymphoedema of the extremities in the neonate - particularly the feet
low set ears in up to 80%
low hairline
hypoplastic nails
hypertension, which may be idiopathic or may be secondary to coarctation of the aorta

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13
Q

Marfans syndrome features

A

tall stature, long limbs, scoliosis, chest deformities, joint hypermobility, and eye problems such as lens dislocation and myopia

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14
Q

What is the most important complication of marfans syndrome

A

Aortic aneurysma nd dissection

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15
Q

Cardiovascular manifestations of marfans

A

Aortic root dilatiation
Mitral valve prolapse
Tricuspid valve prolapse
Aortic rgurgitation
Pulmonary artery dilatation

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16
Q

MSK manifestations of marfans

A

Arachnodactyly
Dolichostenomelia
Pectus deformities
Scoliosis
Joint hypermobility
Pes planus - flat feet
Protrusio acetabuli - medial displacement of hup

17
Q

Ocular and resp manifestations of marfans ydnreom

A

Ectopia lentis - disclocation or subluxation of lens - hallmark
Myopia
Retinal detahcment
Galucoma and cataracts
Spontaneous oneymothorac
Restrictive lung disease - scolisois etc

18
Q

What is ehler-dhanlos syndroem

A

Autosomal dominant connective tissue disorder mostly affecting type III collagen

19
Q

Features of ehler dhanlos

A

Elastic fragile skin
Joint hypermobility and recurrent dislocation
Easy brusing
Aortic regurgitation, mitral valv prolapse and aortic dissection
Subarrachnoid haemorrhage
Angioid retinal streaks