Genetic Inheritance Flashcards

(48 cards)

1
Q

What are the key factors in spotting autosomal dominant?

A

Male to male inheritance
Incomplete penetrance
Variable expression

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2
Q

How do you predict the inheritance risk of autosomal dominant inheritance?

A

1/2 X penetrance

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3
Q

What are the key points in pointing out autosomal recessive conditions?

A

Usually one generation affected

Parents both asymp. Carriers

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4
Q

How do you predict the inheritance risk of someone inheriting an autosomal recessive condition?

A

Mums carrier risk X dads carrier risk X 1/4

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5
Q

What are the key points in spotting X linked recessive conditions?

A

Usually only men affected
Females are asymp. Carriers
All daughters of affected men are carriers
Can be caused by mutation so not necessarily inherited

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6
Q

What is mosaicism?

A

Mixture of cells in a person with different amount of chromosomes

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7
Q

What is the karyotype for mosaic Down syndrome? (14 and 21 chromosome)

A

47, XX +21/46

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8
Q

Why does mosaicism occur?

A

Due to post-zygotic errors in mitosis (no disjunction or trisomy rescue)

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9
Q

What is trisomy rescue?

A

Where a fertilised ovum containing 3 copies of a chromosome loses one to form normal diploid chromosomes

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10
Q

Give an example of a somatic mosaicism condition

A

Segmental neurofibromatosis

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11
Q

What is germline mosaicism?

A

Mutated cells only present in a persons gonads (won’t have condition but can pass it to child)

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12
Q

Why is reoccurrence of a De novo mutation not 0%?

A

Germline mosaicism

Non-paternity may also be considered

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13
Q

What is non-disjunction?

A

Failure of homologous chromosomes to separate during cell division

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14
Q

What is the trisomy karyotype for Down’s syndrome?

A

47, XX + 21

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15
Q

What is a reciprocal translocation?

A

Where sections of non-homologous chromosomes separate and attach at different points

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16
Q

What is a robertsonian translocation?

A

Translocation caused by breaks at or near the centromeres of two acrocentric chromosomes

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17
Q

What is the karyotype of of a 14 and 21 robertsonian translocation?

A

45, XY, der(14;21)

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18
Q

What are the patterns of chromosomes that cause Down’s syndrome?

A

Trisomy 21 - 47, XX + 21
Robertsonian translocation
Mosaicism

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19
Q

What chromosome set has 100% chance of passing on Down’s syndrome?

A

Translocation trisomy 21 or if two T21 pregnancies

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20
Q

What is pseudo dominant inheritance?

A

Where a recessive condition mimics dominant inheritence pattern?

21
Q

Who can have X-linked dominant lethal conditions?

A

To men they are lethal

To women they are severe

22
Q

Give an example of a x-linked dominant lethal condition

A

Incontinentia pigmenti

23
Q

Why in a certain skin condition might a woman have skin affected and normal skin?

A

Somatic mosaicism

X-linked condition but in each cell one X chromosome is inactive - random in each cell

24
Q

What is genomic imprinting?

A

Epigenetic phenomenon where genes are expressed in a parent of origin specific manner

25
Give two examples of genomic imprinted conditions
Angelman syndrome | Prader will syndrome
26
What is angelman syndrome caused by?
Deletion inherited on maternal chromosome 15
27
What is prayder willi syndrome caused by?
Deletion inherited on paternal chromosome 15
28
If a woman with Prader-Willi syndrome has a child with a normal man what condition will her child inherit?
Angelman syndrome
29
What is uniparental disomy?
When both a child's chromosomes originate from one parent
30
Is trisomy 15 viable?
NO! (Gemma Collin voice) but if trisomy rescue occurs then yes
31
What is the difference between uniparental heterodisom and uniparental isodisomy?
Heterodisom - non disjunction in meiosis stage 1 Isodisomy - non disjunction in stage 2 meiosis
32
What condition is caused by UPD 11
Beckwith-Wiedeman. Syndrome
33
What condition is caused by maternal UPD 11
Silver Russell syndrome
34
What is leber hereditary optic neuropathy caused by?
Three mutations in mitochondrial DNA
35
What is heteroplasmy?
I'm individuals with heteroplasmy the proportion of mutated mitochondria in a cell varies between tissues affecting which organs have symptoms
36
An infant with muscle hypotonia, Palmer creases, congenital defects (heart malformations) and an intellectual disability comes in. What are they most likely to have?
Down's syndrome
37
Am infant comes in with low-set ears, epicanthic foods, bilateral 5th finger clindoactyl and sandal gap deformity comes in. What are they most likely to have?
Down's syndrome
38
What condition is this? 45, XO
Turners syndrome
39
A female patient presents with normal intellect, a lack of pubertal development, infertility, short stature. What are they most likely to have?
Turners syndrome
40
Do turners syndrome have normal life expectancy?
Yes
41
What condition is XXY
Kleinfelter syndrome
42
A male patient is tall, infertile, poor secondary sexual characteristics, gynacomastia and small penis. What are they most likely to have?
Kleinfelter syndrome
43
What condition is this: 46, XY, DEL(5P)
Cri du chat syndrome
44
An infant has a high pitched cry, intellectual disability, microcephaly, hypotonia. What are they most likely to have?
Cri du chat syndrome
45
What is this condition: 47, XX + 18
Edwards syndrome
46
An infant has a low birth weight, small jaw, microcephaly, cleft lip, arthrogryposis. And has a 3rd finger overlying the 4th. There is severe developmental problems. What condition is this?
Edwards syndrome
47
What condition is 47, XX + 13
Patau syndrome
48
What is incomplete penetrance?
Not all individuals carrying a deleterious gene express the associated condition