Genetics Flashcards

(39 cards)

1
Q

What are the three different stages of the gestational period?

A
  1. preembryonic (fertilization to 3 weeks)
  2. embryonic (4-8 weeks)
  3. fetal (9 weeks to birth)
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2
Q

What are the three germ cells or layers of tissues developed in the pre-embryonic stage?

A
  1. ectoderm
  2. mesoderm
  3. endoderm

which leads to the development of organs and tissues of the fetus

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3
Q

Which germ cell or layer of tissues is relevant for the auditory and vestibular system? Why is it relevant?

A

ectoderm (outer layer)

It gives rise to the inner, sensory epithelia, epidermis, and central nervous system.

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4
Q

What germ cell or layer of tissue are the Eustachian tube and middle ewar cavity from?

A

Endoderm

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5
Q

Which days do the neural tube, brain, and spinal cord begin to develop?

A

Days 14- 17 post-fertilization

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6
Q

What week of gestation gives rise to the CNS?

A

The fourth week

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7
Q

What week does the cochlear turn develop?

A

Week 16 (embryonic stage)

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8
Q

The membranous and bony labyrinths become fully developed by week ___. This marks what?

A

Week 20

Marks anatomic and mechanical structure is in place, but neuroelectrical system and outer hearing mechanisms are not yet primed to establish functional hearing.

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9
Q

Cochlear bony and membranous structures are at full size by ______. Which develops what?

A

Week 34

Develops base to apex (which develops HF first)

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10
Q

Achondroplasia

A

Autosomal dominant

Identifiers:
* Form of short-limbed dwarfism
* Enlarged heart
* Depressed nasal bridge
* Short, stubby hands
* Lordotic lumber spine
* Protruding abdomen

Auditory Findings:
Ear infections
CHL or SNHL

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11
Q

Alport syndrome

A

Primarily X-linked (meaning male dominated), but can be autosomal recessive or dominant

Identifiers:
-Males more affected
-Abnormal retina color
-Kidney abnormalities (glomerulonephritis)

Auditory dx:
SNHL, progressive

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12
Q

Apert Syndrome

A

**Autosomal dominant **

Fused fingers and toes
Possible stensois or atresia

Bilateral flat CHL, can be SNHL

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13
Q

AUNA1

A

Autosomal dominant

Nonsyndromic

ANSD with late teen onset
Progress to profound

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14
Q

CHARGE

A

Autosomal dominant

-Ocular abnormality (coloboma)
-Heart defects
-Abnormal nasal structure (atresia chonae)
-Delayed growth and pubery
-Genital abnormalities

SNHL and MHL mild to profound HL
balance problems

Colomba of the eye, heart defects, atresia of the nasal choanae, growth retardation, genital abnormalities

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15
Q

Congential unilateral lower lip palsy (CULLP)

A

Autosomal dominant
Asls due to birth trauma (compression of nerve)

-Unilateral facial paralysis seen when baby cries

-POSSIBLE SNHL

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16
Q

Connexin 26

A

Autosomal dominant; can be autosomal recessive

Nonsyndromic

Progressive bilateral SNHL

17
Q

Jervell & Lange-Nielsen

A

Autosomal recessive

Prolonged heart QT
Repeated syncope attacks
Seizures

Bilateral profound SNHL

18
Q

Noonan syndrome

A

Autosomal dominant

-Short stature
-Widely spaced eyes (usually blue or green)
-High-arched palate
-Downward palpebral fissure
-Short nose
-Broad or webbed neck
-Hypotonia
-Cardiac anomalies

-Middle and inner ear anomlies
-CHL, MHL, SNHL

19
Q

Stickler syndrome

A

Autosomal dominant

-Flat facial profile
-Mandibular hypoplasia
-Cleft palate
-Musculoskeletal and joint issues
-Joint hypermobility
-Osteoarthritis
-Long limbs
-Slender bones
-Nearsighted
-Retinal detachment
-Cataracts
-Blindness

Auditory findings:
-Type 1- HF SNHL
-Type 2- severe and progressive SNHL
-Type 3- mild to moderate SNHL

19
Q

Pendred syndrome

A

Autosomal recessive

Goiter (enlarged thyroid)

-Bilateral HF SNHL, progressive
-Enlarged vestibular aqueduct
-Possible vestibular anomalies

20
Q

Treacher Collins

A

Autosomal dominant or recessive

Craniofacial abnormalities
Pinna deformities

Primarily CHL, can be MHL or SNHL

21
Q

Usher Syndrome with ages

A

Type 1- age 10
Type II- early 20s
Type II- puberty

Autosomal recessive

Retinitis pigmentosa (progressive eye disease)

Auditory:
-Bilateral SNHL (progressive- Type i & III
-Dizziness and/or imbalance

22
Q

Waardenburg syndrome

A

Autosomal dominant (Type I & II)
Autosomal recessive (Type III & IV)

-White forelock
-Upper limb anomalies (Type III)
-Hirschprung disease (Type IV)
-Dystopia canthorum (wide nasal bridge)
-Heterohromia (Type III)
-Musculoskeletal (Type III)

23
Q

The external ears (pinna) migrate to the final newborn position when?

24
What happens with the external auditory canal between week 17-20 and 21?
Week 17-20: The external auditory canal is blocked with a metal plug (which will become the TM) until 21st weeks of gestation Week 21: External auditory canal becomes filled with tissue and amniotic fliuid
25
What age does the pinna develop to adult size?
by age 9 years of age
26
EAC grows to what length into adulthood
From 0.5 cm (as an infant) to 2.2 cm into adulthood
27
Cochlea development (ex, tuning curve sharpening, especially at the apex) continues until what age?
age 8
28
CN 8 myelination continues through the first several months fo infancy up until when?
up 6 months to full maturation
29
Auditory brainstem (pons and midbrain) continues to grow until when? What about myelination in the brainstem?
Auditory brainstem unitl ages 8 (pons) and 6 (midbrain) years Myelination complete by approximately 1 year of age
30
Auditory cortex fully develops until when?
about 20 years due to caudal to rostral maturation of the CNS
31
When does the external ear canal form? What about the outer 1/3 part?
week 5 week 8
32
When does the presence of the utricle and saccule, and SCC begin to form?
week 6
33
When does the audlt size inner ear and adult shaped (not size) ear develop?
Week 20
34
What disorders occur at week 4?
1. First arch syndrome (CHL) microtia, atresia, ossicles, middle ear 2. Treacher Collins syndrome (CHL, MHL, SNHL) microtia, atresia, ME, IE 3. Pierre Robin sequence (CHL) outer ear, ,emllaer lower jaw, plate **due to cellular migration disruption**
35
What conditions can occur from week 4-10?
Tetraogens (CMV, TORCH infections, rubella virus) SNHL affects CNS, PNS, organ systems, and limbs
36
What disorders occur from week 7-8?
Mondini aplasia affecting cochlea SNHL Genetics, syndromes, tetrogen, CMV
37
When does the vestibular system develop? When does it become adult-like?
12 to 14th week gestation adult0-like by the 24th week of gestation
38