Lecture 11 Flashcards

(49 cards)

1
Q

Why do pedigrees?

A

Punnett squares work well for organisms that have large numbers of offspring and controlled matings

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2
Q

human pedigrees

A

small families, uncontrolled matings often with heterozygotes, failure to truthfully identify parentage

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3
Q

Goals of pedigree analysis

A
  1. determine the mode of inheritance dominant, recessive, partial dominance, sex linked, autosomal, mitochondrial and maternal effect
  2. Determine the probability of an affected offspring for a given cross
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4
Q

If two affected people have an unaffected child will the pedigree be dominant or recessive?

A

dominant

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5
Q

If two unaffected people have an affected child, is it dominant or recessive?

A

recessive

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6
Q

If the affected person has an affected pattern is it dominant or recessive?

A

dominant

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7
Q

define pre-implantation genetic diagnosis

A

A test to check whether the fertilized egg has had the genetic disorder passed on

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8
Q

Define Guthrie Test

A

bacterial inhibition assay- test performed on newborn infants to detect PKU, an inborn error of amino acid metabolism

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9
Q

In recent years, what has happened with the Guthrie Test?

A

gradually being replaced in many areas with tandem mass spectrometry that can detect a wider variety of congenital diseases

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10
Q

What is hearing loss mostly due to?

A

congenital issues

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11
Q

How is the Guthrie test done?

A

blood from heal of the newborn is placed on filter paper then placed on agar plate with a strain of Bacillus subtilis

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12
Q

Define Diagnostic tests

A

invasive prenatal diagnosis

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13
Q

Define fetoscopy

A

involves visualization of the fetus by means of endoscope

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14
Q

What is fetoscopy being superseded by?

A

detailed ultrasonography

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15
Q

Define fluorescent in situ-hybridization

A

diagnostic tool combines conventional cytogenetics with molecular genetic technology- based on unique ability of a portion of ss DNA to anneal with its complementary target sequence

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16
Q

What is fluorescent in-situ hybridization useful for?

A

diagnosing various developmental disorders like Prader-Willi syndrome, Angelman syndrome and Down Syndrome

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17
Q

What do raised levels of alpha fetoprotein indicate?

A

open neural defect

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18
Q

What does low level of alpha fetoprotein indicate?

A

chromosomal aberrations (trisomy 21 causing down syndrome)

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19
Q

what effects may some pharmacogenetics have?

A

adverse effects may develop/toxic reactions due to genetically determined enzyme deficiencies

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20
Q

Define pharmacokinetics

A

movement of drug from the time of absorption into body- plasma concentration, tissue distribution, metabolism/detoxification in liver and then elimination from body (input to output)

21
Q

Define pharmacodynamics

A

interaction of drugs with membrane receptors, enzymes, nucleic acids and exertion of their pharmacological effect

22
Q

WHat is succinlycholine sensitivity?

A

short acting muscle relaxant used in general anesthesia- inactivated by plasma cholinestrase within 2-3 minutes

23
Q

What happens in certain ethnic groups with succinlycholine?

A

the plasma cholinestrase is defective and succinylcholine is inactivation very slowly resulting in prolonged apnea

24
Q

Mutation of which gene is responsible for succinlycholine sensitivity?

A

mutation of gene CHE1

25
What is Glucose -6 phosphate dehydrogenase?
X linked recessive- in which the anti-malarial drug Primaquine causes hemolytic anemia
26
What other drugs cause hemolysis?
phenacetin, nitrofurantoin and sulfonamides
27
What do fava beans cause?
favism
28
What ethnic groups is glucose 6 phosphate dehydrogenase common?
afro caribbean descendants and persons of middle eastern origin- not common in caucasian
29
What is coumarin anticoagulants used for?
in treatment of deep vein thrombosis
30
What is coumarin anticoagulants ?
drug metabolized by cytochrome P450 located on chromosome 10
31
What does mutation of gene with coumarin anticoagulants cause?
leads to decreased metabolism of the drug and hence individuals require lower dose of above drugs
32
What is malignant hyperthermia?
a rare complication of general anesthesia where halothane was used- patients develop high fever- autosomal dominant
33
What should MH be treated with?
cooling and IV procaine or dantrolene
34
Mutation is which gene is responsible for MH?
RYR1 gene
35
What is alcohol metabolism?
alcohol is metabolized in liver by alcohol dehyrogenase enzyme to acetaldehyde which degrades acetaldehyde dehydrogenase
36
What ethnic group tolerates alcohol well?
Caucasians
37
What ethnic group does not tolerate alcohol well?
East Asians- develop flushing reaction
38
What is chronic granulomatous disease due to?
Due to enzyme NADPH oxidase deficiency which is essential for productin of H2O2 during phagocytosis - ingested microbes are not killed
39
What is treatment for CGD?
antibiotics and interferon are treatment - chemoprophylaxis with trimethoprim and sulfamethoxazole can reduce infections
40
Can you have recurrent infections with CGD?
YES
41
What is Bruton's agammaglobulinemia
X linked disorder, more common in young boys- individuals do not generate mature B cells leading to virtual absence of B cells resulting in lack of antibodies in blood
42
Where is the mutation in Bruton's agammaglobulinemia?
mutation in gene encoding tyrosine kinase- a signal transduction protein
43
What recurrent infections will you have with Bruton's agammaglobulinemia?
recurrent respiratory infections with strep pneumonia/Hem influenza in childhood
44
Medication for Bruton's agammaglobulineamia
intravenous infusion of immunoglobulin every 3-4 weeks for life
45
What is hyper IgM syndrome due to?
failure of class switching from IgM production to other classes of antibiotics
46
Are the number of T cells and B cells normal in someone with hyper IgM?
YES
47
What is defective in someone with hyper IgM?
gene encoding CD40 ligand of CD4 +ve helper T cell is defective, which prevents class switching
48
What recurrent infection is possible with Hyper IgM?
bacterial pyogenic infections like in bruton's
49
What is defective in severe combined immunodeficiency syndrome?
Both T cells and B cells, tonsils and lymph nodes absent, immunoglobulins are very low