P1 GENETICS Flashcards

Inherited weakness of shoulder girdle muscle

1
Q

Heterogeneous group of genetically determined disorders is known as

A

Muscular dystrophy

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2
Q

Causes of MD

A
  • genetic mutations
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3
Q

in blood test of MD you’re checking which enzyme

A

creatine kinase

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4
Q

incase of Limb-Girdle MD which muscles are involved first

A

Shoulders & hips

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5
Q

other areas affected in LIMB-GIRDLE MD

A

heart
Diaphragm / resp. muscles
spine

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6
Q

Etiology / genetic predisposition of limb-girdle MD

A
  • autosomal recessive
  • autosomal dominance
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7
Q

onset of LIMB-GIRDLE MD

A

before middle / late childhood

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8
Q

serum CK levels in LIMB-GIRDLE MD

A

elevated

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9
Q

EMG & muscle biopsy findings in LIMB-GIRDLE MD

A

Muscular dystrophy

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10
Q

prognosis of LGMD

A

Usually need wheelchair by the age of 30

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11
Q

muscles first involved in facioscapulohumeral MD

A

face , shoulders , upper arms , lower legs

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12
Q

gender affected the most by facioscapulohumeral MD

A

males more than females

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13
Q

other areas affected in facioscapulohumeral MD

A

eyes , ears , heart , trunk

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14
Q

Etiology of facioscapulohumeral MD

A

Autosomal dominance

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15
Q

serum CK levels in facioscapulohumeral MD

A

greatly elevated

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16
Q

sign of which muscle dystrophy

A

facioscapulohumeral MD

17
Q

gender affected with Emery-Dreifuss MD

18
Q

muscles first involved in Emery-Dreifuss MD

A

upper arms & lower legs

19
Q

other affected areas in Emery-Dreifuss MD

A

heart , spine

20
Q

Etiology of Emery-Dreifuss MD

A

X- linked recessive
autosomal dominance

21
Q

onset of Emery-Dreifuss MD

A

5 -15 years of age

22
Q

serum CK levels in Emery-Dreifuss MD

A

Mildly elevated

23
Q

muscles first involved in oculopharyngeal MD

A

face ( around the eyes )
neck
upper arms & legs

24
Q

other areas affected in oculopharyngeal MD

25
most common MD
Duchenne
26
gender affected more with Duchenne MD
MALES
27
muscle weakness onset in duchenne
before 5 years
28
muscles first involved in Duchenne MD
upper arms & legs
29
other areas affected in Duchenne MD
brain , throat , heart , spine stomach , diaphragm ,stomach Intestines
30
Protein that holds actin to the sarcolemma
Dystrophin
31
mention the 3 Dystrophinopathies
- Duchenne muscular dystrophy / DMD - Becker muscular dystrophy / BMD - DMD associated dilated cardiomyopathy
32
Etiology of Dystrophinopathies
X-linked recessive new mutations
33
Most mutations in Dystrophinopathies
deletions of exons 46-51
34
Quantity of dystrophin in DMD
Absent / severely reduced
35
serum CK levels in DMD
Consistently elevated
36
age of onset of BMD
12 years
37
main presenting feature of BMD
Cardiomyopathy
38
Becker MD commonly affects which gender
males