Variants 2023 Flashcards

(55 cards)

1
Q

Metacentric chromosome pairs are:

A

1st; 3rd; 16th; 19th; 20th chromosome pair

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2
Q

The cytogenic diagnosis of a man with Rhetore syndrome is:

A
  • 46 XY 9p
  • 46 XY 9p+
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3
Q

which of the diseases is included in mass screening?

A

klinefelter syndrome

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4
Q

which of the following disorders are X linked?

A
  • Everything EXCEPT for Von Willebrand Disease
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5
Q

what is the most common condition resulting in disproportionate small stature?

A

achondroplasia

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6
Q

which of the following characteristics is NOT typical for multifactorial inheritance?

A
  • Sex Predilection
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7
Q

a mutation in which genes causes lynch syndrome

A

MMR genes: MLH1, MLH2, MSH6, PMS2, EPCAM

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8
Q

In which of the diseases is observed locus and alleic heterogenity

A

thalassemia beta

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9
Q

which of the diseases mostly affects women due to the high mortality in male fetuses

A

Retts syndrome

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10
Q

what would you recommend to a pregnant woman who has a 1:90 risk for downs syndrome from
the early biochemical screening test

A

prenatal diagnosis because her risk is high

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11
Q

Which of the following screening tests is with HIGHEST sensitivity for Aneuploidies in 12 week of pregnancy?

A
  • NIPT
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12
Q

For which disease is Kaiser-Flasher’s Ring characteristic?

A

wilson-konovalov disease

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13
Q

the error in meiosis that produces 47XYY is best described by which of the following?

A

meiosis division II of paternal spermatogenesis

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14
Q

a female with turner syndrome is denoted by which of the following cytogenic notations?

A
  • 45 X
  • 46, X, r(X)
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15
Q

which staining technique is used to visualise the heterochromatin blocks in a 1;9;16 chromosome pair?

A

G banding

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16
Q

a girl with early developmental and speech delay is able to progress to third grade but is falling fourth grade. evaluation shows an elongated body habitus like her mother with somewhat lax joints. Genetic evaluation is suggested, and a chromosomal analysis reveals a 47 XXX karyotype with normal fragile X DNA studies. Which of the following descriptions best fits this abnormality?

A

sex chromosome aneuploidy

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17
Q

A person is the only one in their family affected by a genetic conditions. genetic testing shows that the condition is due to a de novo pathogenic variant.

Based on this information, which
condition is LEAST likely to be affecting this person?

A

Cystic fibrosis (CF)

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18
Q

Ectrodactyl causes missing middle fingers (lobster claw malformation) and exhibits genetic heterogeneity with autosomal dominant and recessive forms.

one type of ectrodactyl (split handfoot malformation) is an autosomal dominant trait. a grandfather and grandson have this form of ectrodactyl, but the intervening father has normal hands by x-ray.

which of the following terms
applies to this family?

A

Incomplete Penetrance

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19
Q

An infant with severe muscle weakness is born due to a mother with mild muscle weakness and myotonia.

The mother’s father is even less affected, with some frontal baldness and cataracts.

Worsening symptoms in affected individuals of successive generations suggest with of the following inheritance mechanisms?

A
  • Unstable Trinucleotide Repeats
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20
Q

What is the term for cells that have a mixture of mitochondria containing “mutated” and wild-type DNA?

A

Heteroplasmic

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21
Q

Current protective data show the highest risk of what type of cancer in women with pathogenic variants in the BRCA1 or BRCA2 genes?

A
  • Breast
  • Ovarian
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22
Q

A Child has severe, autosomal recessive neonatal disorder. What’s the chance his healthy 5 Year old Sister is a Carrier?

A
  • 25%
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23
Q

What is the term for the type of DNA modifications that DO NOT alter the DNA Sequence, but which can affect the activity of a gene?

24
Q

To try to determine the cause of a patient’s condition, researchers decide to analyse the patient’s transcriptome. In the planned transcriptome sequencing what will be interrogated?

25
Which one of the following defects causes multi-system symptoms in patients with CF?
- Transmembrane CHLORIDE Channel - Transmembrane SODIUM Channel
26
Which of the following refers to the presence of a mixture of different cells, with different genetic information, in peron?
- Heterozygosity
27
There are many known different genetic causes (involving different genes) or dilated cardiomyopathy. What is the best term for this phenomenon?
- Genetic Heterogeneity
28
Which of the following genes is considered to be a tumour suppressor gene?
- TP53
29
You have ascertained a fully penetrant autosomal dominant disease condition in 3 offspring of a couple with no family history of the disorder. what is the most likely explanation for the pedigree shown here?
- 1 of the Parents carries a DE NOVO (New) Mutation, causing the Autosomal Dominant Disease - FATHER Affected = ALL FEMALES are Affected / ALL MALES are Normal - Uniparental Dysomy - Gonadal Mosaicism
30
1st child of a family is a boy with hunter syndrome. the fetus karyotype of their next pregnancy is 46 XX. what is the probability that this child would be with hunter syndrome?
0%
31
Point the Genetic Mechanisms leading to Prader-Willi Syndrome
- Uniparental Dysomy in Chr15 - Mutation in PWS Gene receive BOTH Copies from Mother / NOTHING from Father - Maternal Imprinting
32
Describe the Dysmorphic Features Shown, in the Picture {DOWNS SYNDROME Case}
- Flattened Nasal Bridge - Slanted Eyes - Smiling - Mental Retardation - Congenital Heart Abnormalities - Autism - Straight Line Palmar Crease
33
Describe the Dysmorphic Features Shown, in the Picture {EDWARDS SYNDROME Case}
- Omphalocele - Rocker Feet - Low-set Ears
34
Describe the Dysmorphic Features Shown, in the Picture {NEUROFIBROMA Case}
- Neurofibroma - Cafe Au Lait Spots - Variable Expressivity
35
Definition for "Reciprocal Translocation"
Where 1 Chromosome EXCHANGES Genetic Material with another
36
Concept of "Pleiotropy", with Examples
- Where Mutation in 1 Gene results in Several Different Diseases / Syndromes - E.g. PKU, Albinism, Sickle-Cell Anemia, Marfan Syndrome
37
Define the Chromosomal Abberation of the Karyograme. What would you expect to get of Sex Chromatin Tests? {DOWNS SYNDROME Case}
- Polysomy - Would expect 1 BARR BODY on Chromatin Test
38
Definition of "Expressivity"
Degree of Expression of a PHENOTYPE
39
A woman with an x linked dominant disorder mates with a phenotypically normal male. On average, what proportion of this couple's daughters will be affected with the disorder?
50%
40
Definition of "Sex Chromatin"
- Inactive Mass of Chromosome X, found in Nuclei - During INTERPHASE for Females - Examples: X & Y-Chromatin
41
Point the Mechanism of Proto-Oncogene Activation
1) Mutation 2) Gene Amplification 3) Shortening / Deletion 4) Chromosomal Conversion
42
Genetic Marker of Burkitt Lymphoma
Chromosomal TRANSLOCATION of c-myc from 8 --> 14
43
What Pattern of Inheritance does this Picture {FEMALE DOMINANCE Case} most likely illustrate? Note that complicating factors, such as Reduced Penetrance, may be present. Assume that the gene frequency of the disorder in the general population is very low. Give 3 Examples
- Mitochondrial Inheritance Example (1) Leigh's Syndrome Example (2) Optic Neuropathy (Leber's) Example (3) Mitochondrial Myopathy
44
3 Clinical Symptoms of Cooley's Anemia & How it's inherited
Autosomal RECESSIVE Disorder - Paleness - Growth Retardation - SEVERE Anemia - Bone Deformities - Hepatosplenomegaly
45
Most Common Mutation in Gene, causing Muscular Dystrophy Type Becker
Point Mutation in DMD Gene, causing LOW Dystrophin Levels
46
4 Differences BTW Mitochondrial DNA / Nuclear DNA
1) M.DNA only codes for Mitochondria / N.DNA codes for the body in general 2) Nuclear DNA is ENCAPSULATED in Nuclear Envelope, whereas M.DNA is NOT 3) M.DNA is CIRCULAR / N.DNA is LINEAR 4) M.DNA is ONLY from the Mother / N.DNA is from BOTH Parents
47
Hereditary disease often present with no previous family history of the disorder. Briefly describe 3 situations in which you would be most likely to observe a genetic disorder for which there is NO previous family history of the disease phenotype (3 brief sentences)
1) De Novo Mutation 2) Uniparent Dysomy 3) Germline Mosaicism
48
2 children of a young healthy couple are with wolf-hirschhorn syndrome. What do you expect from 1of the parents kayotype?
- 46 XX 4p- - Parents have a BALANCED Translocation
49
What is "Sherman Paradox"?
- Fragile X-Syndrome - DNA Packed into Chromatin - Dynamic Mutation AND Anticipation
50
What is "Uniparental Dysomy"?
- BOTH Chromosomes from SAME Parent
51
5 Indications for Prenatal Diagnosis?
1) Family History of NT Defect 2) Advanced MATERNAL Age > 35 Y/o 3) Family History of Chromosomal Abnormality 4) Previous Pregnancy w/ Chromosomal Abnormality 5) Family History of Genetic Disorder
52
Definition of "Phenocopy"
- Environmentally produced PHENOTYPE - With SIMILAR characteristics of ANOTHER GENOTYPE
53
What is the term for the Inheritance of 2 Copies of a Chromosome, or part of a Chromosome from 1 parent (and no copies, from the other parent) ?
Uniparental Dysomy
54
Name at least 2 Features you would use to distinguish an Autosomal Dominant Pedigree and X-Linked Dominant Pedigree
- Autosomal Dominant = Equal Probability for BOTH Sexes to be affected - X-Linked Dominant = Affected FEMALES; Affected Males have NO Normal Daughters / NO Affected Sons
55
1st Child of a family is a boy, who has "Lesch-Nyhan Syndrome". The fetus Karyotope of their pregnancy is 46, XX. What is the probability that this child would be with Lesch-Nyhan Syndrome?
0%