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61 Cards in this Set
- Front
- Back
what is the difference between constitutional and acquired chromosome abnormality?
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constitutional chromosome abnormality is your chromosome make-up at birth (all tissues) while an acquired chromosome abnormality is an abnormality present only in malignant cells (some tissues only), e.g.
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in which cells is chromosome visualization and study limited?
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dividing cells (either in vivo or in vitro)
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where would one look in vivo to see meiosis? Mitosis?
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testis and embryonic ovaries; bone marrow, epithelium, tumors
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which cells can be visualized during mitosis in vitro?
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lymphocytes, skin, fibroblasts, amniotic fluid cells, chorionic villus cells
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to grow up peripheral blood for chromosomal study, T-lymphocytes are stimulated to divide by addition of what? How are these cells blocked in metaphase?
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PHA; colchicine
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what is the purpose of a hypotonic solution for growing up cells to observe chromosomes in mitosis?
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the cells swell which allows for spreading of the chromosomes
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which stain is used to visualize chromosomes?
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Giemsa
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what are the 3 categories of chromosomes based on the location of their centromeres?
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metacentric, submetacentric, acrocentric
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how are chromosomes prepared for the banding technique?
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they are treated with dilute trypsin then stained with Giemsa
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what is the name of the technique which allows fluorescent visualization of specific sequences in chromosomes?
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FISH (fluorescent in situ hybridization)
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how can subtle chromosomal rearrangements involving a certain locus be visualized using FISH?
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by using a DNA probe of known chromosomal location
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how can microdeletion syndromes be detected in chromosomes?
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by using FISH with DNA probes from the region that is commonly deleted in these patients
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what is the name given to simultaneous hybridization of a series of DNA probes from a specific human chromosome?
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chromosome painting
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what is special about FISH using alphoid repeat probes?
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the repeats can determine the copy number of a chromosomes in large number of dividing nuclei to identify trisomies or monomies (does not have to be in metaphase)
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what is the name for the primary constriction where the sister chromatids of a replicated chromosome are held together until anaphase stage of cell division?
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centromere
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what is the composition of the centromere?
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tandem, head-to-tail repeats of a 171-bp monomer that is further organized into higher-order repeats
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what is the function of telomeres?
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prevent fusion of chromosome ends and maintain chromosome integrity
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what is the composition of telomeres? By what are they replicated?
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tandem repeats of a simple sequence and an unknown number of proteins; telomerase
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what is a metacentric chromosome?
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chromosome with arms of approximately equal length, although the short and long arms are defined
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what is a submetacentric chromosome?
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chromosome with arms of unequal length with clearly identifiable short and long arms
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what is an acrocentric chromosome? What is the composition of the p arm?
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chromosome with centromere near one end; satellites and stalks which contain redundant copies of ribosomeal RNA genes
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in a chromosmes, which arm is p? q?
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short; long
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what is an ideogram?
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a schematic representation of chromosomes with their banding patterns
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what does 47,XY,21+ mean in cytogenetic nomenclature?
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male with 47 chromosomes (3 on the 21st). This is trisomy 21
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what is euploidy?
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cells containing a multiple of 23 chromosomes (e.g. triploidy, tetraploidy)
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what is aneuploidy?
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cells that do not contain a multiple of 23 chromosomes (e.g. trisomy or monosomy)
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what is a structural chromosomal abnormality?
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rearrangement of chromosomes such as missing a piece or an exchange with another chromosome
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what percentage of 1st trimester spontaneous abortions are chromosomally abnormal?
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50%
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what is the most common genetic cause of moderate mental retardation?
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trisomy 21
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what is the most common cause of trisomy 21?
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non-disjunction most commonly in marternal meiosis I, associated with advanced maternal age
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analysis of DNA polymorphisms in patients with numerical chromosomal anomalies allows which information to be determined?
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parental origin and cell stage where non-disjunction occurred
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Robertsonian translocations occur in which types of chromosomes?
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acrocentric chromosomes
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what is the phenotype of a patient with a Robertsonian translocation?
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normal
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what is mosaic trisomy 21?
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when non-disjunction takes place in a non-mitotic cell division such that some cells in the body will have a normal karyotype while others will have an extra cheomosome 21
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what is another name for trisomy 18? Trisomy 13?
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Edwards Syndrome; Patau syndrome
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what are the 4 most common trisomies clinically?
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13,18,22,21
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which trisomies have the bleakest life expectancy?
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13 and 18
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in triploidy, how many chromosomes are present in each cell? Where do the extra chromosomes normally come from?
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69 chromosomes; the father
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what is the major risk of a balanced chromosomal rearrangement (translocation)?
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unbalanced gametes and affected children
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what is an unbalanced chromosomal rearrangement? Are these individuals usually phenotypically affected?
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when rearrangement causes loss or gain of chromosomal material; yes - severly
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what are reciprocal translocations?
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breakage of nonhomologous chromosomes with reciprocal exchange of chromosome material
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what are terminal chromosome deletions?
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single breaks leading to loss of chromosome material distal to the breakpoint
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what are interstitial chromosome deletions?
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where two breaks in chromosome occur and DNA between breaks is lost
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what is the phenotype for 'cri du chat' syndrome? Is this most commonly due to a de novo deletion or it is inherited from translocation parents?
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terminal deletion of 5p; due mostely to de novo terminal deletion
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What is the phenotype of Prader-Willi syndrome (PWS)? Which disease has a very similar phenotype?
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interstitial deletion in proximal 15q; Angelmann syndrome (AS)
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what is the main difference in the etiology of Prader-Willi and Angelmann syndromes?
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PWS is mostly due to microdeletion in paternal 15q whilc AS is mostly due to microdeletion in maternal 15q
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why is 15q particularly prone to interstitial deletions?
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due to presence of repeated sequences flanking the deleted region and unequal crossing over mediated by these sequences during meiosis
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what is the name for 45,X anomaly?
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Turner syndrome
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what is the name for the inactivation of the only active X chromosome in a cell?
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nullisomy
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from where is the extra X chromosome derived in 47,XXY?
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maternally
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what is the etiology of 47,XXX?
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materal nondisjunction
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is 47,XYY a result of maternal nondisjunction? Does it increase with advanced maternal age?
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no; no
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what is the main reason that 49,XXXXX patients survive?
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X-inactivation
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how many Barr bodies are present in a 49,XXXXX patient?
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4
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why do patients with increased or decreased number of X chromosomes have abnormalities despite X-inactivation?
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not all genes undergo inactivation and the genes on 'inactivated' chromosomes that remain active lead to altered phenotypes
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at which location of the X and Y chromosomes does pairing occur in males during meiosis? What is the name for this region?
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distal tips of X and Y chromosomes; pseudoautosomal region
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what can occur at the pseudoautosomal region on X and Y chromosomes?
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crossing over
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which genes of the X chromosomes escape X-inactivation?
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genes in the pseudoautosomal region (they are expressed in Y chromosomes)
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which factor is responsible for male differentiation in humans?
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testis-determining factor (TDF)
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how do XX males occur?
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crossing over of sex determining gene on Y (SRY) just below pseudoautosomal region to X transfers male characteristics to X chromosome
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what is the relationship between cytogenetic changes and malignancy?
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many cytogenetic changes are specific to a certain type of malignancy and are used as a routine part of diagnosis
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