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26 Cards in this Set

  • Front
  • Back
TORCH Complex
major causes of neonatal mobidity and mortality

Complex of signs/symptoms produced by fetal or neonatal infection w/ a variety of microorganisms
TORCH- T
Toxoplasmosis- women in their childbearing years have antibodies to the organism
TORCH- O
syphilis, tuberculosis, listeriosis, leptospirosis, varicella zoster virus, EBV, HIV, Human parvovirus
TORCH-R
Rubella- vaccine has reduced congential rubella
TORCH- C
Cytomegalovirus- 2/3 of women of childbearing age carry the IgG
TORCH- H
Herpes simplex virus- intrauterine infeciton acquired via passage through birth canal; avoided w/ c-section
TORCH Complex patholgical changes
Ocular defects, cranium, cadiac anomalies
Congenital syphilis
caused by Treponema pallidum

Vertical Transmission

Born asymptomatic

Form gummas

Rhinitis, Hutchinson teeth, maculopapular rash, saber shins, interstitial keratitis, deafness
Penicillin drug of choice
Fluorescence in Situ Hybridization (FISH)
fluorescently labeled DNA probes to identify individual genes or small gene fragments
reciprocal translocation
exchange of acentric chromosomal segments between 2 different nonhomologous chromosomes

balanced, at risk for producing offspring w/ unbalanced karyotypes w/ severe phenotypic abnormalities
Robertsonian translocation
involves the centromere exchange 2 arms to form 1 large metacentric chromosome and small chromosomal fragment

carrier is phenotypically normal but may be infertile
Chromosomal deletion
loss of a portion of a chromosome and involves either a terminal or a middle segment
haploid
single set of each of the chromsomes characteristic of a species; only germ cells have haploid # of chromosomes
diploid
double set of each of the chromosomes 2n = 46 in humans
polypoid
abnormal increase in number of chromosomes
aneuploid
karyotype in a somatic cell of one chromosome of a homologous pair
trisomy
presence in somatic cell of an extra copy of a normally paired chromosome
nondisjunction
failure of paired chromosomes or chromatids to separate and move to opposite poles of the spindle at anaphase, either during mitosis or meiosis

more common to occur in older women
mitotic nondisjunction
chromosomal abberations, transmitted selectively through some cell lineages but not through others

2+ different cell lines
mosaicism
two or more karyotypically different cell lines

autosomal mosaicism is rare, usually lethal

involves sex chromosomes
Trisomy 21
single most common cause of mental retardation
nondijunction in the first meitoic division
translocation
mosaicism

Relation to maternal age incidence increases w/ age
Down Syndrome
mental status- severe mental retardation; inability to develop advanced cognitive strategies and processs

craniofacial features- face and occiput are flat, low bridged nose, mongolial eyes, brushfield spots, flat occiup, prominent tongue

*Congenital Heart disease: determines survival rate; variations in the formation of the venouns inflow tract

skeleton: shorter than normal bones, hands are broad and short w/ simian crease

GI problems: Hirschsprung disease, duodenal stenosis, imperforate anus

Reproductive: male (infertile); some females have given birth

Immune: no specific defect, more susceptible to respiratory and other infections

Hematological disorders: high risk of leukemia

Neurological: more likely to have Alzheimer's
Lyon effect
one x chromosome is irreversibly inactivated early in embryogenesis in females

some escape inactivation

eitehr paternal or maternal X inactivated at random

permanent inactivation of x chromsomes is transmitted to progeny cells
Extra X Chromosome
male and famle children w/ extra X chromsomes

degree of mental retardation shows rough corrrelation w/ number of x chromsomes

more xs = higher probability for mental retardation
Klinefelter Syndrome
One or more X chromosomes in excess of the normal male XY complement

Y chromosome ensures male phenotype

hypogonadism and infertility

high pitched voice

female pattern of pubic hair

gynecomastia

diabetes mellitus
Turner Syndrome
Complete or partial monosomy of x-chromosome

ovaries converted to fibrous streaks, short stature, infertility w/ gonadal dysgenesis, renal/cardiac anomalies, protruding ears, uplifted lobules, canthal folds, neck webbing, low posterior hairline, emotional disorders

high risk for diabetes mellitus, HTN, dyslipidemia, osteoporosis