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26 Cards in this Set
- Front
- Back
TORCH Complex
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major causes of neonatal mobidity and mortality
Complex of signs/symptoms produced by fetal or neonatal infection w/ a variety of microorganisms |
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TORCH- T
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Toxoplasmosis- women in their childbearing years have antibodies to the organism
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TORCH- O
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syphilis, tuberculosis, listeriosis, leptospirosis, varicella zoster virus, EBV, HIV, Human parvovirus
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TORCH-R
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Rubella- vaccine has reduced congential rubella
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TORCH- C
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Cytomegalovirus- 2/3 of women of childbearing age carry the IgG
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TORCH- H
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Herpes simplex virus- intrauterine infeciton acquired via passage through birth canal; avoided w/ c-section
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TORCH Complex patholgical changes
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Ocular defects, cranium, cadiac anomalies
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Congenital syphilis
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caused by Treponema pallidum
Vertical Transmission Born asymptomatic Form gummas Rhinitis, Hutchinson teeth, maculopapular rash, saber shins, interstitial keratitis, deafness Penicillin drug of choice |
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Fluorescence in Situ Hybridization (FISH)
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fluorescently labeled DNA probes to identify individual genes or small gene fragments
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reciprocal translocation
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exchange of acentric chromosomal segments between 2 different nonhomologous chromosomes
balanced, at risk for producing offspring w/ unbalanced karyotypes w/ severe phenotypic abnormalities |
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Robertsonian translocation
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involves the centromere exchange 2 arms to form 1 large metacentric chromosome and small chromosomal fragment
carrier is phenotypically normal but may be infertile |
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Chromosomal deletion
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loss of a portion of a chromosome and involves either a terminal or a middle segment
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haploid
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single set of each of the chromsomes characteristic of a species; only germ cells have haploid # of chromosomes
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diploid
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double set of each of the chromosomes 2n = 46 in humans
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polypoid
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abnormal increase in number of chromosomes
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aneuploid
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karyotype in a somatic cell of one chromosome of a homologous pair
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trisomy
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presence in somatic cell of an extra copy of a normally paired chromosome
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nondisjunction
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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 |
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mitotic nondisjunction
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chromosomal abberations, transmitted selectively through some cell lineages but not through others
2+ different cell lines |
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mosaicism
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two or more karyotypically different cell lines
autosomal mosaicism is rare, usually lethal involves sex chromosomes |
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Trisomy 21
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single most common cause of mental retardation
nondijunction in the first meitoic division translocation mosaicism Relation to maternal age incidence increases w/ age |
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Down Syndrome
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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 |
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Lyon effect
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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 |
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Extra X Chromosome
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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 |
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Klinefelter Syndrome
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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 |
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Turner Syndrome
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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 |