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39 Cards in this Set

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Achondroplasia
dwarfism with short limbs but normal axial skeleton
AD, advanced paternal age, FGF-R3 defect
APKD
Bilateral massive cysts (flank pn, hematuria, HTN, renal failure) -> berry aneurysms, mitral valve prolapse ***infantile form AR***
AD, APKD1 mutation (16 for 16 letters in polycysitic kidney)
Familial Adenomatous Polyposis
Covered w/ polyps post-puberty-> CANCER
AD- APC gene on Ch 5 (polyp)
Familial hypercholesterolemia (type IIA)
Cholesterol for hetero = 300 mg/dL, homo = 700+

tendon xanthomas (achilles), MI ~ 20 y/o
AD- defective/absent LDL receptor
Hereditary hemorragic telangiectasia (Osler-Weber-Rendu syndrome
Telangiectasia, epistaxis, arteriovenous malformations
AD, disorder of blood vessels
Hereditary spherocytosis
hemolytic anemia, increase MCHC (lots of Hb in each RBC), spleenectomy is curative
AD, spectrin or ankyrin defect
Huntingtons
depressoin, progressive demential, choreiform movements (dancing), caudate atrophy, low GABA and ACh (20-50 y/o)
AD, CAG repeat in Ch 4
Marfans
long limbed, hyperflexible, arachnodactyling (long fingers/toes) -> aortic incompetence and dissecting aneurysms, floppy mitral valve
AD, fibrilin gene mutation for elastin
Multiple endocrine neoplasias
I, II, and III are family of endocrine gland tumors (pancreas, parathyroid, pituitary, thyroid, adrenal medulla)
AD, II and III are ret gene
Neurofibromatosis type 1 and 2
cafe-au-lait spots, neural tumors,lisch nodules on eyes, also find scolisos, optic gliomas, pheochromocytomes, and tumors (bilateral acoustic neuroma in type 2)
AD, Ch 17 type 1 (von Recklinghausen has 17), Ch 22 for type 2
von Hipple Lindau
hemangioblastomas of retina/cerebellum/medulla, bilateral renal cell carcinomas ect
AD, VHL gene deletion (tumor supressor) on Ch 3 -> constitutive expresson of HIF -> angiogensis

(VHL has 3 words)
Hemochromatosis

EDIT
copper eyes, iron deposits, arthrisis,
AR
ARPKD
Cysts on infant kidneys
AR, infants need it real bad
CF
Bronchiectasis, male infertility from vas deferens defect, pancreatic insufficiency-> fat-malabsorbtion (Vit ADEK and steatorrhea, Dx w/ inc. Cl- in sweat test
AR, cholride transporter, CFTR on Ch 7 (secretes Cl- in lungs and GI, resorb from sweat)-> thick lung mucus plugs and inc Pseudomonas and S. aureus
anion vs cation
anion = +
cation = -
an = up
cat = down
mucopolysaccharidoses
EDIT
All AR (EXCEPT HUNTERS)
thalassemias
edit
blood
AR
sphingolipidoses
EDIT
AR- (EXCEPT FABRYS)
Tx for Cystic Fibrosis Lung Dz
N-acetylcysteine for which dz? (also tylenol overdose
This drug cleaves disulfide bonds for CF
Albanism (melanocytes), alpha-1-antitrypsin (enzyme), glycogen storage dz (need transporter), sickle cell, PKU
what kinds of diseases are usually more severe, often present in childhood
AR!
X-linked recessive disorders: How to remember? what are they?
Be Wise Fools GOLD Heeds False Hope dz's
Brutons agammaglobulinemia, Wiskott-Aldrich, Fragile X, Ocular albanism, Lesch-Nyhan, DMD (and Beckers), Hemophilia A+B, Fabry's and Hunters
Bruton's agammaglobulinemia
EDIT
X-recessive, EDIT
Wiskott-Aldrich syndrome
EDIT
X-recessive, EDIT
Lesch-Nyhan Syndrome
EDIT
X-recessive, EDIT
DMD (and Beckers)
Early pelvic girdle weakness-> pseudo-hypertrophy of calves, cardiac myopathy (GOWERS), Beckers is later onset (>> 5 y/o)
X-recessive, dystrophin gene
DMD is frameshift -> deletion
Beckers is mutation
Hemophilia A+B
EDIT
X-recessive, EDIT
Fabry's
EDIT
X-recessive, EDIT
Hunter's
EDIT
X-recessive, EDIT, glycogen storage DZ
Fragile X
Long face and ears, macro-orchidism, autism
X linked, 2nd most mental retardation behind Down syndrome, CGG repeat on, FMR1 gene, length = odds of getting it, stops MGluR5 receptor in brain
Myotonic dystrophy
Clumsiness, EDIT
length = severity of disorder
Friedreich's ataxia
EDIT
trinucleotide repeat
Down syndrome
epicanthial folds, flat faces, flat feet, simian crease in hand, toe gap, gonenital heart defect (ASD), increased ALL and Alzheimers
Trisomy 21 or robertsonian translocation (14;21), Dx w/ low alphaFP, high beta-HCG, low estriol, high inhibin A
Edwards syndrome
Clenched hands, small jaw, retardation, prominent occiput, heart defects, die at 1
Trisomy 18 (vote @ 18 for john edwards)
Patau's syndrome
Severe retardation, cleft-lip/palate, polydactyly and holoprosencephaly, death <1
Ch 13 (puberty)
Paracentric vs Pericentric
Para = away from center
Peri = around the center, involves centromere
Cri-du-chat syndrome
microcephaly, high-pitched crying, epicanthal folds, cardiac (cry of the cat)
Ch 5 microdeletion
Williams syndrome
elfin facies, retardation, extremely cheerful, CV problems
Ch 7 microdeletion (elastin gene) ROBBIN WILLIAMS
Digeorge Syndrome
Catch-22: cleft palate, abnormal faces, thymic aplasia (T cell deficient), cardiac defect, hypocalcemia 2' to parathyroid aplasia
22q11 deletion -> abbarant 3rd and 4th branchial pouch development
Velocardiofacial syndreom
Catch-22 but only palate, heart, and face defects
another 22q11 deletion syndrome