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48 Cards in this Set

  • Front
  • Back
what is the role of DNA
direct protein synthesis and control cellular activity
which bases are purines
adenine
guanine
which bases are pyrimadines
cytosine
thymine
uracil
put these in order:
assembly of protein by ribosomal RNA in the cytoplasm
transcription of DNA onto RNA messenger
Transfer RNA delivers amino acid to ribosomal RNA
Transport mRNA
transcription of DNA onto RNA messenger
Transport mRNA
Transfer RNA delivers amino acid to ribosomal RNA
assembly of protein by ribosomal RNA in the cytoplasm
which RNA strand is a template for protein synth
mRNA
which RNA delivers amino acids to ribosome
tRNA
which RNA is responsible for protein synthesis at the ribsome
rRNA
the degree to which a group of genes is active is known as
gene expression
of the genes controling protein synthesis, which serves a regulatory function, often making up the operon
which specify the amino acid sequence?
regualtor genes
structural genes
what are the three causes of mutations
substitution of base pairs
loss or addition of base pairs
rearrangement of base pairs
which mutations are not inherited and genereally associated with aging
sporadic mutations
how many chromosomes do we have
46- 23 pairs
if they ask autosomes say 22 pairs
the study of the characeteristics of a cells chromosomes
cytogenetics
chromosome mapping
karotyping
which cells undergo division resulting in a single set of 23 chromosomes, what is this called
what about 23 paired chromosomes
germ cells, meiosis
somatic cells, mitosis
an inactive chromatin mass of X chromosome is referred to as

who typically has them, males or females
barr body
females
the likelihood of a given genotype producing its associated phenotype
penetrance
is someone is heterozygous for a recessive trait (Aa) they are known as a
carrier
mitochondrial DNA is passed down from the mother or the father
mother
this DNA technology has been responsible for synthesizing human insulin, growth hormone, and clotting factors
recombinant DNA
list three broad causes of birth defects
Genetics
Environment
intrauterine (fetal crowding, amniotic band)
which are more redictable, single or multi gene disorders
single
which is not a result of a single gene disorder
formation of an abnormal protein
absence, lack, or overabundance of a given enzyme or protein
defects during fetus development
defects in enzyme receptor formation
defects during fetal development, typically due to multiple genes
which is not an X-linked disorder:
hemophilia A
Sickle Cell
Duchenne dystrophy
fragile-x
sickle cell- autosomal recessive
which is not an autosomal recessive disorder:
tay-sachs, cystic fibrosis, marfans, PKU, or sickle cell
Marfans- autosomal dominant
which is not autosomal dominant:
polycystic kidney disease, Albinism, Huntigton Chorea, Neurofibromatosis, achondroplasia, von Willibrand
Albinism- autosomal recessive
pt presents with extremely long limbs, pectus excavatum, and arachnodactyly. What condition, what type of genetic disorder, and what are you most concerned about
Marfans- autosomal dominant
beware of aortic dissection
this condition is characterized by 6 + cafe au lait spots and lisch nodules. pts are often of short stature due to malformation of the long bones and may have multiple tumors
neurofibromatosis 1

autosomal dominant
11 pt presents with headaches, hearing loss, and tinnitus. You suspect something with the acoustic nerve. why do you assume it is not Neurofibromatosis 2
NF2 typically presents >15 yo

autosomal dominant
a mother brings her son in because he has been suffering from seizures. Upon examination you notice a lack of skin pigmentation and a "musty odor". What do you suspect and how do you treat
PKU
Restrict diet to exclude phenylalanine
a father brings his infant to you because of seizures and now paralysis of his right leg. During HPI you ascertain their background to be ashkenazi. Upon physical examination you notice a cherry red spot in the eye. What do you suspect and what is your prognosis
Tay-Sachs (auto recessive)
Poor prognosis, most babies die before 4th birthday
this x-linked disorder is the second leading cause of MR, males typically present with more severe phenotype. Characteristics include a long face with large mandible, hyperextensible joints, MVP, and in males, macroorchidism
fragile x

(x-linked)
aneuploidy refers to what?
an abnormal number of chromosomes
what is the difference between trisomies and triploidy
trisomies- there are three copies of one chromosome
triploidy- there are three copies of every chromosome
list the different types of structural chromosomal damage
deletion, inversion, translocation, and fusion
child presents with flat facial profile, epicanthal folds, a big protruding tongue, and only one simian crease. What most likely caused this
maternal nondisjunction of 21st chromosome
what is the biggest risk for having a downs syndrome baby?

What tests can we run to screen for this
mothers age
amniocentesis, chorioni villus sampling, and nuchal translucency.
may show->
alpha fetoprotein, human chorionic gonadotropin, unconjugated estriol (if any of these are eleveated we might be concerned)
what are the two sex chromosome disorders we discussed
Turner Syndrome and Kleinfelters
20 yo female comes to your office complaining of headaches. Upon examination you notice she is short, ander developed, and has sparse body hair. If you did a genetic test what would you expect to find.
What would you do for this patient
absence of at least part of the X chromosome indicates Turners syndrome
offer pt couseling, growth hormone, and estrogen therapy
parent brings 5 yo son to your office suspecting a developmental issue because of language impairment. You notice the child is tall but disproportionate, with a long lower half. He also has underdeveloped testis. What do you suspect and what will you do for your pt
Kelinfelters

speech therapy, androgen therapy, and genetic counseling
what tissues do mitochondrial DNA mutations most affect.
How does this present itself
tissues dependent on oxidative phosphorylation
typically impact neuromuscular system. subjects appear normal at birth but show neuromusclar decline quickly
a 4 y/o pt always seems to be smiling at you. A genetic test reveals a chromosomal deletion on the mothers side
Angelman syndrome
mother brings her 4 y/o son to you because she is concerned about his weight. HPI reveals behavioral issues and lack of inhibition. Looking back through the medical record you notice the pt was hypotonic at birth
Prader Willi Syndrome

paternal deletion
according to Mrs Bruner, what is the most susceptible time during fetal development
15-60 days post conception
list some viruses that could be considered teratogenic
cytomegalovirus
herpes, measles, mumps, varicella
a patient of yours brings in a 3yo child she adopted for her first physical. The child has a small head, epicanthal folds, flat midface, smooth philtrum, and underdeveloped jaw. you suspect this child has
fetal alcohol syndrome
a deficiency in this leads to neural tube defects (spina bifida, encephalocele), but is easily prevented
folic acid
list methods of fetal diagnosis
maternal blood screening (alpha fetal protein-> neural tube defect, hCG-> downs), ultrasound, amniocentesis, CVS, umbilical sampling