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59 Cards in this Set

  • Front
  • Back
define complete mole
results from fertilization of an ovum that lost all its chromosomal material

All chromosomal material is derived from sperm
90% of the time, the molar karyotype is 46,XX
10% of the time, the molar karyotype include a Y chromosome
The embryo does not develop
define partial mole
Partial mole: results from fertilization of an ovum that has not lost its chromosomal material by two sperms, one 23, X and one 23, Y

This results in a triploid cell 69,XXY (23, X [maternal] + 23X [one sperm] + 23Y [the other sperm])
The embryo may develop for a few weeks
at what ages are you more likely to get a hydatidiform mole?
Increased risk in women ages < 15 and > 40
a woman shows up for an evaluation of her current pregnancy. You walk in the room and the lady has uterine enlargement that is vastly beyond expected. She says that she had some vaginal bleeding and passed some stuff that looked like grapes..what does she have? what would be a marker of this?
Hydatidiform mole

elevated B-HCG
what is an invasive mole?
Refers to a hydatidiform mole (nearly always of the complete type) – in which villi penetrate deeply into the myometrium and/or its blood vessels

Occurs in 16% of all complete moles
Is an exaggerated expression of the capacity of normal trophoblast for invasion – a necessary property for implantation

has all the biologic features of a malignant neoplasm – except that it is self-limited
What is a choriocarcinoma?
Malignant germ cell tumor derived from the trophoblast

The cells are derived from any form of previously normal or abnormal pregnancy

Most cases arise in the uterus (can occur at sites of ectopic pregnancies)
50% of hydatididform moles will lead to what?
Choriocarcinoma
a recently pregnant pt comes in with spotting of bloody, brown, foul smelling fluid. You get a blood titer and find hCG elevated even beyond the level of hydatidiform mole... you know what is going on and decide to order a chest xray..why?
this is a Choriocarcinoma

it is most likely to have spread to the lung (could also be vagina, brain, liver, kidney)
need a laugh?
Cystic Fibrosis

Inheritance pattern?

example of?
AR

Pleiotropic Allelic Heterogenecity
Sickle Cell Anemia

Inheritance pattern?

example of?
AR

Point Mutation
Tay-Sachs

Inheritance pattern?

example of?
AR

--
Phenylketonuria

Inheritance pattern?

example of?
AR

Pleiotropic
Hurler Syndrome

Inheritance pattern?

example of?
AR

Pleiotropic
Xeroderma Pigmentosum

Inheritance pattern?

example of?
AR

Locus Heterogeneity
alpha-thalisemias

Inheritance pattern?

example of?
AD

Locus Heterogeneity
B-thalisemias

Inheritance pattern?

example of?
AD

Locus Heterogenity
Marfan Syndrome

Inheritance pattern?

example of?
AD

Pleitropic
Familial hypercholestoremia

Inheritance pattern?

example of?
AD

--
Myotonic Muscular Dystrophy

Inheritance pattern?

example of?
AD

Anticipation
Huntington Disease

Inheritance pattern?

example of?
AD

Anticipation
Achondroplasia

Inheritance pattern?

example of?
AD

Pleiotropic
Hutchinson-Gilford Progeria

Inheritance pattern?

example of?
AD

--
Retinoblastoma

Inheritance pattern?

example of?
AD

Tumor Suppressor
Neurofibromatosis Type I/II

Inheritance pattern?

example of?
AD

Pleiotropic Tumor Suppressor
What is Pleiotropy
Single gene influences multiple traits
Neuroblastoma

Inheritance pattern?

example of?
Gene Amplification

Homogeneous Staining Region
Red Green Color Blindness

Inheritance pattern?

example of?
XR

--
Hemophilia A

Inheritance pattern?

example of?
XR

Allelic heterogeneity
Hemophilia B

Inheritance pattern?

example of?
XR

Allelic heterogeneity
Duchenne Muscular Dystrophy

Inheritance pattern?

example of?
XR

--
G6PD

Inheritance pattern?

example of?
XR

--
Lesch-Nyhan syndrome

Inheritance pattern?

example of?
XR

--
Fragile X Syndrome

Inheritance pattern?

example of?
X-linked dominant

Anticipation
SCIDS

Inheritance pattern?

example of?
AR/XR

Locus Heterogeneity
Osteogenesis Imperfecta

Inheritance pattern?

example of?
AR/AD
Ehlers-Danlos Syndromes

Inheritance pattern?

example of?
AR/AD/XR
Charcot-Marie-Tooth

Inheritance pattern?

example of?
AR/AD/XR/XD

Locus Heterogeneity (Sex influenced)
Familial Parkinson Disease

Inheritance pattern?

example of?
AR/AD

Locus Heterogeneity
Idiopathic Parkinson Disease

Inheritance pattern?

example of?
Multifactorial
Alzhemers

Inheritance pattern?

example of?
Multifactorial
Diabetes Mellitus

Inheritance pattern?

example of?
Multifactorial

Autoimmune
Systemic Lupus

Inheritance pattern?

example of?
Multifactorial

Autoimmune
Leber Optic Neuropathy

Inheritance pattern?

example of?
Mitochondrial

Locus Heterogeneity, Sex Influenced
Kearn-Sayre Syndrome

Inheritance pattern?

example of?
Mitochondrial

Duplication Deletion
Down Syndrome

Inheritance pattern?

example of?
Aneuploidy
Edwards Syndrome

Inheritance pattern?

example of?
Aneuploidy
Patau Syndrome

Inheritance pattern?

example of?
Aneuploidy
Turner Syndrom

Inheritance pattern?

example of?
Aneuploidy
Klienfelter Syndrom

Inheritance pattern?

example of?
Aneuploidy
Cri du Chat

Inheritance pattern?

example of?
Aberration

Deletion 5p
Chronic Myelogenous Leukemia

Inheritance pattern?

example of?
Aberration

Translocation
Burkitt Lymphoma

Inheritance pattern?

example of?
Aberration

Translocation
Prader-Willi Syndrome

Inheritance pattern?

example of?
Microdeletion

Epigenic Imprinting
Angelman Syndrome

Inheritance pattern?

example of?
Microdeletion

Epigenic Imprinting
DiGeorge Syndrome

Inheritance pattern?

example of?
Microdeletion

22q11
Williams Syndrome

Inheritance pattern?

example of?
Microdeletion

7q11
True Hermaphrodite

Inheritance pattern?

example of?
Aberrations or Chimeras

Translocation or Embryonic Fusion
CAH

Inheritance pattern?

example of?
AR