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36 Cards in this Set

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The 2nd most common cause of genetic intellecual disability.

Fragile x syndrome

X-linked defect with manifestations of macroorchidism, long face with a large jaw, large everted ears, autism, valve prolapse.

Fragile x syndrome

What gene is affected in Fragile X syndrome?

X-linked affect the methylation and expression of FMR1 gene


What does the gene FMR1 code for and what is its function?

FMR1 is a that codes for FMRP which is a cytoplasmic protein found in brain , testes, which is involved in mRNA translation of axons and dendrites.

Main causes of metal retardation

Alcohol syndrome


Down syndrome


Fragile X syndrome


Trinucleotide repeat disorder(CGG)

Fragile X syndrome

Intellectual disability, flat facies, prominent epicanthal folds, single palmar crease, duodenal atresia, gao between 1st 2 toes.

Down syndrome

What is the most common cogenital heart disease in Down syndrome?

Ostium primum-type atrial septal defect (ASD)

Down syndrome is associated with?

increases rik of ALL, AML, and Alzheimer disease(.35 years old)

95% of cases due to meiotic nondisjunction of homologous chromosomes

Down syndrome

Non-reciprocal chromosoma translocation that involves chromosome pairs

Robertsonian translocation


What are the most common maternal ages associated with down syndrome?

1:1500 in women <20 and 1:25 in women >45 years old

In down syndrome first-trimester ultrasound commonly shows:

increase in nuchal translucency and hypoplastic nasal bone

Second-trimester quad screen in down syndrome shows:

decrease in alfa-fetoprotein and estrioal, increase in B-hCG and inhibin-A

Severe intellectual disability, rocker bottom feet, micrognathia, low-set ears, clenched hands.

Edwards syndrome (trisomy 18)

Most common trisomy resulting in live birth after Down syndrome

Edwards syndrome

In Edwards syndrome quad screen shows

decreases in alfa-fetoprotein, B-hCG, estriol, inhibin A

Severe intellectual disability, rocker-bottom feet, microphthalmia, microcephaly, celft lip/palate, holoprosencephaly, polydactyly

Patau syndrome

What gene is associated with Patau syndrome?

sony-c genes

First-trimester pregnancy screen in patau syndrome shows:

Decreases in free B-hCG and PAPP-A, and a increases in nuchal translucency

Congenital microdeletion of short arm of chromosome 5

Cri-du-chat syndrome

Microcephaly, moderate to severe intellectual disability, high-piched crying, ipicanthal folds, cardiac abnormalities.

Cri-du-chat syndrome

Congenital microdeletion of long arm of chromosome 7

Williams syndrome

Elfin facies, intellectual disability, hypercalcemia, well-developed verbal skills.

Williams syndrome

Due to aberrant development or 3rd and 4th brachial pounches

22q11 deletion syndrome

CATCH-22



Cleft palate, Abnormal facies, Thymic aplasia, Cardiac defects, Hypocalcemia

CATCH-22



22q11 deletion syndrome

Thymic, parathyroid, and cardiac defect ( 90% due to 22q11)

DiGeorge syndrome

Palate, facial, and cardiac defects (due to 22q11)

velocardiofacial syndrome

Extra sex chromosome 47 XXY

Klinefelter syndrome

Testicular atrophy, eunuchoid body shape, tall, logn extremeties, gynecomastia, female hair distribution.

Klinefelter syndrome

Presence of inactivated X chromosome (Barr body)

Klinefelter syndrome

Common cause of hypogonadism seen in infertility work-up.

Klinefelter syndrome

Dysgenesis of seminiferous tubules produced

Decrease in inhibin that produces an increase in FSH

Short stature, ovarian dysgenesis, shield chest, bicuspid aortic valve, preductal coarctation, lymphatic defects, horseshoe kidney.

Turner syndrome

Most common cause or 1rd amenorrhea. no barr body, infertility, Menopause before menarche

Turner syndrome

Phenothypically normal, very tall, severe acne, antisocial behavior.

Double Y males