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45 Cards in this Set

  • Front
  • Back
HW assumptions
2 alleles, random mating, large population, (no new mutations, migration, or natural selection)
proto-oncogene
genes that regulate cell cycle
oncogene
mutated proto0oncogene (most spontaneous)
philadelphia chromosome
9:22 translocation in ABL
gatekeeper
tumor suppressor gene involve cell cycle
caretaker
tumor suppressor gene DNA repair
two-hit hypothesis
sporadic less frequent
BRCA1/2
caretakers; 85% of hereditary breast cancer
FAP
colon cancer gene. 100% risk; 2/3 inherited
Lynch syndrome/HNPCC
colon cancer gene; 08% risk; fewer polyms than FAP
factors to determine if prenatal screening is offered
- frequency
- cost
- ease of test
- treament available?
sensitivity
ability to identify those w/ disease; TP/TP+FP
specificity
ability to identify those w/o disease; TN/TN+FP
tests done on ashkenazi Jewish
- Tay Sachs
- Cystic fibrosis
- Canavan disease
- Familial dysautonmia
High AFP indicates...
ONTD
Quadruple screening tests for
Down syndrome
trisomy 18
ONTD
test conducted in 1st trimester
blood and NT for Down syndrome and trisomy 18
Ultrasounds detect...
ONTDs and soft signs
Chorionic Villus: What? when? risks?
chromosome abnormalities;
10-12 weeks
1% miscarriage
Early amniocentesis: What? when? risks?
chromosome abnormalities;
11-14 weeks
1% miscarriage, club foot, pulmonary problems
teratology
environmentally-induced birth defects
teratogen
interferes with normal development
all or none period
0-15 days after conception; not susceptible to tetratogens
organogenesis
3-8 weeks
When does the neural tube form?
3-4 weeks
additivity
sum of individual effects
antagonism
counteract making effects less severe
synergism
conmbined effect significantly greater than sum
thalidomide causes...
limb reduction
DES causes...
internal reproductive anomalies
When does the heart form?
formed by 8 weeks
hydantoin causes...
facial/neck; growth and dev. delay (10%)
valproate causes...
(6-18%) dev delay;
spin a bifid a, heart, face, limb
phinobarbital causes...
10-20% birth defects
carbamazepine causes...
neural tube defects
face dev. delay
which anticonvulsant is not associated with any anomalies?
clonazepam
MAOIs cause
(antidepressant) decreased uterine flow
lithium causes...
casudac defect (ebstein's anomaly: low tricusp)
alcohol causes...
FAS: dec. growth; retardation; face, CNS defects
cytomegalovirus (CMV) causes...
hearing, eyes; heart; mental retardation
hyperthermia in 1st trimester causes...
neural tube defects
Examples of recombinant DNA therapy
Insulin
Erythropoietin
Thrombopoitin
GCSF
Myozyme
Treat Pompe patients
Lysozymal enzymes used by humans (drugs)
Fabrazyme
Cerezyme (gaucheries disease)
Example of gene therapy (almost)
X-linked SCID
Cardiac
OTC
Rpe65 (blindness)