Genetic Disorders & Inborn Errors Of Metabolism Flashcards Preview

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Flashcards in Genetic Disorders & Inborn Errors Of Metabolism Deck (37)
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1

Marfan syndrome is an autosomal ______ disorder

What gene defect is associated with Marfan syndrome?

Autosomal dominant

The gene defect has been mapped to a region on chromosome 15 that codes for fibrillin

2

What are the clinical features of Marfan syndrome?

Skeletal findings:

Occular findings:

Cardiovascular findings:

  • Skeletal findings: tall stature with elongated extremities and long fingers, long narrow, face, hyper extension of joints, high arched narrow palate
  • Occular findings: ectopia lentis, irdodonesis, upward lens subluxation
  • Cardiovascular findings: Aortic regurgitation, mitrial valve prolapse, Aortic route dilatation (aneurysm)

 

3

What disorder has many of the same clinical features as Marfan's syndrome and must be ruled out

Homocystinuria

4

What are some complications of marfan's syndrome?

Endocarditis, retinal detachment, and sudden death as a result of aortic dissection

5

What are some clinical features of Prader-Willi syndrome?

crazy appitie and obesity

  • Craniofacial: Almond-shaped eyes; fishlike mouth
  • hypotonia, Failure to thrive;
  • obesity as a result of hyperphagia later in childhood
  • short stature, mental retardation, DD, behavior problems
  • Hypogonadism

6

What is Noonan syndrome?

"male version of Turner syndrome"

7

What are the clinical features of Noonan syndrome?

  • Short stature and a shield chest
  • Short webbed neck and low hairline
  • Right-sided heart lesions, most commonly pulmonary valve stenosis
  • Mental retardation in 25%

8

What two distinct syndromes have a deletion at chromosome 22q11?

DiGeorge syndrome

Velocardiofacial syndrome

9

What is CATCH-22?

A name describing the features of 22q11 deletions

  • Cardiac anomaly
  • Abnormal facies
  • Thymic hypoplasia
  • Cleft palate
  • Hypocalcemia
  • Gene defect on chromosome 22

10

DiGeorge syndrome is caused by a defect in the structures derived from the ____ and _____ pharyngeal pouches

third and fourth

11

THymus and parathyroid hypoplasia in DiGeorge syndrome cause...

cell-mediated immunodeficiency and severe hypocalcemia

12

What is osteogenesis imperfecta?

Results from mutations that cause production of abnormal type I collagen

13

What are the clinical features of Type I Osteogenesis Imperfecta?

  • Blue sclerae
  • Skeletal findings such as fragile bones
  • Yellow or gray-blue teeth
  • Easy bruisability

14

Pierre Robin syndrome clinical features?

Micrognathia, cleft lip and palate, and a large protruding tongue

15

What is the most common trisomy syndrome?

Down syndrome (trisomy 21)

16

What is the second most common trisomy syndrome? It is three times  more common in ________

Trisomy 18; females

17

________ is 20 times more common in Down Syndrome than in general population

Leukemia

18

How are trisomy syndromes diagnosed?

Chromosomal analysis

19

What are the clinical features of Turner syndrome?

XO  --- only female

  • Short stature
  • Webbed neck
  • Shield chest
  • Swelling of the dorsum of hands and feet
  • pubertal delay - Ovarian dysgenisis
  • lymphedema, low hairline, learning issues, low ears
  • heart: bicuspid aorta, coar of  aorta 
  • hearing loss and eye issues 

20

What cardiac effects are associated with Turner syndrome?

  • Left-sided heart lesions
  • Coarcatation of the aorta
  • Bicuspid aortic valve
  • Hypoplastic left heart

21

Fragile X syndrome is an X-linked disorder caused by a site on the X chromosome that contains a variable number of ____ repeats

CGG

22

What type of inheritance pattern is associated with Fragile X syndrome?

inherited, no spontanous mutation

23

What is the most common inherited cause of mental retardation?

Fragile X syndrome

boys > girls because they only have one X

24

What are some clinical features of Fragile X syndrome?

  • Mild to severe mental retardation
  • Large ears
  • Large testes develop during puberty
  • Emotional instability

25

What is the most common cause of male hypogonadism and infertility?

Klinefelter syndrome (XXY)

26

What are the clinical features of Klinefelter syndrome?

Normal at birth and presents in puberty 

  • Tall stature with long extremities
  • Hypogonadism (INFERTILITY) 
  • Gynecomastia
  • Variable intelligence
  • Antisocial behavior; excessive shyness or agression

27

What is the most common teratogen?

Alcohol

28

What are some features of fetal alcohol syndrome?

  • Small-for-gestational age at birth
  • FTT
  • Microcephaly
  • Long smooth philtrum with a thin, smooth upper lip
  • Mental retardation, ADHD, and cardiac defects

29

Pick the IEM that goes with the following odors:

  • Mousey/musty:
  • Sweet maple syrup:
  • Sweaty feet:
  • Rotten cabbage:

  • Mousey/musty: Phenylketonuria
  • Sweet maple syrup: Maple syrup disease
  • Sweaty feet: Isovaleric or glutaric acidemia
  • Rotten cabbage: Hereditary tyrosinemia

30

Ammonia is toxic to the ____ and _____

brain and liver