USMLE Genetics
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- implantation of blastocyst occurs within how long?
- one week
- within what week does the bilaminar disk form?
- week 2
- gastrulation, primitive streak, and neural plate begin to form within what week of gestation?
- week 4
- the embryo is extremely susceptible to teratogens during what span of weeks?
- weeks 3-8
- the neural tube is formed and organogenesis occurs during what weeks?
- weeks 3-8
- when does the heart begin to beat and the upper and lower limb buds begin to form?
- week 4
- by when do genitalia have male/female characteristics?
- week 10
- name the 2 germ layers present in week 2
- epiblast, hypoblast
- what 2 cavities are present in week 2?
- amniotic cavity, yolk sac
- what 2 components of the placenta are present during week 2?
- cytotrophoblast, syncytiotrophoblast
- what 3 germ layers are present in the third week and what stage is the embryo in?
- ectoderm, mesoderm, endoderm; gastrula
- the lens of the eye is derived from what germ layer?
- surface ectoderm
- what germ layer is the adenohypophysis derived from?
- surface ectoderm
- what germ layer is the neurohypophysis derived from?
- neuroectoderm (remember 'neuro')
- CNS neurons, oligodendrocytes, astrocytes are derived from which germ layer?
- neuroectoderm
- what are the ANS, DRG, cranial nerves derived from?
- neural crest
- melanocytes and parafollicular (C) cells are derived from what?
- neural crest (C cells = Crest)
- dura mater, CT, bone, muscle, are all derived from what germ layer?
- mesoderm
- pia, arachnoid, and Schwann cells arise from what?
- neural crest
- lymph, blood, spleen, kidneys arise from what?
- mesoderm
- extraocular muscles are derived from what layer?
- mesoderm
- the dermis is derived from what layer?
- mesoderm
- lungs, liver, pancreas, thymus, parathyroid all arise from what?
- endoderm - gut tube epithelium and derivatives
- thyroid follicular cells arise from what layer?
- endoderm
- what is the postnatal derivative of the notochord?
- nucleus polposus of the intervertebral disk
- what is the role of the notochord?
- induces ectoderm to form neuroectoderm (neural plate)
- which is teratogenic: warfarin or heparin?
- warfarin - causes multiple anomalies
- exposure to ACE inhibitors in utero can have what effect on fetus?
- renal damage
- what is the role of the umbilical arteries?
- return DEoxygenated blood from fetal internal iliac arteries
- what is the role of the allantoic duct?
- removes nitrogenous waste (from fetal bladder, like a urethra)
- what does the truncus arteriosus give rise to?
- ascending aorta and pulmonary trunk
- the smooth parts of left and right ventricle arise from what embryonic structure?
- bulbous cordis
- the trabeculated parts of the ventricles and atria arise from what?
- primitive ventricle and atria
- from what embryologic structure does the coronary sinus originate?
- left horn of sinus venosus
- the smooth part of the right atrium comes from what?
- right horn of sinus venosus
- what does the SVC arise from?
- right commmon cardinal vein and right anterior cardinal vein
- oxygenated blood reaching the heart via the IVC is diverted through ________ and pumped out the aorta to the head
- foramen ovale
- this structure provides a pulmonary-to-systemic shunt
- ductus arteriosus (deoxygenated blood from the SVC is expelled into the pulmonary artery and ductus arteriosus o the lower body of the fetus)
- blood entering the fetus through the umbilical vein is conducted via what shunt into the IVC?
- ductus venosus
- what do you use to keep a patent PDA open?
- prostaglandins (3 P's)
- the umbilical vein becomes what structure postnatally?
- ligamentum teres hepatis
- the umbilical arteries become what structure postnatally?
- mediaL umbilical ligaments
- what is the postnatal correlate to the allantois?
- mediaN umbilical ligament
- what does the first aortic arch give rise to?
- part of the maxillary artery (1st is MAXimal)
- what does the second aortic arch give rise to?
- stapedial and hyoid artery (Second-Stapedial)
- the common carotid artery and proximal part of internal carotid are derived from which aortic arch?
- 3rd (c is 3rd letter of alphabet)
- what structures does the 4th aortic arch give rise to?
- on left - aortic arch; on right - proximal part of subclavian artery
- what does the 6th aortic arch give rise to?
- proximal part of pulmonary arteries and (on left only) ductus arteriousus
- branchial arch 1 derivatives are supplied by what nerves?
- CN V2, V3 (1, 2, 3)
- branchial arch 2 derivatives are supplied by what nerve?
- CN VII (2 II's)
- CN IX supplies the derivatives of which branchial arch?
- arch 3
- branchial arches 4 and 6 are supplied by what nerve?
- CN X (4+6=10) (4th arch - superior laryngeal branch, 6th arch - recurrent laryngeal branch)
- all of the intrinsic muscles of the larynx are derived from the 6th branchial arch except what?
- cricothyroid
- which branchial arches form the posterior 1/3 of tongue?
- arches 3 and 4
- which branchial arch makes no developmental contributions?
- arch 5
- which nerves are responsible for taste?
- solitary nucleus - CN VII, IX, X
- tongue sensation is supplied by which nerves?
- CN V3, IX, X
- motor innervation to the tongue comes from which nerve?
- CN XII
- what does the first branchial cleft develop into?
- external auditory meatus
- what do the 2nd through 4th branchial clefts form and then what happens to them?
- they form temporary cervical sinues but are obliterated by proliferation of 2nd arch mesnchyme
- what can a persistent cervical sinus lead to?
- a branchial cyst in the neck
- the 1st branchial pouch develops into what?
- endoderm-lined ear structures - middle ear cavity, eustachian tube, mastoid air cells
- which branchial pouch does the epithelial lining of the palatine tonsil derive from?
- 2nd pouch
- the inferior parathyroids develop from which branchial pouch?
- 3rd pouch (dorsal wings) - 3 is inferior to 4
- the ventral wings of the 3rd pouch develop into what structure?
- thymus
- which branchial pouch do the superior parathyroids develop from?
- 4th pouch
- aberrant development of 3rd and 4th pouches results in what syndrome?
- DiGeorge's - leads to T-cell deficiency (thymic aplasia) and hypocalcemia (failure of parathyroid development)
- what is the most common site for ectopic thyroid tissue?
- tongue
- cleft lip results from the failure of fusion of what?
- maxillary and medial nasal processes (primary palate)
- cleft palate results form the failure of fusion of what?
- lateral palatine processes, the nasal septum, and/or median palatine process (formation of secondary palate)
- what does the ventral pancreatic bud differentiate into?
- pancreatic head, uncinate process (lower half of head), and main pancreatic duct
- the spleen arises from dorsal mesentery but is supplied by artery of which gut?
- foregut
- the genital tubercle gives rise to what strucures?
- glans penis, glans clitoris (3 g's)
- what structure do the corpus spongiosum and vestibular bulbs arise from?
- urogenital sinus
- what is the female analogue of the bolbourethral glands (Cowper's), and what do they arise from?
- greater vestibular glands (Bartholin's); urogenital sinus
- which branchial arch supplies: mandible, malleus, incus, sphenomandibular ligament, muscles of mastication (temporalis, masseter, lateral and medial pterygoids), mylohyoid, anterior belly of digastric, tensor tympani, tensor veli, palatini, and anterior
- branchial arch 1
- which branchial arch supplies: stapes, styloid process, lesser horn of hyoid, stylohyoid ligament, muscles of facial expression, stapedius, stylohyoid, posterior belly of digastric?
- branchial arch 2
- what cartilage and muscle does branchial arch 3 supply?
- greater horn of hyoid, stylopharyngeus (CN IX)
- thyroid, cricoid, arytenoid, coniculate, and cuneiform cartilages are derivatives of which branchial arches?
- branchial arches 4-6
- most pharyngeal constrictors, cricothyroid, levator veli palatini are supplied by which branchial arch?
- branchial arch 4
- the superior laryngeal branch of CN X supplies which branchial arch?
- 4th branchial arch
- the recurrent laryngeal branch of CN X supplies which branchial arch?
- 6th
- what placental component is derived from the mother rather than the fetus?
- lacunar network
- the omental bursa and greater omentum are derived from what?
- dorsal mesogastrium, which is the mesentary of the stomach regoin
- what does an ostium primum type of ASD result from
- failure of the septum primum to fuse with the endocardial cushions
- what does a sacrococcygeal teratoma arise from? what is it?
- tumor that arises from remnants of the primitive streak (which normally disappears); more common in female infants; usually becomes malignant during infancy and must be removed before 6 mos.
- what is a chordoma?
- tumor that arises from remnants of notochord - may be found intracranially or in sacral region; usually occurs in men late in life
- what is caudal dysplasia and what causes it?
- constellation of syndromes ranging from minor lesions of vertebrae to complete fusion of lower limbs - caused by abnormal gastrulation
- what causes tetralogy of fallot?
- abnormal neural crest cell migration such that there is skewed development of the AP septum
- list the four classic malformations associated with tetralogy of fallot
- pulmonary stenosis, overriding aorta, VSD, RVH
- what is the most common clinically significant ASD?
- foramen secundum defect - caused by excessive resorption of septum primum, septum secundum, or both
- what is the most common type of VSD?
- membranous VSD
- what is the cause of a membranous VSD?
- faulty fusion of the right bulbar ridge, left bulbar ridge, and AV cushions
- postductal coartctation of the aorta is commonly associated with what syndrome?
- turner's syndrome (XO)
- which crosses the placenta: IgM or IgG?
- IgG
- AFP is elevated in what type of defects?
- neural tube - spina bifida, anencephaly
- what is the cause of spina bifida occulta and how common is it?
- defect in the vertebral arches (least severe variation; tuft of hair); occurs in 10% of the population
- what causes spina bifida with meningocele?
- occurs when the meninges project through a vertebral defect, forming a sac filled with CSF
- what is a meningomyelocele?
- meninges and spinal cord project through a vertebral defect, forming a sac
- what is the most severe type of spina bifida?
- spina bifida with myeloschisis - open neural tube that lies on surface of back
- what is the result when the anterior neuropore fails to close?
- anencephaly - most common defect seen in stillborn fetuses
- what is an arnold-chiari malformation?
- cerebellomedullary malformation in which caudal cerebellar vermis and tonsils and medulla herniate through the foramen magnum
- why does arnold-chiari malformation result in hydrocephalus?
- because the outlet foramina of the fourth ventricle are obliterated (obstructive hydrocephalus)
- arnold-chiari malformation is commonly associated with what other defects?
- lumbar meningomyelocele, platybasia, aqueductal stenosis
- congenital deafness is associated with in utero exposure to what virus?
- rubella
- name five causes of congenital cataracts
- rubella, toxoplasmosis, congenital syphilis, down syndrome, galactosemia (inborn metabolic error)
- what is associated with polyhydraminos and tracheoesophageal fistula?
- esophageal atresia
- annular pancreas is associated clinically with what shortly after birth?
- obstruction of duodenum
- when does an accesory pancreatic duct develop?
- when the proximal part of the dorsal bud duct persists and enters the duodenum at its own site
- what happens when fetal islets are exposed to high blood glucose levels?
- accelerated development of pancreatic islets; associated with increased birth weight
- how does an omphalocele present in a newborn?
- a light gray, shiny sac protruding from the base of the umbilical cord
- when does an omphalocele occur?
- when the intestines (midgut loop) fail to return to the abdominal cavity
- meckel's diverticulum occurs when a remnant of what persists?
- vitelline duct
- what occurs when the vitelline duct remains open
- vitelline fistula - may present with fecal discharge at the umbilicus
- what is gastroschisis and when does it occur?
- protrusion of the viscera - occurs when there is a defect in the ventral abdominal wall
- what is malrotation of the midgut associated with clinically?
- volvulus
- where is the appendix normally located in relation to the cecum and where is it located when it is retrocecal or retrocolic?
- normally found on the medial side of the cecum; retrocecal/colic - located on posterior side of cecum or colon
- during the canalicular period of lung development (wks 3-15), what develops?
- respiratory bronchioles and terminal sacs (primitive alveoli); premature infants born at less than 20 wks gestation rarely survive
- when does differentiation of type I and type II pneumocytes begin?
- week 24; premature fetuses born b/w wk 25-28 can survive w/ intensive care - earliest period at which fetuses can survive
- name two defects that pulmonary hypoplasia can be found in association with
- congenital diaphragmatic hernia and bilateral renal agenesis
- when does a pharyngeal fistula occur and where is it generally located?
- occurs when pharyngeal pouch 2 and pharyngeal groove 2 persist - forms patent opening from the internal tonsillar area to the external neck; found along the anterior border of the SCM
- what causes first arch syndrome?
- lack of migration of neural crest cells into branchial arch 1 (treacher collins, pierre robin)
- what happens when the ureteric bud fails to develop?
- renal agenesis
- what is the result of bilateral renal agenesis?
- potter syndrome - oligohydraminos allows uterine wall to compress fetus: deformed limbs, wrinkly skin, abnormal facial appearance
- why is normal ascent of the kidneys arrested with horseshoe kidney?
- the fused portion gets trapped behind the IMA
- when does duplication of the urinary tract occur?
- when the ureteric bud prematurely divides before penetrating the metanephric mesoderm
- what other malformation is associated with exstrophy of the bladder?
- epispadias
- cyst found along the midline on a path from the umbilicus to the apex of the urinary bladder
- urachyl cyst - remnant of allantois persists
- of what origin are the primitive neuroblasts found in neuroblastoma?
- neural crest
- name the three classic areas described in wilms' tumor
- stromal area, tightly-packed embryonic cells, small tubules
- what causes hypospadias?
- urethral folds fail to fuse completely, resulting in the external urethral orifice opening onto the ventral surface of the penis
- what is the defect in osteogenesis imperfecta?
- type I collagen
- what protein is defective in marfan's?
- fibrillin
- chances of achondroplasia increase with what?
- increasing paternal age
- unusually flat abdomen, breathlessness, and cyanosis in a newborn may be signs of what?
- congenital diaphragmatic hernia
- on which side is a congenital diaphragmatic hernia most commonly found, and what causes it?
- left posterolateral side; caused by failure of pleuroperitoneal membrane to develop
- an infant who vomits when laid on its back may have what?
- esophageal hiatal hernia - renders esophagogastric sphincter incompetent so that stomach contents reflux into esophagus
- deletion in the short arm of chromosome 5 results in what?
- cri du chat syndrome
- deficits such as MR, microcephaly, heart defects, and cat-like cry are characteristic of what?
- cri du chat syndrome
- what is the chromosomal abdnormality associated with Prader-Willi syndrome?
- deletion of band q12 on chromosome 15 (found in the father)
- MR, hyperphagia, and hypogonadism are characteristics of what congenital syndrome?
- Prader-Willi
- what is the chromosomal abdnormality associated with angelman syndrome
- deletion of band q12 on chromosome 15 (found in the mother)
- what are characteristics of angelman syndrome?
- severe MR, seizures, dystaxia
- the triad of heart defects, cataracts, and deafness are associated with what viral agent?
- rubella
- MR, microcephaly, cerebral calcifications, blindness and chorioretinitis, and hepatosplenomegaly are associated with what fetal infection?
- CMV
- MR, hydrocephalus, microcephaly, microphthalmia, chorioretinitis, and intracranial calcifications are associated with what nonviral infection?
- toxoplasma
- name some characteristics of congenital syphilis
- MR, hydrocephalus, deafness, corneal opacity and blindness, abnormal teeth (Hutchinson) and bones
- when given to pregnant women, what types of abnormalities can lithium cause in the fetus?
- congenital anomalies of the heart and great vessels
- MR, microcephaly, craniofacial defects, and nail and digital hypoplasia can result from in utero exposure to what anticonvulsant?
- phenytoin (dilantin)
- digeorge's syndrome, cardiac malformations, and hirschprung's all result from failure of migration of what type of cells?
- neural crest cells
- infant who becomes cyanotic while crying may have what?
- persistent truncus arteriosus
- what does a persistent truncus arteriosus result from?
- failure of aorticopulmonary system to form
- annular pancreas results from what abnormality?
- rotation of the ventral pancreatic bud around the second part of the duodenum
- the alar plate forms what part of the spinal cord?
- dorsal - becomes sensory/afferent
- the basal plate forms what part of the spinal cord?
- ventral - becomes motor
- 90% of PKD cases are due to a mutation in what? what chromosome is it on?
- APKD1 on chromosome 16
- this autosomal dominant disorder is associated with polycystic liver disease, berry aneurysms, mitral valve prolapse
- adult polycystic kidney disease
- the juvenile form of PKD is inherited in what manner?
- autosomal recessive
- what is another name for familial hypercholesterolemia?
- hyperlipidemia type IIA
- heterozygotes (1:500) with familial hypercholesterolemia have approx. what cholesterol level?
- 300
- homozygotes with familial hypercholesterolemia have approximately what cholesterol?
- 700
- what is the defect in familial hypercholesterolemia?
- defective or absent LDL receptor
- marfan's results from a defect in what gene?
- fibrillin - leads to CT disorders
- what are the cardiac findings in marfan's?
- cystic medial necrosis of aorta -> aortic incompetence and dissecting aortic anuerysms; floppy mitral valve
- cafe-au-lait spots, neural tumors, lisch nodules, skeletal disorders (e.g. scoliosis), pheo, and increased tumor susceptibility are associated with what autosomal dominant disease?
- neurofibromatosis type I (von Recklinghausen's disease)
- on what chromosome is the defect in neurofibromatosis type I
- long arm of chromosome 17 - 17 letters in van Recklinghausen
- where is the gene responsible for neurofibromatosis type II?
- NF2 gene on chromosome 22 (type 2 - 22)
- what are the characteristics of neurofibromatosis type II?
- bilateral acoustic neuroma, optic pathway gliomas, juvenile cataracts
- what is the inheritance pattern of tuberous sclerosis?
- autosomal dominant
- what are the skin findings associated with tuberous sclerosis?
- facial lesions - adenoma sebaceum, hypopigmented 'ash leaf' spots
- cortical and retinal hamartomas, seizures, MR, renal cysts, and cardiac rhabdomyomas are associated with what AD disease?
- tuberous sclerosis
- what is the genetic deletion associated with von Hippel-Lindau disease?
- deletion of VHL gene (tumor suppressor) on chromosome 3 - 3 words in VHL
- hemangioblastomas of retina/cerebellum/medulla are associated with what AD disorder?
- von Hippel-Lindau
- about half of all patients with VHL develop what?
- multiple bilateral renal cell carcinomas and other tumors
- what is the genetic defect in Huntington's?
- expansion of CAG repeats on chromosome 4 (CAG - Caudate loses ACh and GABA; hunting 4 food)
- what are symptoms common in Huntington's?
- depression, progressive dementia, choreiform movements, caudate atrophy, and decreased levels of GABA and ACh in the brain
- on what chromosome is the deletion located in familial adenomatous polyposis?
- chromosome 5 - 5 letters in polyp
- in what autosomal dominant disorder do adenomatous polyps in the colon develop after puberty?
- familial adenomatous polyposis
- what is increased in hereditary spherocytosis?
- MCHC
- in what fashion is spherocytosis inherited?
- autosomal dominant
- what is the defect in achondroplasia?
- cell-signaling defect of FGF receptor 3 - dwarfism - short limbs but head and trunk are normal size (autosomal dominant)
- how is cystic fibrosis inherited and where is the gene defect?
- autosomal recessive; defect in CFTR gene on chromosome 7
- what finding in sweat is diagnostic for CF?
- increased concentration of Cl- ions
- what drug is given to patients with CF to loosen mucous plugs?
- n-acetylcysteine
- how do you diagnose muscular dystrophies?
- increased CPK and muscle biopsy
- how is Duchenne's inherited? what kind of mutation occurs? what does it lead to?
- X-linked; frame-shift mutation - deletion of dystrophin gene - accelerated muscle breakdown
- where does muscle weakness begin in Duchenne's?
- pelvic girdle muscles and progresses superiorly
- why does pseudohypertrophy of calf muscles occur in Duchenne's? what CV abnormality can occur?
- fibrofatty replacement of muscle; cardiac myopathy
- what is the genetic defect in Fragile X?
- X-linked defect affecting the methylation and expression of the FMR1 gene - triplet repeat disorder (CGG)n
- what syndrome is associated with macro-orchidism, long face with large jaw, large everted ears, and autism?
- Fragile X
- name 4 trinucleotide repeat expansion diseases
- Huntington's, myotonic dystrophy, Friedrich's ataxia, fragile X (try hunting for my fried eggs)
- what is the most common cardiac malformation in Down syndrome?
- septum primum-type ASD due to endocardial cushion defects
- MR, flat facial profile, prominent epicanthal folds, simian crease, duodenal atresia, and congenital heart disease are associated with what syndrome?
- Down syndrome
- people with Down syndrome are at increased risk for developing what leukemia?
- ALL
- 95% of cases of Down syndrome are due to what?
- meiotic nondisjunction of homologous chromosomes associated with advanced maternal age (from 1:1500 women under 20 to 1:25 in women over 45)
- what percent of cases of Down syndrome are due to robertsonian translocation, and what percent are due to Down mosaicism (no maternal association)
- 4%; 1%
- severe MR, rocker bottom feet, low set ears, micrognathia (small jaw), congenital heart disease, clenched hands, prominent occiput are associated with what syndrome?
- Edward's - trisomy 18
- severe MR, microphthalmia, microcephaly, cleft lip/palate, abnonrmal forebrain structures, polydactyly, congenital heart disease are found in what syndrome?
- Patau's syndrome - trisomy 13
- 46, XX or XY, 5p-
- cri du chat - deletion of short arm of chromosome 5 (cri du has 5 letters)
- microcephaly, severe MR, high pitched crying, epicanthal folds, and cardiac abnormalities are found in what syndrome?
- cri du chat
- variable presentation as DiGeorge syndrome or velocardiofacial syndrome is associated with what chromosomal abnormality?
- microdeletion at chromosome 22q11
- developmental retardation, microcephaly, facial abnormalities, limb dislocation, and heart and lung fistulas are associated with what syndrome?
- fetal alcohol syndrome
- what is the number one cause of congenital malformations in the U.S.?
- fetal alcohol syndrome
- defects seen in fetal alcohol syndrome may occur as a result of what?
- inhibition of cell migration
- where is the break point in Fragile X?
- q27.3 on X chromosome
- the test for this condition involves culturing lymphocytes in a folate-deficient medium or with chemical agents such as methotrexate that tend to break chromosomes?
- fragile X
- the onset of preeclampsia before week 20 is suggestive of what?
- hyatidaform mole
- this chromosomal defect is the most common of those causing spontaneous abortions
- trisomy 16
- what 4 trisomies can be seen in live births?
- 8, 13, 18, 21
- what is the only lipid storage disease that is X-linked?
- Fabry's disease
- uniparental disomy for chromosome 15 can cause what syndrome?
- angelman
- what is type I familial dyslipidemia?
- hyperchylomicronemia
- what is increased in type I/hyperchylomicronemia?
- blood TG, cholesterol levels
- what is the deficiency in type I/hyperchylomicronemia?
- lipoprotein lipase deficiency or altered apo C-II
- what is type IIb familial dyslipidemia?
- combined hyperlipidemia
- what is incresed in combined hyperlipidemia?
- LDL, VLDL
- what is the defect in combined hyyperlipidemia?
- hepatic overproduction of VLDL
- what is type III familial dyslipidemia?
- dysbetalipoproteinemia
- what is increased in dysbetalipoproteinemia? what is elevated in blood?
- ILDL, VLDL
- TG, cholesterol
- what is the pathophysiology of type III/dysbetalipoproteinemia?
- altered apo E
- what is increased in type IV/hypertriglyceridemia? what is elevated in blood?
- VLDL; TG
- what is the pathophysiology of hypertriglyceridemia?
- hepatic overproduction of VLDL
- what is increased in type V/mixed hypertriglyceridemia? what is elevated in blood?
- VLDL, chylomicrons, TG, cholesterol
- what is the pathophysiology of type V/mixed hypertriglyceridemia?
- increased production/decreased clearance of VLDl and chylomicrons
- bcl-2
- follicular and undifferentiated lymphomas
- erb-2
- breast, ovary, stomach cancer
- n-myc
- neuroblastoma
- ret
- MEN I/II
- l-myc
- small cell lung cancer
- what is pleiotropy?
- one gene has more than one effect on an individual's phenotype
- when are Barr bodies seen?
- any individual with 2 X chromosomes
- what is variable expression?
- nature and severity of phenotype varies from 1 individual to another
- what is incomplete penetrance?
- not all individuals with a mutant genotype show the mutant phenotype
- whatis imprinting?
- differences in phenotype depend on whether the mutation is of maternal or paternal origin (e.g. angelman's - maternal; prader-willi - paternal)
- what is it called when a the severity of a disease worsens or age of onset of disease is earlier in succeeding generations?
- anticipation
- what is loss of heterozygosity?
- if a patient inherits or develops a mutation in a tumor suppressor gene, the complementary allele must be deleted/mutated before cancer develops - not true for ongogenes
- what is a dominant negative mutation?
- exerts a dominant effect - a heterozygote produces a nonfunctional altered protein taht also prevents the normal gene product from functioning
- what is linkage disequilibrium?
- tendency for certain alleles at 2 linked loci to occur together more often than expected by chance - measured in a population, not a family, and often varies in different populations
- what is mosaicism?
- occurs when cells in the body have different genetic makeup - e.g. lyonization - random X inactivation in females
- what is locus heterogeneity?
- mutations at different loci can produce the same phenotype (e.g. albinism)
- if a population is in Hardy-Weinberg equilibrium, then disease prevalence equals what?
- p2 + 2pq + q2 = 1
- if a population is in Hardy-Weinberg equilibrium, then what does allele prevalence equal?
- p + q = 1
- for Hardy-Weinberg - p and q are separate alleles: what does 2pq equal?
- heterozygote prevalence
- hypophosphatemic rickets is inherited in what manner?
- X-linked dominant - transmitted through both parents - either male or female offspring of the affected mother may be affected, while all female offspring of the affected father are diseased
- name 2 diseases with mitochondrial inheritance
- Leber's hereditary optic neuropathy; mitochondrial myopathies
- what is heteroplasmy?
- presence of normal as well as mutated mitochondrial DNA
- what is nondisjunction?
- failure of separation of chromosomes
- what is a balanced translocation?
- occurs when non-homologous chromosomes exchange genetic material in such a way that no critical genetic material is lost
- Km
- Km