Term
How many times does DNA loop around histone octamers to form the nucleosome "bead"? |
|
Definition
|
|
Term
What amino acids primarily compose the octamer subunits of histone proteins? |
|
Definition
|
|
Term
What are the nucleosome core histones? |
|
Definition
|
|
Term
Which DNA bases are methylated to allow mismatch repair enzymes to distinguish between old and new strands? |
|
Definition
|
|
Term
Which nucleotide basse has a ketone? |
|
Definition
|
|
Term
What nucleotide base has a methyl? |
|
Definition
|
|
Term
Name the amino acids necessary for purine synthesis? |
|
Definition
glycine, aspartate and glutamine |
|
|
Term
Describe the bond that links nucleosides? |
|
Definition
3'-5' phosphodiester bonds |
|
|
Term
Describe the process of de novo purine synthesis? |
|
Definition
start with sugar + phosphate then add base |
|
|
Term
Describe the process of pyrimidine syntehsis? |
|
Definition
make temporary base (orotic acid), add sugar + phosphate (PRPP), modify base |
|
|
Term
Which is synthesized first, ribonucleotides or deoxyribonucleotides? |
|
Definition
ribonucleotides (converted to deoxyribonucleotides by ribonucleotide reductase) |
|
|
Term
What two metabolic pathways is carbamoyl pohsphate involved in? |
|
Definition
de novo pyrimidine synthesis and the urea cycle |
|
|
Term
ornithine transcarbamylase deficiency leads to an accumulation of what? |
|
Definition
carbamoyl phosphate which is then converted into orotic acid |
|
|
Term
What drug inhibits ribonucleotide reductase? |
|
Definition
|
|
Term
What is the MOA of 6-mercaptopurine? |
|
Definition
blocks de novo purine synthesis |
|
|
Term
What is the MOA of 5-flourouracil? |
|
Definition
inhibits thymidylate synthase (decrease dTMP) |
|
|
Term
What is the deficiency of orotic aciduria? |
|
Definition
inability to convert orotic acid to UMP due to defect in either orotic acid phosphoribosyltransferase or orotidine 5'phosphate decarboxylase |
|
|
Term
What are the findings associated with orotic acidemia? |
|
Definition
increased orotic acid in urine, megaloblastic anemia that does not improve with administration of folate or B12, failure to thrive |
|
|
Term
How do you differentiate between orotic aciduria and OTC deficiency with labs? |
|
Definition
both will have increased orotic acid; OTC deficiency will also have hyperammonemia |
|
|
Term
How do you treat orotic aciduria? |
|
Definition
oral uridine administration |
|
|
Term
How does adenosine deaminsae deficiency cause SCID? |
|
Definition
excess ATP dATP imbalances nucleotide pool via feedback inhibition of ribonucleotide reductase which prevents DNA synthesis and thus decreases lymphocyte count |
|
|
Term
What was the first disease to be treated by experimental human gene therapy? |
|
Definition
|
|
Term
What is teh deficiency in Lesch-Nyhan syndrome? |
|
Definition
hypoxanthine guanine phosphoribosyltransferase (HGPRT) deficiency |
|
|
Term
How is Lesch Nyhan inherited? |
|
Definition
|
|
Term
What are the symptoms of Lesh Nyhan? |
|
Definition
retardation, self-mutilation, aggression, hyperuricemia, gout, choreoathetosis |
|
|
Term
What does it mean to say the genetic code is unambiguous? |
|
Definition
each codone specifies only 1 amino acid |
|
|
Term
What does it mean to say the genetic code is degenerate or redundant? |
|
Definition
more than 1 codon may code for the same amino acid |
|
|
Term
What does it mean to say the genetic code is "commaless" or "nonoverlapping"? |
|
Definition
read from a fixed starting point as a continuous sequence of bases |
|
|
Term
Name an exception to the rule that the sequence of bases in mRNA is "nonoverlaapping" |
|
Definition
|
|
Term
Which amino acids are only coded for by 1 codon? |
|
Definition
methionine (AUG), and tryptophan (UCG) |
|
|
Term
What does it mean to say the genetic code is "universal"? |
|
Definition
conserved throughout evolution |
|
|
Term
What type of mutation results in an early stop codon? |
|
Definition
|
|
Term
What is a missense mutation? |
|
Definition
changed aa (convservative-new aa is similar in chemical structure |
|
|
Term
Where does eukaryotic replication begin? |
|
Definition
consensus sequence of base pairs |
|
|
Term
What is the replication fork? |
|
Definition
Y shaped region along DNA template where leading and lagging strands are syntehsized |
|
|
Term
What prevents the ssDNA from reannealing after helicase has broken the hydrogen bonds? |
|
Definition
single-stranded binding proteins |
|
|
Term
What is the MOA of flouroquinolones? |
|
Definition
inhibit DNA gyrase (prokaryotic topoisomerase II) |
|
|
Term
|
Definition
makes an RNA primer on which DNA polymerase III can initiate a replication |
|
|
Term
T/F DNA polymerase III is found in eukarotes. |
|
Definition
|
|
Term
What is the function of DNA polymerase III? |
|
Definition
elongates leading strand by adding deoxynucleotides to the 3' end; elongates lagging strand until it reaches primer of preceding fragment; 3' to 5' exonuclease activity profreads each added nucleotide |
|
|
Term
What is the function of DNA polymerase 1? |
|
Definition
prokaryotic only; degrades RNA primer and fills in the gap with DNA (DNA polymerase 1 excises RNA primer with 5' to 3' exonuclease) |
|
|
Term
What is the function of telomerase? |
|
Definition
enzyme adds DNA to the 3' ends of chromosomes to avoid loss of genetic material with every duplication |
|
|
Term
What links the okazaki fragments? |
|
Definition
|
|
Term
What process can not take place in patients who have xeroderma pigmentosum? |
|
Definition
specific endonucleases release thymidine dimers created by UV light exposure and DNA polymerase and ligase fill and reseal the gap |
|
|
Term
What enzyme is used by prokaryotes to excise thymidine dimers? |
|
Definition
|
|
Term
What enzyme is deficient in xeroderma pigmentosa? |
|
Definition
|
|
Term
By what process is DNA repaired if there is spontaneous/toxic deamination/ |
|
Definition
|
|
Term
How is base excision repair preformed? |
|
Definition
specific glycosylases recognize and remove damaged bases; Ap endonuclease cuts DNA at apyrimidinic site; empty sugar is removed and the gap is filled and resealed |
|
|
Term
|
Definition
when unmethylated, newly synthesized string is recognized, mismatched nucleitides are removed and the gap is filled and resealed |
|
|
Term
Mismatch repair is mutated in what disease? |
|
Definition
hereditary nonpolyposis colorectal cancer |
|
|
Term
What is mutated in ataxia telangiectasia? |
|
Definition
nonhomologous end joining |
|
|
Term
What type of DNA repair repairs both strands of DNA? |
|
Definition
nonhomologous end joining |
|
|
Term
Where does the energy for DNA and RNA synthesis come from? |
|
Definition
triphosphate on the 5' end of the incoming nucleotide |
|
|
Term
In what direction is mRNA read? |
|
Definition
|
|
Term
In what direction are amino acid synthesized? |
|
Definition
|
|
Term
Drugs blocking DNA replication often have a modified ____, preventing addition of the next nuclotide (chain termination). |
|
Definition
|
|
Term
What is the most abundant type of RNA? |
|
Definition
|
|
Term
What is the longest type of RNA? |
|
Definition
|
|
Term
What is the smallest type of RNA? |
|
Definition
|
|
Term
What is the mRNA start codon? |
|
Definition
|
|
Term
|
Definition
methionine in eukaryotes; formyl methionine in prokaryotes |
|
|
Term
What are the stop codons? |
|
Definition
|
|
Term
Promoter sequences are rich in what nucleotides? |
|
Definition
|
|
Term
What's another name for the TATA box? |
|
Definition
|
|
Term
Where are promoter sequences located? |
|
Definition
upstream of gene locus (TATA is at -25; CAAT is at -70) |
|
|
Term
What binds to teh promoter sequence? |
|
Definition
RNA polymerase and multiople other transcription factors to initiate transcription |
|
|
Term
What types of sequences that regulate gene transcipriton can be found close to, far from, or even within the gene whose expression it regulates? |
|
Definition
|
|
Term
What do you call the site where negative regulators (repressors) bind? |
|
Definition
|
|
Term
|
Definition
|
|
Term
What is the MOA of alpha amanitin? |
|
Definition
inhibits RNA polymerase II causing liver failure |
|
|
Term
What is the name of the poison found in death cap mushrooms? |
|
Definition
|
|
Term
Which RNA polymerase opens DNA at the promoter site? |
|
Definition
|
|
Term
Does RNA polymerase have proofreading functions? |
|
Definition
|
|
Term
Describe the difference between eukaryotic and prokaryotic RNA polymerase. |
|
Definition
there are three different types of RNA polymerase that make the different kinds of RNA in eukaryotes; prokaryotes have 1 RNA pol that makes all types of RNA |
|
|
Term
The initial transcript by RNA pol II is called... |
|
Definition
|
|
Term
How is transcription terminated? |
|
Definition
rho dependent (uses Rho factor, an ATPase), or rho independent (GC rich reagion forms a hairpin loop and bumps off RNA pol at a weak AT rich region) |
|
|
Term
What is the polyadenylation signal?? |
|
Definition
|
|
Term
|
Definition
G attacks an A which forms UGA and then breaks off at the OH group and the two exons join together |
|
|
Term
What effect does glucose have on the lac operon? |
|
Definition
glucose inhibits the activated by decreasing cAMP (cAMP binds to the CAP which can then bind to the CAP binding site and allow transcription to take place) |
|
|
Term
What is the activator for the lac operon? |
|
Definition
CAP (catabolite activator protein) which binds with cAMP in order to bind to the CAP binding site and help RNA polymerase to bind to the promoter |
|
|
Term
What effect does lactose have on the lac operon? |
|
Definition
inhibits the repressor protein by binding to it and not allowing it to bind to the lacl sequence upstream of the lac genes |
|
|
Term
|
Definition
|
|
Term
What do the lac genes encode? |
|
Definition
beta galactosidase which breaks down lactose into glucose and galactose |
|
|
Term
What do you call it when different exons can be combined by alternative splicing to make unique proteins in different tissues? |
|
Definition
|
|
Term
Where is the anticodon end of a tRNA? |
|
Definition
opposite the 3' aminoacyl end |
|
|
Term
What is located at the three prime end of all tRNAs both eukaryotic and prokaryotic? |
|
Definition
CCA at the 3' endalong with a high percentage of chemicall modified bases |
|
|
Term
What enzyme puts an amino acid on tRNA? |
|
Definition
aminoacyl-tRNA synthetase |
|
|
Term
T/F Aminoacyl-tRNA synthetase has proofreading ability. |
|
Definition
true; scrutinizes aa both before and after covalently binding aa to tRNA |
|
|
Term
What is the MOA of tetracyclines? |
|
Definition
bind the thirty S subunit, preveting attachment of aminoacyl-tRNA |
|
|
Term
What are the subunits of the prokaryotic vs eukaryotic subunits? |
|
Definition
prokaryotic (30 + 50 = 70) eukaryotes (40 + 60 = 80) |
|
|
Term
What is the energy source for tRNA charging? |
|
Definition
|
|
Term
Describe how initiation occurs? |
|
Definition
activated by GTP hydrolysis, initiation factors (eIFs) help assemble the 40S ribosomal subunit with the initiator tRNA and are released when the mRNA and the ribosomal subunit assemble with the complex |
|
|
Term
What are the different tRNA sites of the ribosome? |
|
Definition
a= incoming aminoacyl-tRNA; p= peptide chain; e= holds empty tRNA as it exits |
|
|
Term
What is the MOA of aminoglycosides/ |
|
Definition
bind the thirty S subunit and inhibit formation of the initiation complex and cause mimsreading of mRNA |
|
|
Term
How does translation termination occur? |
|
Definition
stop codon is recognized by release factor and complete protein is released from ribosome |
|
|
Term
What is the MOA of chloramphenicol? |
|
Definition
inhibits 50S peptidyltransferase |
|
|
Term
What is the MOA of streptogramins? |
|
Definition
inhibits 50S peptidyltransferase |
|
|
Term
What is the MOA of macrolides? |
|
Definition
block translocation by binding the 23 subunit of 50S |
|
|
Term
What is the MOA of clindamycin? |
|
Definition
block peptide bond formation |
|
|
Term
what is the MOA of linezolid? |
|
Definition
bind to 23 subunit of 50S |
|
|
Term
What are the elongation factors in eukaryotes versus prokaryotes? |
|
Definition
|
|
Term
What is the shortest phase of the cell cycle? |
|
Definition
|
|
Term
Which is cell cycle specific: cyclins or CDKs? |
|
Definition
cyclins are phase specific while CDKs are constitutive and inactive |
|
|
Term
What is a "permanent" cell type? |
|
Definition
remain in G0, regenerate from stem cells; ex= neurons, skeletal and cardiac muscl, RBCs |
|
|
Term
What are stable/quiescent cells? |
|
Definition
enter G1 from G0 when stimulated (hepatocytes, lymphocytes) |
|
|
Term
|
Definition
never go to G0; divide rapidly with a short G1 (bone marrow, gut epithelium, skin, hair follicles) |
|
|
Term
Name two cell types that are rich in RER? |
|
Definition
plasma cells; globlet cells |
|
|
Term
What kinds of post translational modifications can occur in the RER? |
|
Definition
n-linked oligosaccharide addition |
|
|
Term
What is RER in neurons called? |
|
Definition
|
|
Term
Where are organellar proteins made? |
|
Definition
|
|
Term
What types of cells are rich in SER? |
|
Definition
liver hepatocytes (detox of drugs and poisons) and adrenal cortex (site of steroid synthesis) |
|
|
Term
What does the golgi do to modify proteins? |
|
Definition
modifies N-oligosaccharides on asparagine; adds O-oligosaccharides on serine and threonine; adds mannose-6-phosphate for trafficking to lysosomes |
|
|
Term
|
Definition
vesicular trafficking protein that moves retrograde (golgi --> ER) |
|
|
Term
|
Definition
vesicular trafficking protein that is responsible for anterograde movement (RER --> cisGolgi) |
|
|
Term
What is trans versus cis golgi? |
|
Definition
trans is on the side of the plasma membrane; cis is on the side of the ER and nucleus |
|
|
Term
What is the defect in I cell disease? |
|
Definition
lysosomal storgae disorder d/t failure of addition of mannose 6 phosphate to lysosome proteins (enzymes are secreted outside the cell instead of being targetted to the lysosome) |
|
|
Term
What are the symptoms of I cell disease? |
|
Definition
coarse facial features; clouded corneas, restricted joint movement, and high plasma levels of lysosomal enzymes |
|
|
Term
What is the prognosis of I cell disease? |
|
Definition
|
|
Term
What is the function of a peroxisome? |
|
Definition
membrane enclosed organelle involved in catabolism of very long chain fatty acids and amino acids |
|
|
Term
|
Definition
barrel shaped protein complex that degrades damaged or unnecessary proteins tagged for destruction with ubiquitin |
|
|
Term
Describe the structure of a microtubule? |
|
Definition
cylindrical structure composed of a helical array of polymerized dimers of alpha and beta tubulin (each dimer has 2 GTp bound) |
|
|
Term
What are the drugs that act on microtubules? |
|
Definition
mebendazole/thiabendazole, griseofulvin, vincristine, vinblastine, paclitaxel, colchicine |
|
|
Term
Name a disease caused by a microtubule polymerization defect? |
|
Definition
|
|
Term
What are the symptoms of chediak higashi syndrome? |
|
Definition
recurrent pyogenic infections, partial albinism, and peripheral neuropathy |
|
|
Term
What is the ATPase located around cilia? |
|
Definition
axonemal dyneine (links peripheral nine doublets and causes bending of cilium by differential sliding of doublets) |
|
|
Term
What cytoskeletal element is responsible for microvilli? |
|
Definition
|
|
Term
What cytoskeletal element is associated with cytokinesis? |
|
Definition
|
|
Term
What cytoskeletal element is responsible for adherens junctions? |
|
Definition
|
|
Term
What cytoskeletal element is associated for cell movement? |
|
Definition
|
|
Term
What cytoskeletal muscle makes up cilia and flagella? |
|
Definition
|
|
Term
What cytoskeletal elements are responsible for axonal trafficking? |
|
Definition
|
|
Term
What cytoskeletal elements are associated with centrioles? |
|
Definition
|
|
Term
What is the function of intermediate filaments? |
|
Definition
|
|
Term
What are the different types of intermediate filaments? |
|
Definition
vimentin, desmin, cytokeratin, lamins, glial fibrillary acid proteins, neurofilaments |
|
|
Term
T/F There are more phospholipids than cholesterol in the plasma membrane? |
|
Definition
|
|
Term
What composes the plasma membrane? |
|
Definition
phospholipids, cholesterol, sphingolipids, glycolipids, and proteins |
|
|
Term
What effect does high cholesterol have on plasma membrane? |
|
Definition
increases melting temperature; decrease fluidity |
|
|
Term
What effect does long saturated fatty acid content ahve on cell membrane? |
|
Definition
increases melting temperature; decreases fluidity |
|
|
Term
A vimentin stain stains... |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
In order to pump 3 Na out and 2 K in, the Na/K ATPase must be... |
|
Definition
phosphorylated by ATP to allow Na out; depohsphorylated to bring K in |
|
|
Term
What is the most abundant protein in the human body? |
|
Definition
|
|
Term
Where is type I cartillage found? |
|
Definition
bone, skin, tendon, dentin, fascia, cornea, late wound repair |
|
|
Term
Where is type II cartilage found? |
|
Definition
vitreous body, cartilage, nucleus pulposus |
|
|
Term
Where is type III collagen found? |
|
Definition
reticulin= skin, blood vessels, uterus, fetal tissue, granulation tissue |
|
|
Term
Where is type IV collagen found? |
|
Definition
|
|
Term
|
Definition
|
|
Term
What is the amino acid sequence characteristic of collagen? |
|
Definition
Gly-X-Y (X and Y can be proline, hydroxyproline, or hydroxylysine) |
|
|
Term
Where does hydroxylation of proline and lysine residues of collagen molecule take place? |
|
Definition
|
|
Term
Where does glycosylation of collagen take place? |
|
Definition
|
|
Term
How is procollagen formed? |
|
Definition
hydrogen and disulfide bonds (tripple helix of three collagen alpha chains) |
|
|
Term
Where does the formation of procollagen take place? |
|
Definition
|
|
Term
What form of collagen is exocytosed by the fibroblast? |
|
Definition
|
|
Term
What happens to procollagen once it leaves the fibroblast? |
|
Definition
cleavage of terminal regions of procollagen transforms it into insoluble tropocollagen; reinforcement of many staggered tropocollagen molecules by covalent lysine-hydroxylysine cross linkage (by lysyl oxidase) to make collagen fibrils |
|
|
Term
What is the final form of collagen called? |
|
Definition
|
|
Term
What are the symptoms of osteogenesis imperfecta? |
|
Definition
multiple fractures; blue sclerae, hearing loss, dental imperfections |
|
|
Term
What type of OI is fatal in utero or in the neonatal period? |
|
Definition
|
|
Term
What is the incidence of OI? |
|
Definition
|
|
Term
What is the pathogenesis of ehlers danlos syndrome? |
|
Definition
type III collagen is most frequently affected |
|
|
Term
What are the symptoms of Ehlers Danlos? |
|
Definition
hyperextensible joints, stretchy skin, tendency to bleed, joint dislocation, berry aneurysms, organ rupture |
|
|
Term
What is the inheritance pattern of ehlers danlos? |
|
Definition
there are six types and they can be either autosomal dominant or recessive |
|
|
Term
What is the inheritance pattern of alport syndrome? |
|
Definition
most common form is x linked |
|
|
Term
What are the symptoms of alport syndrome? |
|
Definition
progressive hereditary nephritis and deafness; may be associated with ocular disturbances |
|
|
Term
Where is elastin particularly important? |
|
Definition
lungs, large arteries, elastic ligaments, vocal cords, ligamenta flava |
|
|
Term
Elastin is rich in which amino acids? |
|
Definition
proline and glycine, nonglycosylated forms |
|
|
Term
What is the function of fibrillin? |
|
Definition
provide scaffolding for tropoelastin |
|
|
Term
|
Definition
|
|
Term
What causes the wrinkles of aging? |
|
Definition
decreased collagen and elastin production |
|
|
Term
|
Definition
DNA is electrohporesed on a gel and then transferred to a filter; filter is soaked in a denaturant and subsequently exposed to a radiolabeled DNA probe that recognizes and anneals to its complementary strand; the resulting double stranded labeled piece of DNA is visualized when the filter is exposted to film |
|
|
Term
What is a southern blot for RNA called? |
|
Definition
|
|
Term
|
Definition
sample protein is separated via gell electrophoresis and transferred to a filter; labeled antibody is used to bind to relevant protein |
|
|
Term
What is a southwestern blot? |
|
Definition
identifies DNA binding proteins (trnascription factors) using labeled oligonucleotide probes |
|
|
Term
What is the purpose of microarrays? |
|
Definition
profile gene expression levels of thousands of genes simultaneously to study certain diseases and treatments; able to detect SNPs |
|
|
Term
T/F the specificity and sensitivity aof ELISA approach 100%. |
|
Definition
|
|
Term
What is the "cre-lox system"? |
|
Definition
can inducibly manipulate genes at specific developmental oints using an antibiotic controled promoter (e.g. to study a gene whose deletion causes embryonic death) |
|
|
Term
How do you make trnasgenic mice? |
|
Definition
random insertion of gene into mouse genome (constitutive); targeted insertion of deletion of gene through homologous recombintation with mouse gene (conditional) |
|
|
Term
|
Definition
dsRNA syntehsized that is complementary to the mRNA sequence of interest. when transfected into human cells; dsRNA separates and promotes degradation of target mRNA, knocking down gene expression |
|
|
Term
What kinds of body tissues do you need to perform karyotyping? |
|
Definition
sample of blood, bone marrow, amniotic fluid, or placental tissue |
|
|
Term
|
Definition
neither of 2 alleles is dominant |
|
|
Term
What is variable expression? |
|
Definition
nature and severity of phenotype vary from 1 individual to another |
|
|
Term
|
Definition
1 gene has > 1 effect on an individuals phenotype |
|
|
Term
|
Definition
differences in phenotype depend on whether mutation is of maternal or paternal origin |
|
|
Term
What types of genes can cause tumor syndromes due to loss of heterozygosity? |
|
Definition
|
|
Term
What is a dominant negative mutation? |
|
Definition
exerts a dominant effect; a heterozygote produces a nonfunctional altered protein that also prevents the normal protein from functioning |
|
|
Term
What is linkage dysequilibrium? |
|
Definition
tendency for certain alleles nearby in a gene to occur more often than expected by chance (measured in population not ina family and often variies in different populations) |
|
|
Term
|
Definition
postfertilization loss of genetic information during mitosis |
|
|
Term
|
Definition
random X inactivation in females |
|
|
Term
|
Definition
random X inactivation in females |
|
|
Term
What is a chimeric individual? |
|
Definition
an individual whose genetic make up resutls from two zygotess that subsequently fuse |
|
|
Term
What do you call it when mutations at different loci can produce the same phenotype? |
|
Definition
|
|
Term
Name three different diseases that can cause a marfanoid habitus? |
|
Definition
marfans, homocysteinuria, MEN 2B |
|
|
Term
|
Definition
presence of both normal and mutated mtDNA, resulting in variable expression in mitochondrial inherited disease |
|
|
Term
What is uniparental disomy? |
|
Definition
offspring recieves 2 copies of a chromosome from 1 parent and no copies from the other parent |
|
|
Term
What is the hardy weinberg equation? |
|
Definition
|
|
Term
What are the assumptions of the hardy weinberg law? |
|
Definition
no mutation occuring at the locus, no selection for any of the genetypes of the locus, completely random mating, no migration |
|
|
Term
What is the abnormality of prader willi syndrome? |
|
Definition
individual has normally inactivated maternal allele on chr 15; paternal allele should be active but is deleted |
|
|
Term
What is the defect in angleman's syndrome? |
|
Definition
individual has normally inactivated paternal allel; maternal allel on chr 15 should be active but is deleted |
|
|
Term
What are the symptoms of prader willi syndrome? |
|
Definition
mental retardation, hyperphagia, obesity, hypogonadism, hypotonia |
|
|
Term
What are the symptoms of angel man syndrome? |
|
Definition
mental retardation, seizures, ataxia, inappropriate laughter (happy puppet) |
|
|
Term
Defects in structural genes often cause disease with what mode of inheritance? |
|
Definition
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If ALL female offspring of an affected father are affected, the inheritance is likely... |
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Name a disease that is x linked dominant? |
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Definition
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What is the defect of hypophosphatemic rickets? |
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Definition
increased phosphate wasting at proximal tubule |
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What are the symptoms of Leber's hereditary optic neuropathy? |
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Definition
acute loss of central vision |
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What is teh defect in achondroplasia? |
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Definition
cell signaling defect of fibroblast growth factor receptor 3 |
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What genetic disease is associated with advanced paternal age? |
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Definition
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What is the presentaiton of ADPKD? |
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Definition
flank pain, hematuria, hypertension, preogressive renal failure |
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What is the mutation associated with ADPKD? |
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Definition
90% due to mutation of PKD 1 on chr 16 |
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What other pathology besides polycystic kidneys is associated with ADPKD? |
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Definition
polycystic liver disease, berry aneurysms, mitral valve prolapse |
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What is teh mutation that causese familial adenomatous polyposis? |
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Definition
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What is the MOA of familial hypercholesterolemia? |
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Definition
elevated LDL due to defective or absent LDL receptor |
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What's another naem for familial hypercholesterolemia? |
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Definition
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What is the cholesterol of someone with familal hypercholesterolemia? |
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Definition
heterozygote= 300 mg/dl; homozygote= 700+ mg/dl |
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What rae teh symptoms of familal hypercholesterolemia? |
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Definition
severe atherosclerotic diesease early in life and tendon xanthomas 9classically in the achilles tendon); MI may develop before age 20 |
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What's another name for osler-weber-rendu? |
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Definition
hereditary hemorrhagic telangiectasia |
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Term
What are the findings in herditary hemorrhagic telangiectasia? |
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Definition
telangiectasia, recurrent epistaxis, skin discoloration, ateriovenous malformations |
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Hereditary spherocytosis is due to a defect in.. |
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Definition
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What are the lab findings of hereditary spherocytosis? |
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Definition
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What disease can be cured with splenectomy/ |
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Definition
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What are the changes in neurotransmitter in the brain associated with huntingtons? |
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Definition
decreased levels of GABA and ACh |
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Term
What is the mutation associated with huntingtons disease? |
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Definition
trinucleotide repeat of CAG on chromosome 4 |
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Term
What are the symptoms of marfans? |
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Definition
tall with long extremities, pectus excavatum, hyperextensive joints, arachnodactyly; cystic medial necrosis of aorta leading to aortic insufficiency and dissecting aortic aneurysms; floppy mitral valve, subluxation of lenses |
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Term
T/F Scoliosis is a symptom sof NF type 1? |
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Definition
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Term
What are the finidngs of neurofibromatosis type 1? |
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Definition
cafe au lait spots, neural tumors, lisch nodules , scoliosis and other skeletal disorders, optic pathway glioma |
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Term
What chromosome is affected by NF 1? |
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Definition
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What are the symptoms of NF2? |
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Definition
bilateral acoustic schwannomas, juvenile cateracts |
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Where is the mutaon for NF 2? |
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Definition
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What are the findings for tuberous sclerosis? |
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Definition
facial lesions (adnoma sebaceum), hypopigmented "ash leaf spots" on skin, cortical and retinal hamartomas, seizures, mental retardation, renal cysts, and renal angiomyolipomas, cardiac rhabdymomas, increased incidence of astrocytoma |
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What is the incidence of astrocystoma? |
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Definition
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What accounts for the variable presentation of tuberous sclerosis? |
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Definition
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What are the findings of vHL disease? |
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Definition
hemangioblastoma of retina/cerebellum/medulla; about half of affected individuals develop bilateral renal cell carcinoma and toher tumors |
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Term
What is the mutation associated with vHL |
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Definition
deletion of VHL gene (tumor supressor) on chr 3p; this results in constitutive expression of HIF (transcription factor) and activation of angiogenic growth factors |
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What is the inheritance of hemochromatosis? |
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Definition
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Name the only sphingolipidosis that is not AR? |
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Definition
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Where is the mutation for CFTR? |
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Definition
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What is the most common mutation of CF? |
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Definition
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What is the function of CFTR? |
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Definition
secretes Cl- in teh lung and resorbs cloride in sweat |
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Term
What is the most common lethal genetic disease of caucasians? |
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Definition
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What is the MOA of N-acetyl cystine for CF/ |
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Definition
cleaves disulfide bonds within mucous glycoproteins |
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Term
What types of organisms cause recurrent respiratory infections in CF patients? |
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Definition
pseudomonas and S. aureus |
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Term
How does the mutation of CF cause abnormal CFTR? |
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Definition
mutation causes abnormal protein folding, resulting in degradation of channel before reaching cell surface |
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What is the inheritance pattern of ocular albinism? |
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Definition
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What is the pathogenesis of duchenes? |
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Definition
x linked fram shift mutation causes deletion of dystrophin gene; dystrophin gene is responsible for anchoring muscle fibors primarily in skeletal and cardiac muscle; absence causes accelerated muscle breakdown |
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What is the presentation of duchenne's |
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Definition
weakness beginning in pelvic girdle muscles and progressing superiorly; pseudohypertrophy of calf muscles due to fibrofatty replacement of muscle; cardiac myopathy |
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At what age does Duchene's start to present? |
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Definition
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What is the mutation of becker's muscular dystrophy? |
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Definition
x linked mutated dystrophin gene (no frameshift) |
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At what age does Becker's present? |
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Definition
adolescence or early adulthood (less severe than Duchenne's) |
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What is the mutation associated with fragile X syndrome? |
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Definition
X linked defect (CGG repeat)What is the repeat affecting the methylation and expression of the FMR1 gene |
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What is the trinucleotide repeat associated with friedreich's ataxia? |
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Definition
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What is the trinucleotide repeat associated with myotonic dystrophy? |
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Definition
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Gap between the first two toes is associated with what syndrome? |
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Definition
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Down syndrome patients are at an increased risk of what cancer? |
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Definition
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Term
What are teh results of the pregnancy quad screen for Down's? |
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Definition
decreased AFP, increased B-hCG, decreased estriol, increased inhibin A |
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Term
What are the ultrasound findings of Downs? |
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Definition
increased nuchal translucency |
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Term
What is the risk of Down's after woman is over 45? |
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Definition
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What is the chromosomal abnormality responsible for Downs? |
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Definition
95% due to meiotic nondisjunction of homologous chromosomes; 4% Robersonian trnaslocation; 1% due to Down mosaicism |
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Term
What mutation that causes DOwn's is NOT associated with AMA? |
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Definition
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What are the findings associated with edward's syndrome? |
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Definition
severe mental retardation, ricker bottom feet, micrognathia (small jaw), low-set ears, clenched hands, prominent occiput, congenital heart diesease |
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