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PMS II Exam 3
Genetics, Cancer
42
Medical
Graduate
06/05/2010

Additional Medical Flashcards

 


 

Cards

Term

Genetics


Definition
Term

which type of cell division results in 2 daughter cells with 23 pairs of chromosomes?

 

what type of cells does this occur in?

Definition

Mitosis

 

Somatic Cells

Term

what type of cell division results in 4 daughter cells, each with 1 set of 23 chromosomes?

 

type of cells that this occurs in ?

Definition

Meiosis

Germ cells

Term
how many chromosomes make up an autosome?
Definition

22 pairs

sex chomosome (X or Y) is the 23rd

 

XY male

 

XX female

Term
____________ is the physical manifestation of genetic information
Definition
Phenotype
Term
_____________ is the sum total of genetic information in the cells
Definition
genotype
Term
a recessive trait is only expressed in a ____________ pairing
Definition

homozygous (aa)

 

aa = blue eyes

 

Aa = brown eyes

 

A= brown

a = blue

Term
which type of autosomal diseases usually manifest later in life?
Definition
autosomal dominant
Term
what type of autosomal diseases typically manifest from birth?
Definition
autosomal recessive
Term

a patient that is affected by this type of disease will also have a parent that is affected.

 

name 4

Definition

Autosomal Dominant Single Gene Diseases:

Huntington's Chorea

Familial hypercholesterolemia

Marfans syndrome

Von Willebrand's disease

Tall and skinny, high Cholesterol, bleeding disorder, uncoordinated

Term
what is the most common autosomal recessive disease?
Definition
cystic fibrosis
Term

name 2 non-sex linked diseases that a pt can inherit from parents who are unaffected by the disease.

 

 

Definition

Autosomal Recessive Single Gene Diseases:

 

Cystic Fibrosis

 

Sickle Cell Disese

Term
Name 3 genetic diseases that only affect males but can be carried by females.
Definition

X-linked Recessive Diseases:

 

Hemophilia A

Duchenne musclar dystrophy

Fragile X syndrome

Term

Down syndrome

Turner syndrome

Klinefleters syndrome

 

examples of what type of genetic disorder?

Definition

Chromosomal Disorders:

 

Down syndrome = Trisomy 21

Turner syndrome = Monosomy (45, X)

Klinefleters syndrome = Polysomy (47, XXY)

Term
what autosomal recessive disease is associated with chromosome 11?
Definition
sickle cell disease
Term

Pathophyiology of CA


Definition
Term
What are the two main features that define cancer?
Definition

1.  Cell growth is not regulated by external signals (malignant cell replication, angiogenesis)

 

2.  Cells invade tissues and metastasize

Term

what are the 4 phases of the cell cycle in somatic cells?

 

explain the key features of each phase

Definition
G1 phase:  duplication of cellular contents (not chromo)
S phase:  Synthesis of DNA, duplication of chromosomes
G2 phase:  RNA protein synthesis, checking/repairing chromosomal duplication
M phase:  Mitosis, nuclear and cellular division into 2 daughter cells (46 chrom each / 2 sets of 23 chromo)
Term
what type of mutation causes a heriditary cancer?
Definition

germline mutation

 

typically involve tissue suppressor gene mutation

Term
what is the difference between malignant cell growth, neoplasia, and hyperplasia?
Definition

malignant cell growth is colonal (results from genetic mutations passed on through replication), infiltrative (can invade other tissues), and metastatic (can spread to other areas of the body away)

 

Neoplastic cell growth is the abnormal or uncontrolled growth of cells and cannot spread by invasion or metastisis

 

Hyperplastic cell growth is the increase in the number or normal cells in a tissue or organ (not colonal growth)

Term
Most somatic mutations are dominant traits and are due to _______________
Definition

Most somatic mutations are dominant traits and are due to translocations.

translocations form oncogenes

Term
what are the 3 classes of cancer genes?
Definition

proto-oncogens

oncogenes

tumor suppressor genes

Term
what type of cancer genes code for proteins involved in normal cell growth and differentiation
Definition

proto-oncogenes

are convered to oncogenes through mutations or increased expression

Term
what type of cancer genes are mutations of genes that accelerate proliferation?
Definition

oncogenes

turn a normal cell into a tumor (neoplastic) cell

Term
what type of cancer genes are mutations of genes that negatively regulate (restrain) proliferation?
Definition
tumor suppressor genes
Term

what type of oncogene is C-Sis?

 

 

Definition

C-Sis is a growth factor oncogene that causes cells to secrete growth factors, leading to uncontrolled proliferation

 

 

C-Sis = growth factor oncogene = uncontrolled proliferation of cell

Term

activation of _________ causes cell growth, differentiation, and survival.

 

mutations of this pathway have to do with 50% of adult CA, specifically tumor growth

Definition
Ras
Term

Myc gene regulates transcription of genes that regulate what?

 

what type of CA is associated with Myc gene mutation?

Definition

cell proliferation

 

Myc translocation involved in the development of Burkitt's lymphoma

Term

what type of gene is retinoblastoma (RB)?

 

 

 

 

Definition

tumor suppressor gene

 

germline cell, chromosome 12

 

inhibits cells division cycle (cancer turns this function off)

Term

what gene is frequently mutated in solid tumors?

 

germline mutations of this gene cause Li-Fraumeni syndrome

Definition

Tumor suppressor gene p53

Tumor suppressor gene p53 = Li-Fraumeni syndrome

Term
__________________ is cause of colon cancer due to a genetic mutation in the DNA repair system leading to microsatellite instability.
Definition

Lynch Syndrome

 

Hereditary Nonpolyposis Colon cancer (HNCC)

Term

loss of p53 tumor suppressor gene

or gain of function of oncogene Bcl-2 cause cells to lose what function?

Definition
apoptosis
Term
vascular endothelial growth factors (VEGF) are proto-ongogenes involved in what aspect of tumor growth/cancer progression?
Definition
Angiogenesis
Term
__________________ are used to predict the future behavior of cancer.
Definition
biomarkers
Term
______ is a proto-oncogene that signals a more aggressive breast cancer.
Definition
HER2
Term
mutations in that gene are found in ~50% of adenocarinomas (pancreas, colon, lung), thyroid tumors, and myeloid leukemia?
Definition
RAS
Term
__________ can contribute to the development of cancer by forcing host cells to proliferate indefinitely.
Definition
viruses
Term
___________ activate proto-oncogenes through inserting their genome adjacent to the cellular genes.
Definition
retroviruses
Term
what syndrome is cx by hyperkalemis, hyperphosphatemia, hypercalcemia, and hyperuricemia secondary to spontaneous or treatment related cell death?
Definition

Tumor Lysis Syndrome

 

 

usu occurs in leukemia, lymphoma CA

Term
small cell lung cancer in the right apex is commonly associated with what syndrome cx by dyspnea, facial swelling, and venous distension in the neck and facial area?
Definition
SVC syndrome
Term

what complication of CA is associated with LBP, saddle paresthesias, overflow incontinence, and LE motor dysfunction?

 

What type of CA typically causes this?

Definition

Spinal cord compression

 

Cause:  bony METs with extension into the epidural space

Term
what metabolic disorder is caused by bony METs, paraneoplastic syndrome, and/or lymphoma?
Definition

Hypercalcemia

 

due to release of PTHrP (paraneoplastic syndrome) or calcitriol(lymphoma)

 

"bones, groans, psychiatric overtones"

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