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8. Errors in meiosis and mitosis
BrownMed
38
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Pre-School
11/01/2010

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Term
unit inheritance
Definition
parental phenotypes do not blend in offspring
Term
segregation
Definition
two members of a gene pair (alleles) are never found in the same gamete
Term
independent assortment
Definition
random recombination of maternal and paternal chromosomes in gametes
Term
characteristic banding patterns in karyotype created by (2)
Definition
trypsin (a protease) and Giemsa (a chemical that stains DNA)
Term
short arm / long arm letters
Definition
p - petit, q - long (follows p in alphabet)
Term
barr body
Definition
inactive second X chromosome
Term
tortoiseshell cats
Definition
gene for color is on X chromosome. in every cell, one X is inactivated.
Term
could a tortoiseshell cat be male?
Definition
yup - 47XXY, klinefelter's syndrome
Term
chromosomal mosaicism is
Definition
mitotic non-disjunction. trisomy and monosomy instead of normal disomy.
Term
mitotic non-disjunction occurs when
Definition
in the zygote
Term
meiotic non-disjunction occurs where
Definition
in egg or sperm
Term
t/f mosaicism often occurs in all parts of the body if it occurs at all
Definition
f - usually only one part, like skin or blood
Term
turner syndrome
Definition
45XO. only occurs in females. occurs via meiotic non-disjunction. sometimes there are two X chromosomes, but one is incomplete. webbed neck, short, narrowing (coarctation) of aorta, renal and skeletal abnormalities, infertility. prognosis is better when there's more of a second X present.
Term
turner's mosaicism
Definition
X chromosome missing in some cells but not in others. occurs via mitotic non-disjunction.
Term
_% 45X babies abort spontaneously
Definition
over 99%; causes 20% of all first trimester miscarriages.
Term
how many live births = turner's
Definition
1/2000-5000
Term
newborn turner presentation
Definition
webbed neck, weird face, lymphedema (puffy hands and feet) = 1/3 diagnosed then
Term
childhood turner presentation
Definition
short w/ webbed neck (1/3 diagnosed then)
Term
adolescent turner presentation
Definition
no menarche, lack of secondary sex characteristics (1/3 diagnosed then)
Term
streak gonads
Definition
= turner's ovaries = fibrosed
Term
majority of errors occur maternally/paternally in turner's syndrome
Definition
paternal X is missing
Term
turner's syndrome treatment (4)
Definition
growth hormone, replace estrogen in 13-14y.o. girls for bone and heart health (but not sooner), counsel regarding probable infertility, echocardiograms every 5 years w/ normal heart and every year with abnormal heart
Term
45x/46xy mosaics
Definition
6% of turners patients. must have testicular tissue removed because of cancer risk
Term
examples of meiotic non-disjunction
Definition
klinefelter's, trisomy 21, 18, 13
Term
how many gametes are normal in meiotic non-disjunction?
Definition
none in meiosis I, 2 in meiosis ii
Term
paternal or maternal error in klinefelter's?
Definition
50-50
Term
klinefelter's
Definition
small testes, gynecomastia (some breast tissue), high FSH LH and estradiol but low testosterone, infertility without testosterone replacement, no secondary sex characteristics, immaturity
Term
klinefelter's treatment
Definition
test. replacement, assisted reproduction, programs for help with expressive language. (wide range of intelligence and function)
Term
down syndrome
Definition
brachycephaly (flat head), high eyebrows, flat nasal bridge, low-set ears, hypotonic (floppy), small, (simian crease in 50%), sandle gap. impaired cognitive ability, developmental delays, congenital heart defects (usually endocardial cushion defects), 10% duodenal atresia (obstruction, lack of duodenal lumen = double bubble)
Term
edward's syndrome
Definition
trisomy 18, most often due to errors in meiosis ii. male:female = 1:4, but females have better survival rates. 90% die in first year, 50% die in first three months. prominent occiput, hairy (hirsute) forehead, low-set funny ears, can't open and close hands, short sternum, cardiac defects: ASD VSD or patent ductus arteriosus
Term
treatment for trisomy 18
Definition
treat congenital heart disease medically; surgery unlikely to improve outcome
Term
patau syndrome
Definition
trisomy 13. 15% robertsonian translocation, 5% mosaicism. polydactyly, low set abnormal ears, midline defects, scalp/skull don't close (cutis aplasia). same amounts in males and females. 90% die in first year, 50% die in first three months.
Term
trisomy 13 treatment
Definition
severe retardation: family support, comfort measures, cousel about recurrence risk, continuity of care if baby is discharged home. surgery only to make definitive diagnosis. note feeding difficulties, seizures.
Term
recurrence risk differs if
Definition
mother vs. father is a carrier of a robertsonian translocation
Term
female w/ trisomy 18 denotation:
Definition
47, XX, +18
Term
treatment for trisomy 21
Definition
green top karyotype test, EKG + check newborn screen for hypothyroidism + abdominal xray
Term
when is heart defect in down syndrome caused?
Definition
before fertilization (maternal anaphase I usually); not preventable.
Term
what is the increase in risk for a mother with a down syndrome baby to have another down syndrome baby?
Definition
1% increase
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