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CMS III - PEDS Test #1 - Genetic D/O
Winter Semester 2011
58
Medical
Graduate
04/02/2011

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Cards

Term
Webbed posterior neck, cubitus valgus, low posterior Hairline, underdeveloped breasts and uterus, and short stature.
Definition
Turner’s Syndrome
Term
Elongated face, prominent jaw, macro-orchidism, low mm tone, decreased IQ, velvety skin, hyperextensible joints, flattened nasal bridge
Definition
Fragile X
Term
Hyperextensible joints, tall stature, bluish sclera, flattened cornea, upward dislocation of ocular lens, high arched palate, mitral valve prolapse, aortic aneurysm
Definition
Marfan’s Syndrome
Term
Flat facial profile, flat occiput, upslanted palpebral fissures, inner epicanthal folds, brushfield spots, single palmer crease (simian crease)
Definition
Down’s Syndrome
Term
Bushy eyebrows, Failure-to-thrive, long curly eyelashes, small nose and anteverted nostril, thin lip with out midline notch of upper and lower lip, low IQ, generalized hirsutism, micrognathia, hypoplastic nipple, micromelia of feet, autistic/self-destructive
Definition
Cornelia de Lange
Term
Recurrent URI, hirsuitism, thickened skin, flat-mid face, broad nose
Definition
Hurler’s Syndrome
Term
Tall slim male, hypogonadism, long extremities, infertility, gynectomastia (30%), average IQ, personality/behavioral problem, low testosterone levels
Definition
Kleinfelter’s Syndrome
Term
Micrognathia, beak-like nose, malformed ears, projection of scalp hair into cheeks
Definition
Treacher-Collins
Term
small mouth, small jaw, Cryptorchidism, Rocker bottom feet, SGA, Low-set malformed ears, overlapping fingers, wide fontanelles, seizures, short sternum
Definition
Trisomy 18/Edward’s Syndrome
Term
Blue sclera, Hypermobile joints, multiple fractures, poor mm tone
Definition
Osteogenesis Imperfecta
Term
What term means the absence of a portion of skin in a localized or widespread area at birth?
Definition
Aplasia cutis
Term
What term is described as a failure of the prosencephalon (the embryonic forebrain) to sufficiently divide into the double lobes of the cerebral hemispheres?
Definition
Holoprosencephaly
Term
What is the term indicating that his jaw is small?
Definition
Micrognathia
Term
What term means the underdevelopment or incomplete development of a tissue or organ?
Definition
Hypoplastic
Term
Which term is described as an extension or bulging out (protrusion) of the lower jaw ( mandible)?
Definition
Prognathism
Term
What term describes a physical condition in which the fingers are long, slender, and curved, resembling a spider's legs?
Definition
Arachnodactyly
Term
Which term means the meeting of the medial eyebrows in the midline?
Definition
Synophrys
Term
What is the term that describes the midline groove in the upper lip that runs from the top of the lip to the nose?
Definition
Philthrum
Term
Which term describes a condition characterized by abnormally small and imperfectly developed extremities?
Definition
micromelia
Term
Which term describes a condition of defective ossification of bone?
Definition
dysostosis
Term
What term means the abnormal downward or back placement of the tongue?
Definition
Glossoptosis
Term
Which term means a hole in one of the structures of the eye?
Definition
Coloboma
Term
Which term describes a sexually deficient individual; especially : one lacking in sexual differentiation and tending toward the intersexual state?
Definition
Eunuchoid
Term
Which term describes a flexion deformity of the finger?
Definition
Camptodactyly
Term
What is the other name for Trisomy 21?
Definition
Down's Syndrome
Term
What is the other name for Trisomy 13?
Definition
Patau Syndrome
Term
Microcephaly, sloping forehead, cleft lip/palate, holoprosencephaly, microphthalmia (small eye), polydactyly, shallow supraorbital ridges, broad flat nose, and severe mental retardation
Definition
Patau Syndrome
Term
Which genetic d/o is 45, X karyotype (XO)?
Definition
Turner's Syndrome
Term
What are some common complications of Turner Syndrome?
Definition
Hearing loss (50%), Renal Abnormalities (50%), Bicuspid Aortic Valve (30%), Idiopathic HTN (25%)
Term
What is the tx given for Turner's syndrome?
Definition
Hormone therapy during adolescence to enable development of secondary sex characteristics and stimulate menses
Term
What comorbid conditions are you at a higher risk of developing with Klinefelter syndrome?
Definition
Breast cancer,
Diabetes,
Thyroid disease,
Scoliosis
Term
Which genetic abnormality is 47 XXY karyotype or 48 XXXY?
Definition
Klinefelter Syndrome
Term
Female with no abnormal features, normal intelligence but lower IQ than siblings, delays in development/coordination
Definition
XXX females
Term
Males Tend to be tall, phenotypically normal, normal intelligence but lower IQ than siblings, delay in fine motor coordination, speech d/o
Definition
XYY males
Term
Mentally retarded, epicanthal folds, congenital heart deformities, radioulnar synostosis, clinodactyly, hypertelorism, incomplete sexual maturation,
Definition
XXXX
Term
Which genetic condition is described as a rare, x-linked recessive d/o of the basement membranes of the kidney that results in ESRD by age 40 and hearing loss in 90% of males?
Definition
Alport's syndrome
Term
obesity, short stature, infantile hypotonia, hypogonadism, cryptorchidism, almond-shaped palpebral fissures, fish-like mouth, feeding difficulty (infancy), decreased IQ, speech retardation, Cardiorespiratory problems, shortened life expectancy
Definition
Prader-Willi Syndrome
Term
Which syndrome is caused 75% by paternl deletion of 15q11?
Definition
Prader-Willi Syndrome
Term
With beckwith-wiedemann syndrome, what do pts have an increased risk of?
Definition
CA -
Wilms tumor
Rhabdomyosarcoma
Hepatoblastoma
Term
Macrosomia, macroglossia, omphalocele, liner ear fissures, neonatal hypoglycemia, certain body parts grow abnormally large,
Definition
Beckwith-Wiedemann Syndrome
Term
protruding tongue, gait is ataxic with toe walking and jerky arm movements, speech is impaired or absent, inappropriate paroxyms of laughter, large mouth
Definition
Angelman Syndrome
Term
marfanoid-like habitus, archnodactyly, camptodactyl, kyphoscoliosis, crumpled ear helix, congenital contractures
Definition
Beals Congenital Contractures
Term
hyperextensibility, fragility of the skin and ligamentous laxity and hypermobility, sub-q fat tumors over the forearms and shins, impaired wound healing, pseudotumors formed under scars, hypotonia
Definition
Ehlers-Danlos Syndrome
Term
"Brittle Bones", fx easily, spinal curvature, loose joints, poor muscle tone, discoloration of the sclera (blue-gray),
Definition
Osteogenesis Imperfecta
Term
Which meds are given as a treatment for Osteogenesis Imperfecta?
Definition
Bisphosphonates (Alendronate, Pamidronate_
Term
Which genetic condition has an abnormality in cholesterol biosynthesis, prominent occiput, eyelid ptosis, strabismus, low or posteriorly set ears, broad nasal tip with upturned nares?
Definition
Smith-Lemli-Opitz Syndrome
Term
What is the most well-known Lysosomal Storage Disease?
Definition
Mucopolysaccharisoses
Term
What is the most severe mucopolysaccharidoses?
Definition
Hurler's syndrome
Term
coarsening of facial features, prominent forehead, flattening of midface, broad nose, flattened nasal bridge, enlargement and protrusion of the tongue, tonsillar hypertrophy, recurrent URIs, ear and sinus infection, sleep apnea, chronic upper airway obstruction, short finger b/c clawed, thickened skin
Definition
Hurler's syndrome
Term
What are the characteristics of CHARGE?
Definition
Coloboma
Heart Abnormalities
Atresia of the choanae
Retarded growth and mental development
Genital hypoplasia in males
Ear Abnormalities
Term
What are the characteristics of VATER Association?
Definition
Vertebral anomalies
Anal anomalies
Tracheoesophageal fistula
Esophageal atresia
Radial and/or renal abnormalities
Term
sheild chest, CV abnormalities, bifid uvula, downward-slanting palpebral fissures, saddle nose, flat nasal bridge, high-arched palate, low IQ
Definition
Noonan Syndrome
Term
irritability, poor sucking reflex, infantile hypotonia, thin vermillion border, mid-facial mypoplasia, reduced life-span,
Definition
Fetal Alcohol syndrome
Term
absent thymus or thymic hypoplasia, low or absent T-cell count, congenital heart disease, seizure within first few days of life, unusual facies, esophageal atresia, hypothyroidism
Definition
DiGeorge (Velocardiofacial)
Term
hypercalcemia, mild to moderate intellectual disability or learning problems, distinctive facial features (blue eyes with starry pattern, wide mouth, small chin, puffiness around eyes, sunken nasal bridge), heart and blood vessel problems, visual-spatial problems
Definition
William's syndrome
Term
shallow orbits, ocular proptosis, mid-facial hypoplasia, HA, seizures, Low IQ, craniofacial dysostosis
Definition
Crouzon Syndrome
Term
micrognathia, glossoptosis, respiratory obstruction, failure-to-thrive feeding problems
Definition
Pierre-Robin Sequence
Term
pulmonary hypoplasia, oligohydramnios, usually fatal in the first few days of life, skeletal anomalies, polycystic kidney disease, renal hypoplasia, abnormal facies include flattened nose, recessed chin, epicanthal folds, and low set ears
Definition
Potter's Syndrome
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