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Final Exam - Genetic Disorders
Genetic Disorders in the pediatric population
73
Health Care
Graduate
04/30/2013

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Term
prs of chromosomes in human somatic cell
Definition
23 prs (46 total)

(22 autosomal prs, 1 sex pr)
Term
Gene =
Definition
specific length of DNA coding for specific protein
Term
Locus =
Definition
gene's location on chromosome
Term
Alleles =
Definition
specific DNA sequences on a gene
Term
Homozygous =
Definition
same allele on chromosome pr (e.g. BB)
Term
Heterozygous =
Definition
different alleles on chromosome pr (e.g. Bb)
Term
Genotype =
Definition
2 alleles (in diploid humans)
Term
Phenotype =
Definition
physical/physiological **manifestation** of genotype
Term
Pediatric Genetic Disorders - categories (3)
Definition
genetic mutations
chromosomal disorders
single gene disorders
Term
Codon =
Definition
group of three genes
Term
Example of disorder involving duplication of a gene
Definition
Charcot-Marie Tooth (weak wrists/ankles @ a young age)
Term
Single-point mutation =
Definition
amino acid change, deletion, insertion
Term
most cases of CF caused by...
Definition
codon deletion
Term
50% of 1st trimester miscarriages caused by..
Definition
chromosomal disorders
Term
portion of live births involving chromosomal disorders
Definition
1/160
Term
Types of chromosomal disorders (2/4)
Definition
Numeric Chromosomal Disorders:
polyploidy
aneuploidy

Structural Chromosomal Disorders
deletion
translocation
Term
Polyploidy =
Definition
multiple chromosomal SETs

(triploidy = 69 chromosomes; tetraploidy = 92 chromosomes)
Term
Aneuploidy =
Definition
absence/duplication of ONE chromosome

(monosomy, trisomy)
Term
Mosaicism =
Definition
form of aneuploidy involving trisomy in meiosis followed by loss of extra chromosome during mitosis
Term
Examples of Trisomy (3)
Definition
Edwards Syndrome (trisomy 18)
Patau Syndrome (trisomy 13)
Down Syndrome (trisomy 21)
Term
Down Syndrome: caused by...
Definition
nondisjunction during meiosis (oocytes 'waiting'...?)
Term
Down Syndrome: features (4)
Definition
almond shaped eyes
flat facial profile
late fontanelle closure
simian crease
Term
Down Syndrome: associated impairments - neuromuscular (2)
Definition
hypotonia
delayed postural rxns/rxn time
Term
Down Syndrome: associated impairments - mmsk (3)
Definition
ligt laxity
foot deformities
AA instability
Term
Down Syndrome: associated impairments - cardiopulmonary (1)
Definition
congenital heart disease (e.g. septal defect)
Term
Down Syndrome: PT intervention - infant (3)
Definition
positioning
carrying techniques
GMS (poor sucking)
Term
Down Syndrome: PT intervention - child (3)
Definition
mm strengthening
incr/maintain respiratory fxn
group ex
Term
Examples of Sex Chromosome Aneuploidy (2)
Definition
Turner syndrome
Kleinfelter Syndrome
Term
Turner Syndrome =
Definition
X-inactivation
Term
Turner Syndrome: characteristics (8)
Definition
wide neck
broad trunk
heart defects
dysplastic ovaries
**normal intelligence**
motor delay
short stature
osteoporosis (2º to decr estrogen)
Term
Kleinfelter Syndrome =
Definition
XXY (male only disease)
Term
Kleinfelter Syndrome: characteristics (3)
Definition
(no impairments until puberty)
sterility
**reduced IQ**
learning disabilities
Term
Cri-du-chat (chromosomal deletion): features (7)
Definition
low BW
hypotonia
failure to thrive
motor delays
low IQ
microcephaly
specific facial features
Term
Examples of chromosomal micro-deletions (absence of isolated gene) (3)
Definition
Williams Syndrome
Angelman Syndrome
Prader-Willi
Term
Williams Syndrome =
Definition
partial deletion #7
Term
Williams Syndrome: features (4)
Definition
wide grin
poor visuospatial skills
excellent social use of language
auditory memory
Term
Williams Syndrome: PT goals (2)
Definition
motor skills
walk by 2
Term
Angelman Syndrome =
Definition
partial deletion on #15
inherited from mom
Term
Angelman Syndrome: characteristics (8)
Definition
happy
hypotonia
pale blue eyes
pale skin
blonde hair
poor expressive speech
higher receptive language
seizures
Term
Angelman Syndrome: PT goals (2)
Definition
motor skills
gait training
Term
Prader-Willi =
Definition
partial deletion of #15; inherited from dad
Term
Prader-Willi: characteristics (6)
Definition
feeding difficulties in infancy (unsatiable)
hypotonia
globally delayed
short stature
small hands/feet
early childhood obesity 2º to hyperphagia
Term
Common types of Autosomal DOMINANT disorders (6)
Definition
tuberous sclerosis
achondroplasia
osteogenesis imperfecta
Marfan's Syndrome
Huntington disease
myotonic dystrophy
Term
Myotonic dystrophy: types
Definition
Dm1
Dm2
Term
Myotonic dystrophy: Dm1 (5)
Definition
early onset
disabling distal weakness
severe cognitive probs
hypotonia
developmental delay
Term
Myotonic dystrophy: Dm2 (7)
Definition
childhood or later onset
mm pain
stiffness
fatigue
prox weakness
mm atrophy
GI disorders
Term
Examples of Autosomal RECESSIVE disorders (3)
Definition
CF
SMA
Sickle Cell Disease
Term
X-linked recessive disorders (2)
Definition
DMD
hemophilia A
Term
X-linked dominant disorders (2)
Definition
fragile X syndrome
Rett syndrome
Term
Rett Syndrome = (5)
Definition
girls only
progressive neurodevelopmental disorder
nml development 6-18m >> rapid regression in motor, language, psychosocial fxn
purposeful hand mvmt replaced with wringing of hands (repetitive mvmt)
infant: hypotonia, poor suck, weak cry
Term
Lissencephaly (sex-linked disorder) =
Definition
"smooth brain" - Ø gyri/sulci
Term
Lissencephaly: characteristics (6)
Definition
12-24th wk of gestation
fetal death is common
extremely low tone
failure to hrive
microcephaly
little developmental progress past 3-5m
Term
Autism Spectrum Disorders =
Definition
psychological conditions involving abnormalities in
social interactions
communication
specific areas of interest,
highly repetitive behavior
Term
Autism Spectrum Disorders include... (5)
Definition
autism
pervasive developmental disorder - not otherwise specified (PDD-NOS)
Asperger's Syndrome
childhood disintegrative disorder
Rett syndrome
Term
Autism: gender
Definition
M>F
Term
Autism: onset
Definition
before 2yo (usually 15-18m dx)
Term
Autism: % savant
Definition
0.5-1.0%
Term
Autism: main characteristics (3)
Definition
social ability delay
communication delay
repetitive delay
Term
Autism: dx of ASD
Definition
need ≥6 points of delay in three DSM-IV categories (≥2 pts in each category)
Term
Autism DSM-IV: social impairment
Definition
- marked impairment in use of nonverbal behavior (no eye contact)
- failure to develop peer relationships at appropriate level
- lack of spontaneous seeking to share enjoyment, interests
- lack of social/emotional reciprocity
Term
Autism DSM-IV: communication impairment
Definition
- delay or total lack of spoken language
- inability to sustain conversation with others
- repetitive use of language
- lack of make-believe
Term
Autism DSM-IV: restricted repetitive mvmts, behavior, interests
Definition
- encompassing preoccupation c 1+ restricted pattern of interest
- inability to change routine
- repetitive motor manners (flapping)
- preoccupation c parts of objects
Term
Asperger's Syndrome =
Definition
milder form of autism
Term
Asperger's Syndrome: dx age
Definition
4-11 yo
(20% undx in adulthood)
Term
Asperger's Syndrome: characteristics (5)
Definition
social delays
repetitive behavior
physical clumsiness
atypical use of language

no language/cognitive delay
Term
Asperger's Syndrome: DSM-V
Definition
social interaction impairment
repetitive mvmt
Term
Childhood disintegration disorder: onset
Definition
late; >3yo (range 2-10yo)
onset of developmental delays and social regression

apparent NORMAL fxn before regression in skills (children describe hallucinations during regression)
Term
Childhood disintegration disorder: characteristics
Definition
decr language skills (expressive/receptive)
decr social/play skills
decr self-care skills (incl bowel/bladder)
decr motor skills
repetitive behavior/interest patterns
Term
Childhood disintegration disorder: PT
Definition
motor skills
self care
motor planning
Term
Autism Spectrum Disorder: PT Rx
Definition
sensory integration
motor skills
applied behavior analysis (**reward-based** training)
Term
Progeria =
Definition
rare genetic disease (single point mutation >> unstable point in nuclear envelope)
Term
Progeria: lifespan
Definition
13yo
Term
Progeria: symptoms (7)
Definition
limited growth
alopecia
fragile bodies
cardiovascular problems
wrinkling skin
arthritis
loss of body fat
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