| Term 
 
        | What type of mutation creates a new amino acid in place of a previous one? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What type of mutation changes the codon to a stop codon? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What gene is responsible for X inactivation? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | the individual first effected by the disease |  | 
        |  | 
        
        | Term 
 
        | What is allelic heterogeneity? |  | Definition 
 
        | different mutations in the same locus that cause a variety of expression severity between families not within the same family |  | 
        |  | 
        
        | Term 
 
        | What is the main difference between genetic drift and natural selection? |  | Definition 
 
        | genetic drift is random whereas natural selection is not |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | the movement of genes between popluations making the two populations more similar |  | 
        |  | 
        
        | Term 
 
        | What does G-banding allow one to do? |  | Definition 
 
        | visualize the chromosomes |  | 
        |  | 
        
        | Term 
 
        | What are the steps in G-banding? (2) |  | Definition 
 
        | trypsin digestion Giemsa staining of bands |  | 
        |  | 
        
        | Term 
 
        | What chromosome and what mechanism causes the mutation in Cri-du-chat and Williams syndrome?   How would you test for this type of mutation? |  | Definition 
 
        | Cri-du-chat is ch. 5 Williams is ch. 7   BOTH ARE MICRODELETIONS   TEST w/ FISH |  | 
        |  | 
        
        | Term 
 
        | What are the acrocentric chromosomes (5)?   What type of translocation can occur with them? |  | Definition 
 
        | 13, 14, 15, 21, 22   robertsonian translocation |  | 
        |  | 
        
        | Term 
 
        | Explain the mechanism of robertsonian translocation? |  | Definition 
 
        | two acrocentric chromosomes lose their short arms and subsequently the long arms join together. |  | 
        |  | 
        
        | Term 
 
        | What are the tips of the chromosomes called? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the mechanism behind Li-fraumeni syndrome? |  | Definition 
 
        | mutation in the TP53 gene which codes for p53.    loss of function |  | 
        |  | 
        
        | Term 
 
        | How many hits does a gain of function mutation need? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the highest dizygotic concordance obtainable?  Why? |  | Definition 
 
        | 50% b/c this is the most genetic material the two twins can share |  | 
        |  | 
        
        | Term 
 
        | What are the three possible combinations of amnion and chorion that can occur with monozygotic twins? |  | Definition 
 
        | same amnion and chorion   seperate amnion and chorion   same chorion, seperate amnion |  | 
        |  | 
        
        | Term 
 
        | What is the difference between variable number of tandem repeats and short tandem repeat polymorphisms, with regards to what they detect? |  | Definition 
 
        | variable number of tandem repeats detect minisatellite repeats   short tandem repeat finds microsatellites (2-6bp) |  | 
        |  | 
        
        | Term 
 
        | What percentage cutoff value defines if two genes are linked? |  | Definition 
 
        | two genes are linked if they crossover together more than 50% of the time. |  | 
        |  | 
        
        | Term 
 
        | What is linkage disequilibrium? |  | Definition 
 
        | the tendency for alleles at two linked loci to crossover |  | 
        |  | 
        
        | Term 
 
        | What method does indirect genetic testing use? |  | Definition 
 
        | recombination analysis (genetic linkage) |  | 
        |  | 
        
        | Term 
 
        | At what week is amniocentisis done?   At what week is chorionic villus sampling done? |  | Definition 
 
        | 16 weeks for amniocentisis   10-12 wks for chorionic villus sampling |  | 
        |  | 
        
        | Term 
 
        | Why can chorionic villus sampling give false+/false- results? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are the three steps of PCR? |  | Definition 
 
        | denature anneal elongation |  | 
        |  | 
        
        | Term 
 
        | What enzyme is used in the elongation period of PCR that creates the elongation? |  | Definition 
 
        | heat stable DNA polymerase |  | 
        |  | 
        
        | Term 
 
        | What does southern blotting detect?   northern blotting?   Western blotting? |  | Definition 
 
        | Southern-DNA Northern-RNA Western-protein |  | 
        |  | 
        
        | Term 
 
        | Which blotting procedures use a DNA probe? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which blotting method uses an antibody to detect substrate? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are microarrays used to detect? |  | Definition 
 
        | single nucleotide polymorphisms (SNP) |  | 
        |  | 
        
        | Term 
 
        | What is the difference between cDNA and normal DNA that will eventually code for a protein? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Why when cloning are the DNA fragments inserted into a bacterial plasmid that is antibotic resistance? |  | Definition 
 
        | so they can be selected for using an antibiotic medium to get rid of any bacteria that doesn't contain the DNA fragment |  | 
        |  | 
        
        | Term 
 
        | What type of inheritance results in neither of the 2 alleles being dominant? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the difference between variable expression and incomplete penetrance? |  | Definition 
 
        | variable expression: have the genotype with varying phenotype   incomplete penetrance: some with the genotype will not express the phenotype at all |  | 
        |  | 
        
        | Term 
 
        | What is the formula for determining penetrance? |  | Definition 
 
        | # with pheotype/total # with genotype |  | 
        |  | 
        
        | Term 
 
        | What is pleiotropy?  An example of a disease? |  | Definition 
 
        | when one mutation has effects in several different organs   EX: Marfan (fibrilin gene in many locations) or PKU |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | methylates (SAM) an allele making it inactive |  | 
        |  | 
        
        | Term 
 
        | What are two classic examples of imprinting and consequences of not inheriting the non-imprinted allele? |  | Definition 
 
        | angleman and prader willi |  | 
        |  | 
        
        | Term 
 
        | What chromosome is involved in Prader-willi and angleman syndrome? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the mechanism of prader willi? |  | Definition 
 
        | maternal allele on ch. 15 is methylated normally-->inactive   at the same time the paternal allele on ch.15 is deleted   -->no copy of allele on ch.15 |  | 
        |  | 
        
        | Term 
 
        | What is the mechanism of Angelman syndrome? |  | Definition 
 
        | ch. 15 paternal allele is methylated-->inactive   but the active maternal allele is deleted   -->no active ch. 15 allele |  | 
        |  | 
        
        | Term 
 
        | What type of diseases are affected by anticipation? |  | Definition 
 
        | trinucleotide repeat disorders |  | 
        |  | 
        
        | Term 
 
        | What are the four main trinucleotide repeat disorders? |  | Definition 
 
        | Huntington's Myotonic dytrophy Fragile X Fredrich's Ataxia |  | 
        |  | 
        
        | Term 
 
        | What are the trinucleotide repeats in the following disorders?   Huntingtons Myotonic Dystrophy Fragile X Friedrich's Ataxia |  | Definition 
 
        | Huntingtons CAG Myotonic CTG Fragile X CGG Freidrichs GAA |  | 
        |  | 
        
        | Term 
 
        | What is loss of heterozygosity? |  | Definition 
 
        | there is already an inheritied mutation on the locus causing heterozygote for the mutation     the loss of heterozygosity comes with a second hit resulting in full mutation |  | 
        |  | 
        
        | Term 
 
        | Define locus heterogenity? |  | Definition 
 
        | mutations at different loci producing same phenotype |  | 
        |  | 
        
        | Term 
 
        | Name three disease examples of locus heterogenity? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | a mutation in mitochondrial DNA is only passed from mother to offspring.  Not all the mitochondria is mutated.   Heteroplasmy is the varying severity of phenotype depending on how much of the mutated mitochondrial DNA is passed on in relation to normal mitochondrial DNA |  | 
        |  | 
        
        | Term 
 
        | What are three examples of diseases that show heteroplasmy? |  | Definition 
 
        | mitochondrial encephalomyopathy myoclonic epilepsy lebex herditary optic neuropathy |  | 
        |  | 
        
        | Term 
 
        | Why do mitochondrial DNA mutations only come from mother? |  | Definition 
 
        | b/c sperm mitochondria are lost when sperm enters the egg |  | 
        |  | 
        
        | Term 
 
        | What is uniparental disomy? |  | Definition 
 
        | when the two chromosomes come from the same parent |  | 
        |  | 
        
        | Term 
 
        | What is the mechanism of prader willi if the patient has two copies of maternal ch. 15? |  | Definition 
 
        | uniparental disomy   patient has both maternal copies which are imprinted and thus inactive |  | 
        |  | 
        
        | Term 
 
        | What is the difference between transversion and transition? |  | Definition 
 
        | Transversion is the substituation of a guanine for a thymine reside or vise versa   Transition is the substitutaion of a purine for another purine or a pyrimadine for another pyrimadine |  | 
        |  | 
        
        | Term 
 
        | What is the Hardy Weinberg equation? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What in the Hardy Weinberg equation represents carrier frequency? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What disease presents secondary to an imprinting event and microdeletion with hypogonadism and hyperphagia? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What disease presents secondary to imprinting and microdeletion with inappropriate laughter and seizures? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are AR modes of inheritance usually a result of? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are manifesting heterozygotes? |  | Definition 
 
        | these are females who inherit an X-linked recessive disorder and subsequently inactivate more of the normal X causing mild phenotype |  | 
        |  | 
        
        | Term 
 
        | How can heterozygotic females for an x-linked recessive disease manifest a pheotype? |  | Definition 
 
        | manifesting heterozygotes: x inactivation of a greater proportion of normal X chromosomes |  | 
        |  | 
        
        | Term 
 
        | In an x-linked dominant disorder, what percentage of daughters of affected fathers have the disorder? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What disease causes degeneration of retinal ganglion cells and axons-->central vision loss?   What type of inheritance does it follow? |  | Definition 
 
        | Leber's hereditary optic neuropathy   mitochondrial inheritance |  | 
        |  | 
        
        | Term 
 
        | What protein is defective in achondroplasia? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What disorder of short stature is associated with advanced paternal age? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | In AD-polycystic kidney disease what is true about the kidney (s) effected? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What chromosome when mutated produces ADPKD? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What three other disease is associated with ADPKD? |  | Definition 
 
        | polycystic liver mitral valve prolapse berry aneurysm |  | 
        |  | 
        
        | Term 
 
        | What AD disease has associated risk of berry aneurysm? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What chromosome is mutated in familial adenomatous polyposis? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What gene is deleted in familial adenomatous polyposis? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | In familial hypercholesterolemia what is the genetic defect? |  | Definition 
 
        | abnormal or absent LDL receptor |  | 
        |  | 
        
        | Term 
 
        | How will heterozygotes for familial hypercholesterolemia present? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | How will homozygotes for familial hypercholesterolemia present? |  | Definition 
 
        | cholesterol very high with tendon xanthomas and MIs |  | 
        |  | 
        
        | Term 
 
        | What disease presents with recurrent epitaxis, telangiectasia, skin discoloration, and AVMs? |  | Definition 
 
        | Hereditary hemorrhagic telangiectasia (Osler Weber) |  | 
        |  | 
        
        | Term 
 
        | What is the genetic defect in hereditary spherocytosis? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the cure for hereditary spherocytosis? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What chromosome is the Huntington trinucleotide repeat found on? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What mutation is often found in MEN2A and MEN2B? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What chromosome is mutated in NF1 and NF2 respectively? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which type of neurofibromatosis is associated with phenochromocytomas? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What chromosome is associated with the mutation for VHL syndrome? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What gene is deleted in von-hippel-lindau disease and what type of gene is it? |  | Definition 
 
        | VHL tumor suprressor gene |  | 
        |  | 
        
        | Term 
 
        | What gene is constituatively active due to mutation in VHL syndrome?  What is the result? |  | Definition 
 
        | HIF transcription factor-->angiogenic growth |  | 
        |  | 
        
        | Term 
 
        | What two disorders are very common in Ashkenazic Jews? |  | Definition 
 
        | Tay Sachs Gaucher's type I |  | 
        |  | 
        
        | Term 
 
        | What disease presents in a child with red, scaled skin after exposure to sun due to lack of a DNA excision repair gene? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is in common between PKU, sickle cell anemia, thalassemia, and hemochromotosis? |  | Definition 
 
        | they are all AR inheritance |  | 
        |  | 
        
        | Term 
 
        | How is xeroderma pigmentosum inheritated? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Name 10 common x-linked recessive disorders? |  | Definition 
 
        | bruton agammaglobulinemia Wiskott Aldrich fabry G6PD deficiency ocular albinism lesch-Nyhan Duchene/Beckers MD Hunter's Hemophilia A/B |  | 
        |  | 
        
        | Term 
 
        | What chromosome is involved in the Cystic fibrosis mutation? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the result of a deleted Phe amino acid at position 508 of ch. 7? |  | Definition 
 
        | post translational abnormal protein folding-->cystic fibrosis   channel is degraded before reaching the membrane |  | 
        |  | 
        
        | Term 
 
        | What two infections are common in cystic fibrosis patients? |  | Definition 
 
        | psuedomonas and staph aureus |  | 
        |  | 
        
        | Term 
 
        | How can you treat Cystic fibrosis medically to loosen mucous? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the most common lethal genetic disease of caucasians? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What disease presents often with bilateral vas deferens agensis? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the MOA of N-acetylcysteine in treating cystic fibrosis? |  | Definition 
 
        | cleaves disulfide bonds within mucous glycoproteins |  | 
        |  | 
        
        | Term 
 
        | What is the genetic mutation mechanism in duchenne's muscular dystrophy? |  | Definition 
 
        | frame shift mutation-->no dystrophin gene |  | 
        |  | 
        
        | Term 
 
        | What is the longest known human gene? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | What lab value and pathology specimen is needed to dx muscular dystrophy? |  | Definition 
 
        | elevated CPK muscle biopsy |  | 
        |  | 
        
        | Term 
 
        | What X linked dominent disorder involves DNA chromosomal breakage? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Name three clinical manifestations of fragile X? |  | Definition 
 
        | large testes large jaw large ears |  | 
        |  | 
        
        | Term 
 
        | What are the first and second most common causes of genetic mental retardation? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What heart condition is assoicated with Fragile X syndrome? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What disorder can be diagnosised by putting DNA in a folate deficient bath or methotrexate followed by southern blot? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are the three surviable trisomies with names and chromosome? |  | Definition 
 
        | Down 21 Edwards' 18 Patau's 13 |  | 
        |  | 
        
        | Term 
 
        | What is the most common trisomy that results in miscarriage? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | In addition to the three most common surviable trisomies what other trisomy disorder can survive b/c of increase in mosaicism? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the result of AFP, hCG, inhibin, and estriol screening during pregnancy in a patient with Downs? |  | Definition 
 
        | AFP and estriol decreased hCG and inhibin increased   |  | 
        |  | 
        
        | Term 
 
        | What will the ultrasound show in a Down's pregnancy? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What trisomy presents can present with duodonal atresia? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What three diseases/disorders are down's patients at risk for? |  | Definition 
 
        | Drinking age is 21--> may need AAA   Acute lymphoblastic leukemia Atrial Septal Defect (and VSD) Alzheimers at early age   |  | 
        |  | 
        
        | Term 
 
        | What are the three possible genetic ways an individual can acquire down's syndrome? |  | Definition 
 
        | nondisjuction (95%) robertsonian translocation (14 and 21) 4% mosacism (1%) |  | 
        |  | 
        
        | Term 
 
        | What is the mechanism of mosaicism causing Downs? |  | Definition 
 
        | nondisjuction during an early mitosis |  | 
        |  | 
        
        | Term 
 
        | What are the three main clinical findings in a patient with edwards syndrome? |  | Definition 
 
        | election age is 18--> president J.F.K.   small jaw overlapping fingers clenched fingers (knuckles) |  | 
        |  | 
        
        | Term 
 
        | What are the three main clinical presentations of Patau's syndrome? |  | Definition 
 
        | puberty age is 13-->all have "P"   holoproencephaly polydactyly cleft palate   |  | 
        |  | 
        
        | Term 
 
        | What is the difference between pericentric and paracentric inversions?  Which can go through miosis? |  | Definition 
 
        | pericentric includes the centromere and can go through miosis   paracentric doesn't include centromere and cannot go through meiosis |  | 
        |  | 
        
        | Term 
 
        | What is the characteritis finding in Cri-du chat syndrome? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What disease presents with hypercalcemia due to senstivity to vit D, well developed verbal skills, and very friendly personality? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What type of facie does a William's syndrome patient have? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are the five clinical manifestations of the 22.q.11 deletion disorders? |  | Definition 
 
        | CATCH 22   Cleft palate abnormal facies Thymic aplasia carciac anomolies hypocalcemia |  | 
        |  | 
        
        | Term 
 
        | What is the main difference between DiGeorge Syndrome and Velocardiofacial syndrome? |  | Definition 
 
        | DiGeorge invovles thymus and parathyroid problems   Velocardiofacial involves facial problems (palate) |  | 
        |  | 
        
        | Term 
 
        | What is the translocation in CML and what results? |  | Definition 
 
        | CML: (9:22)-->philadelphia chromosome-->platelet derived growth factor defect |  | 
        |  | 
        
        | Term 
 
        | What is the translocation involved in AML? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What translocation is involved in follicular lymphoma? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What translocation is involved in Burkitts lymphoma? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What translocation is involved in mantle cell lymphoma? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the result of 15:17 translocation? |  | Definition 
 | 
        |  |