Chromosomal Disorders and Thalassemia Quiz
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Questions and Answers

Which chromosomal disorder is characterized by monosomy X?

  • Klinefelter syndrome
  • Angelman syndrome
  • Turner syndrome (correct)
  • Down Syndrome
  • What genetic condition is associated with a deletion of a small piece of chromosome 22 at region 11?

  • Klinefelter syndrome
  • Velocardiofacial syndrome
  • DiGeorge syndrome (correct)
  • Prader-Willi syndrome
  • Which disorder results from a trisomy of chromosome 21?

  • Klinefelter syndrome
  • Turner syndrome
  • Angelman syndrome
  • Down Syndrome (correct)
  • Which of the following describes the genetic basis of Klinefelter syndrome?

    <p>47,XXY</p> Signup and view all the answers

    What causes G6PD deficiency, an example of an X-linked recessive disorder?

    <p>Mutation in genes on the X chromosome</p> Signup and view all the answers

    Which disorder is caused by paternal uniparental disomy of chromosome 15?

    <p>Prader-Willi syndrome</p> Signup and view all the answers

    What is a common feature of individuals with Klinefelter syndrome?

    <p>Soft body and breast development</p> Signup and view all the answers

    Which syndrome is associated with deletion of band q12 on maternal chromosome 15?

    <p>Angelman syndrome</p> Signup and view all the answers

    What type of mutation is primarily characterized by the accumulation of mutant proteins in large intranuclear inclusions?

    <p>Trinucleotide-repeat mutation</p> Signup and view all the answers

    Which condition is associated with the gene DMPK?

    <p>Myotonic Dystrophy</p> Signup and view all the answers

    What is the primary mechanism behind Huntington Disease?

    <p>Toxic gain of function by altered protein</p> Signup and view all the answers

    In the context of genetic mutations, what does anticipation usually refer to?

    <p>The increase in the number of trinucleotide repeats as it is passed down generations</p> Signup and view all the answers

    Which of the following conditions is primarily characterized by a defect in fibrillin-1?

    <p>Marfan Syndrome</p> Signup and view all the answers

    What condition is primarily associated with pancreatic insufficiency due to duct obstruction?

    <p>Chronic pancreatitis</p> Signup and view all the answers

    Which pulmonary manifestation is associated with sinus infections in patients with pancreatic or hepatic problems?

    <p>Chronic cough</p> Signup and view all the answers

    What is a typical gastrointestinal complication associated with pancreatic disease?

    <p>Meconium ileus</p> Signup and view all the answers

    Which risk factor is specifically associated with the development of hemangiomas in infants?

    <p>Prematurity</p> Signup and view all the answers

    Which gene mutations are associated with familial cavernous hemangiomas?

    <p>KRIT1, CCM2, PDCD10</p> Signup and view all the answers

    What clinical manifestation indicates fat-soluble vitamin deficiency in patients with pancreatic insufficiency?

    <p>Hypoproteinemia</p> Signup and view all the answers

    Which of the following conditions is most directly linked to obstructive azoospermia?

    <p>Congenital bilateral absence of vas deferens</p> Signup and view all the answers

    What is a common clinical presentation of a hemangioma in infants?

    <p>Flat to elevated red-blue mass</p> Signup and view all the answers

    What is the primary cause of fetal anemia in homozygous alpha-thalassemia?

    <p>Deletion of all four alpha-globin genes</p> Signup and view all the answers

    What is the role of IgM antibodies in the context of Rh sensitization during pregnancy?

    <p>IgM antibodies trigger the formation of IgG antibodies in subsequent pregnancies</p> Signup and view all the answers

    What genetic inheritance pattern does cystic fibrosis exhibit?

    <p>Autosomal Recessive Disorder</p> Signup and view all the answers

    Which of the following mechanisms leads to the characteristic salty sweat in cystic fibrosis patients?

    <p>Decreased ENaC activity causing hypertonic sweat</p> Signup and view all the answers

    How does defective chloride transport in cystic fibrosis primarily affect the respiratory system?

    <p>Results in thick, dehydrated mucus leading to airway obstruction and infections</p> Signup and view all the answers

    What specific mutation does the CFTR gene primarily affect in cystic fibrosis?

    <p>Dysfunctional chloride and bicarbonate ion transport</p> Signup and view all the answers

    What complication arises due to the dysfunctional CFTR protein's effects on bicarbonate transport?

    <p>Acidic secretions promoting mucin precipitation and ductal plugging</p> Signup and view all the answers

    Which of the following is a consequence of low-volume fluid layers in the gastrointestinal tract due to CFTR mutations?

    <p>Ductal plugging and bacterial colonization</p> Signup and view all the answers

    What happens when a male inherits a mutant gene on his X chromosome?

    <p>He will express the disorder because he has only one X chromosome.</p> Signup and view all the answers

    In X-linked recessive disorders, how do heterozygous females usually exhibit symptoms?

    <p>Random X-chromosome inactivation may lead to partial expression of the disorder.</p> Signup and view all the answers

    What is the likelihood that a heterozygous female passes the mutant gene to her sons?

    <p>50% chance of passing the mutant gene to sons.</p> Signup and view all the answers

    Why do females usually not express the full phenotype of an X-linked recessive disorder?

    <p>They have two X chromosomes, allowing for compensation by the normal allele.</p> Signup and view all the answers

    What role does random X-chromosome inactivation play in females with a mutant gene?

    <p>It can lead to partial expression of the disorder depending on which X is inactivated.</p> Signup and view all the answers

    What is true about how affected males transmit the disorder?

    <p>Their sons inherit only the Y chromosome from them.</p> Signup and view all the answers

    Which statement about females with X-linked recessive disorders is accurate?

    <p>Females can display mild symptoms depending on X-inactivation status.</p> Signup and view all the answers

    How can males inherit X-linked disorders?

    <p>From their mothers who are carriers or affected.</p> Signup and view all the answers

    Study Notes

    Thalassemia

    • Group of inherited blood disorders resulting in reduced hemoglobin production and anemia.
    • More prevalent in Mediterranean, African, and Southeast Asian populations.
    • Major types: Alpha thalassemia and Beta thalassemia, with varying clinical severity.

    Chromosomal Disorders

    • Chromosome 22q11 Deletion: Results in DiGeorge syndrome and Velocardiofacial syndrome, affecting development and causing various physical issues.
    • Turner Syndrome (45,X): Affects females, characterized by the absence of one X chromosome, leading to developmental issues and infertility.
    • Klinefelter Syndrome (47,XXY): Affects males with an extra X chromosome, leading to soft tissue development and male infertility.
    • Down Syndrome (Trisomy 21): Caused by an extra copy of chromosome 21, leading to intellectual disability and characteristic physical features.
    • Prader-Willi Syndrome: Results from maternal uniparental disomy of chromosome 15, leading to obesity and developmental delays.
    • Angelman Syndrome: Caused by paternal uniparental disomy of chromosome 15, resulting in severe neurological impairments.

    X-Linked Recessive Disorders

    • Caused by mutations in genes on the X chromosome, affecting mainly males due to single X chromosome inheritance.
    • G6PD Deficiency: Common in males, females can be carriers with mild symptoms due to X-inactivation.
    • Males inherit the disorder from their mothers; affected males cannot pass the disorder to sons.
    • Carrier females have a 50% chance of passing the mutant gene and may show symptoms if normal X is inactivated.

    Genetic Mutations

    • Trinucleotide-Repeat Mutations: Characterized by repeating DNA sequences leading to various diseases.
      • Fragile X Syndrome: Caused by CGG repeat expansion in the FMRI gene, leading to intellectual disability.
      • Myotonic Dystrophy: Involves CTG repeat in the DMPK gene, causing muscle wasting and weakness.
      • Huntington Disease: Caused by CAG repeat expansion in the HTT gene, leading to neurodegeneration.

    Enzyme Deficiencies

    • Tay-Sachs Disease: Due to hexosaminidase A deficiency, leading to accumulation of GM2 gangliosides, mainly affecting Ashkenazi Jewish population.
    • Marfan Syndrome: Caused by mutations in the FBN1 gene, affecting connective tissue leading to cardiovascular and skeletal issues.
    • Familial Hypercholesterolemia: Mainly linked to mutations in the LDLR gene, causing high cholesterol levels and increased cardiovascular risk.

    Fetal Conditions

    • Rh Disease: Occurs when maternal Rh-negative blood develops antibodies against Rh-positive fetal blood, leading to hemolytic disease in subsequent pregnancies.
    • Initial exposure generates IgM antibodies; subsequent exposure can evoke a significant IgG response.

    Cystic Fibrosis

    • Genetic Defect: Caused by mutations in the CFTR gene on chromosome 7.
    • Leads to abnormal chloride and bicarbonate transport, resulting in thick mucus in the respiratory and gastrointestinal tracts.
    • Key symptoms include chronic cough, lung infections, pancreatic insufficiency, and salinity in sweat glands due to sodium chloride imbalances.

    Hemangiomas

    • Common benign tumors in infants, primarily characterized by vascular ectasias.
    • Port-wine stains are flat lesions that can persist.
    • Located mainly on the face and scalp, prone to enlargement and spontaneous regression.
    • Associated with higher risks in premature infants and linked to genetic mutations in familial settings.

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    Description

    Test your knowledge on various chromosomal disorders including Thalassemia, Turner syndrome, Klinefelter syndrome, Down syndrome, and others. This quiz covers key characteristics, causes, and implications of these conditions. Challenge yourself and deepen your understanding of genetic anomalies!

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