Cystic Fibrosis Overview
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Questions and Answers

Which genetic factors contribute to a child developing cystic fibrosis?

  • Inheritance of a single CFTR gene
  • Environmental factors from one parent
  • Positive family history of lung disease
  • Defective CFTR genes from both parents (correct)

What is a key clinical manifestation of cystic fibrosis in the respiratory system?

  • Lower risk of respiratory infections
  • Normal lung function
  • Chronic cough with thick, sticky mucus (correct)
  • Acute bronchitis without chronic cough

What confirms a diagnosis of cystic fibrosis using a sweat test?

  • Chloride concentration between 40-60 mmol/L
  • Chloride concentration greater than 60 mmol/L (correct)
  • Chloride concentration less than 40 mmol/L
  • Presence of CFTR mutations in saliva

Which treatment option is specifically intended to improve digestion and nutrient absorption in cystic fibrosis patients?

<p>Pancreatic enzyme replacement therapy (PERT) (A)</p> Signup and view all the answers

Which of the following is a common symptom associated with cystic fibrosis?

<p>Salty-tasting skin (C)</p> Signup and view all the answers

What is the primary genetic cause of cystic fibrosis?

<p>Mutations in the CFTR gene (D)</p> Signup and view all the answers

How does cystic fibrosis affect lung function?

<p>Blockage by thick mucus (A)</p> Signup and view all the answers

What results from the pancreas being unable to secrete enzymes effectively in cystic fibrosis?

<p>Pancreatic insufficiency and malabsorption (A)</p> Signup and view all the answers

What is the inheritance pattern of cystic fibrosis?

<p>Autosomal recessive (D)</p> Signup and view all the answers

What is a common reproductive effect of cystic fibrosis in males?

<p>Vas deferens blockage or absence (C)</p> Signup and view all the answers

Which population is most affected by cystic fibrosis?

<p>Caucasian/European descent (A)</p> Signup and view all the answers

What role do inflammatory mediators like IL-8 play in cystic fibrosis?

<p>Recruiting neutrophils that cause lung tissue damage (D)</p> Signup and view all the answers

Which of the following is NOT a consequence of thick, sticky mucus in the intestines due to cystic fibrosis?

<p>Improved digestion (B)</p> Signup and view all the answers

What gene is primarily mutated in Cystic Fibrosis?

<p>CFTR gene (C)</p> Signup and view all the answers

Which mutation is the most common in Cystic Fibrosis?

<p>F508del mutation (B)</p> Signup and view all the answers

What is the primary consequence of CFTR protein dysfunction in Cystic Fibrosis?

<p>Thicker, dehydrated mucus production (D)</p> Signup and view all the answers

Which of the following organ systems is NOT primarily affected by Cystic Fibrosis?

<p>Cardiovascular system (B)</p> Signup and view all the answers

What role does the CFTR protein play in epithelial cells?

<p>Chloride ion transport (A)</p> Signup and view all the answers

How do bacterial infections in the lungs relate to Cystic Fibrosis?

<p>Thick mucus creates an environment for bacterial growth. (B)</p> Signup and view all the answers

What is the effect of the CFTR mutation on chloride ion transport?

<p>Decreased chloride ion transport (A)</p> Signup and view all the answers

What secondary condition is often caused by recurrent lung infections in individuals with Cystic Fibrosis?

<p>Bronchiectasis (D)</p> Signup and view all the answers

Flashcards

What is cystic fibrosis?

A genetic disorder affecting the function of exocrine glands, primarily the lungs, pancreas, and reproductive system. It is characterized by thick, sticky mucus due to a defective protein that regulates chloride ion transport.

What is the primary cause of cystic fibrosis?

A gene mutation in the CFTR gene, responsible for producing a protein that regulates chloride ion transport.

What is the F508del mutation?

The most common mutation in the CFTR gene, resulting in a misfolded protein that is destroyed by the cell.

What is the CFTR protein?

A protein that regulates the transport of chloride ions across epithelial cells, crucial for keeping mucus thin and watery.

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How does a CFTR mutation impact the body?

Dysfunction of the CFTR protein leads to decreased chloride ion transport, causing thickening of mucus in the lungs, pancreas, and reproductive system.

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How does cystic fibrosis affect the respiratory system?

Thick mucus obstructs airways, creating a breeding ground for bacteria and leading to recurrent lung infections.

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What is bronchiectasis?

Inflammation and dilation of the airways caused by chronic infections and mucus buildup in cystic fibrosis.

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What are common bacterial infections in people with cystic fibrosis?

Bacteria like Pseudomonas aeruginosa and Staphylococcus aureus frequently cause infections in cystic fibrosis patients.

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What is the primary risk factor for cystic fibrosis?

The primary risk factor for cystic fibrosis is inheriting a mutated CFTR gene from both parents. This gene encodes a protein responsible for transporting chloride ions. When mutated, it leads to the buildup of thick mucus in various organs.

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How is cystic fibrosis inherited?

Cystic fibrosis is a genetic disorder inherited in an autosomal recessive pattern. This means that both parents must carry the mutated CFTR gene for their child to inherit the disease.

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What is the characteristic feature of cystic fibrosis?

Cystic fibrosis is characterized by thick, sticky mucus buildup in the airways, pancreas, intestines, and vas deferens. This buildup can lead to a range of symptoms.

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How does cystic fibrosis affect the digestive system?

The thick mucus can obstruct the pancreatic ducts, preventing the release of digestive enzymes. This leads to pancreatic insufficiency and malabsorption of nutrients.

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How does cystic fibrosis affect the reproductive system?

In males, the vas deferens, a tube that carries sperm, can be blocked by the thick mucus. This can lead to infertility.

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How can early diagnosis and treatment affect cystic fibrosis?

Early diagnosis and access to CFTR modulator medications can have a significant impact on the severity of symptoms and the overall quality of life for individuals with cystic fibrosis.

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How does geography affect cystic fibrosis?

The prevalence of cystic fibrosis varies geographically. It is most common in people of Caucasian/European descent compared to those of Asian or African descent.

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How does CF affect the lungs?

Thick, sticky mucus builds up in the lungs, making it difficult to breathe. This can lead to recurrent lung infections and long-term damage.

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What is the root cause of CF?

A mutation in the CFTR gene disrupts the transport of chloride ions across cell membranes. This causes the mucus in the body to become thick and sticky.

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What is the inheritance pattern of CF?

It's like a double dose of faulty genes, one from each parent, that leads to the development of cystic fibrosis.

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What is a sweat test?

It is a measure of chloride concentration in sweat. Higher levels than normal indicate CF.

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What are CFTR modulators?

They are medications that help improve the function of the defective CFTR protein, making mucus more easily cleared from the lungs.

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Study Notes

Cystic Fibrosis (CF)

  • CF is a genetic disorder affecting exocrine glands, primarily the lungs, pancreas, and reproductive system.
  • The disease is characterized by thick, sticky mucus clogging airways and ducts.

Causes

  • Genetic Mutation: CF is caused by mutations in the CFTR gene.
  • F508del Mutation: The most common mutation, causing a misfolded CFTR protein that is destroyed by the cell's quality control system.
  • CFTR Protein Dysfunction: Disrupts the transport of chloride ions across epithelial cell membranes. This leads to a deficiency in chloride ion transport.

Pathophysiology

  • Chloride Ion Transport Dysfunction: CFTR protein's failure to transport chloride ions affects hydration of mucus.
  • Thick, Dehydrated Mucus: Reduced chloride transport results in thicker, dehydrated mucus in lungs, pancreas, intestines, and other organs.
    • This mucus buildup obstructs the airways.
    • Creates a breeding ground for bacterial infections.

Respiratory Effects

  • Chronic Infections: Recurrent lung infections (e.g., Pseudomonas aeruginosa, Staphylococcus aureus) are common.
  • Bronchiectasis: Airway damage and widening.
  • Inflammation: Inflammatory mediators damage lung tissue, further obstructing airways.
    • This leads to progressive lung disease.

Digestive Effects

  • Pancreatic Insufficiency: Mucus blocks pancreatic ducts, hindering enzyme secretion and causing malabsorption of nutrients.
  • Malnutrition: Impaired nutrient absorption hinders proper growth and development.
  • Intestinal Obstruction: Thick mucus can block the intestines.

Reproductive Effects

  • Male Infertility: In males, vas deferens blockage is a common consequence.

Transmission

  • Autosomal Recessive: Both parents must be carriers of the CFTR gene mutation for a child to inherit the disease.
  • Carrier Detection: Individuals with one copy of the mutated gene are carriers, typically without symptoms.

Risk Factors

  • Genetics: Most significant risk factor, primarily linked to carrier parents.
  • Ethnicity: Caucasians are most affected.
  • Geography: Prevalence varies geographically.
  • Early Diagnosis and Treatment: Access to prompt diagnosis and suitable medications affects disease outcome severity.

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Description

This quiz explores the genetic disorder Cystic Fibrosis (CF), focusing on its causes, pathophysiology, and the impact of genetic mutations. Participants will learn about the CFTR gene and how its dysfunction leads to respiratory and digestive challenges. Test your knowledge on this significant health issue.

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