Genetic Disorders and Clinical Services

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Questions and Answers

What are hemoglobinopathies primarily associated with?

  • Micronutrient deficiencies
  • Immune system disorders
  • Vitamin deficiencies
  • Disorders of the hemoglobin chain (correct)

What is the primary aim of genetic counselling?

  • To provide educational resources
  • To help individuals understand and manage genetic disorder risks (correct)
  • To provide clinical treatment plans
  • To diagnose genetic disorders

Which of the following best describes presymptomatic genetic diagnosis?

  • Confirms existence of a genetic disorder
  • Establishes whether a disorder is hereditary
  • Provides treatment options for existing symptoms
  • Predicts onset of symptoms in the future (correct)

What role does genetic assessment play?

<p>Helps in understanding the diagnosis and choosing actions (D)</p> Signup and view all the answers

Thalassemia is classified under which type of disorder?

<p>Structural hemoglobinopathy (C)</p> Signup and view all the answers

Which of the following indicates an increased risk of developing a condition later in life?

<p>Susceptibility identification (C)</p> Signup and view all the answers

Which service does cytogenetics provide?

<p>Prenatal and neonatal screening for congenital disorders (A)</p> Signup and view all the answers

What does the estimation of risk in genetic diagnosis focus on?

<p>Assessing the likelihood of transmission of genetic disorders (C)</p> Signup and view all the answers

What is the primary focus of medical genetics?

<p>Human biological variation and its health implications (A)</p> Signup and view all the answers

Which of the following statements describes autosomal dominant inheritance?

<p>Affected children usually have affected parents. (C)</p> Signup and view all the answers

Which milestone in medical genetics was established in 1941 in the USA?

<p>Medical genetics counseling (C)</p> Signup and view all the answers

How does Hardy-Weinberg principle contribute to genetics?

<p>Calculating carrier frequencies (D)</p> Signup and view all the answers

Which type of genetic disorder typically does NOT have skipped generations?

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

What is a significant characteristic of autosomal recessive inheritance?

<p>Both males and females are equally affected. (B)</p> Signup and view all the answers

Which disorder is commonly associated with autosomal dominant inheritance?

<p>Achondroplasia (A)</p> Signup and view all the answers

What is NOT a characteristic feature of autosomal dominant inheritance?

<p>Presence of carrier states (C)</p> Signup and view all the answers

What is the primary role of the Clinical Genetics Unit?

<p>To provide clinical services and counselling for families at risk of genetic diseases. (A)</p> Signup and view all the answers

Which of the following describes a proband?

<p>The person showing symptoms of a genetic condition. (D)</p> Signup and view all the answers

What type of diagnostic testing is offered by the Biochemical Genetics Unit?

<p>Testing for metabolic disorders such as maple syrup urine disease. (C)</p> Signup and view all the answers

Why are there no genetic counsellors in the Philippines?

<p>There is a lack of training programs for genetic counselling. (B)</p> Signup and view all the answers

Which of the following is NOT mentioned as a key function of the Molecular Genetics Unit?

<p>Providing clinical consultations for families. (C)</p> Signup and view all the answers

Which of the following health conditions is associated with the Biochemical Genetics Unit?

<p>Phenylketonuria. (B)</p> Signup and view all the answers

What is the primary method used in the Molecular Genetics Unit for studying genes?

<p>DNA sequencing. (B)</p> Signup and view all the answers

What type of patient typically visits the out-patient service at a clinical genetics unit?

<p>Individuals seeking information without a known diagnosis. (B)</p> Signup and view all the answers

Which disorder is caused by having only one altered copy of the gene?

<p>Angelman Syndrome (A)</p> Signup and view all the answers

Which of the following is not a disorder mentioned in the context?

<p>Sickle Cell Anemia (A)</p> Signup and view all the answers

Which prenatal diagnostic option is specifically used to sample the placenta?

<p>Chorionic Villus Sampling (B)</p> Signup and view all the answers

What does fluorescence in-situ hybridization (FISH) analysis diagnose?

<p>Trisomy disorders (C)</p> Signup and view all the answers

What genetic condition is characterized by a deficiency of the G6PD enzyme?

<p>Glucose-6-Phosphatase Deficiency (G6PD) (B)</p> Signup and view all the answers

Which of the following is not a confirmation method for genetic disorders?

<p>Clinical Symptoms Observation (B)</p> Signup and view all the answers

What is one of the main providers of genetic services in the Philippines?

<p>Institute of Human Genetics (C)</p> Signup and view all the answers

Which of the following disorders is characterized by a mutation leading to abnormally high levels of factors in the blood?

<p>Hemophilia A (B)</p> Signup and view all the answers

What is the concept of consanguinity associated with in the context of genetic disorders?

<p>Increased risk of multifactorial disorders (A)</p> Signup and view all the answers

Which of the following best describes the concept of informed consent in healthcare?

<p>A process involving risks and benefits disclosure (B)</p> Signup and view all the answers

What psychosocial issue may parents face regarding their role in genetic transmission?

<p>Guilt and blame for passing genes (B)</p> Signup and view all the answers

Which type of genetic disorder primarily increases with consanguinity?

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

What is a common consequence related to reproductive decision-making influenced by genetic risks?

<p>Deciding not to have children (A)</p> Signup and view all the answers

Which of the following is a legal and ethical issue relevant to genetic testing?

<p>Informed consent process (C)</p> Signup and view all the answers

What is the Westermarck Effect in relation to inbreeding avoidance?

<p>Emotional attachment leading to reproductive avoidance (C)</p> Signup and view all the answers

What kind of support might be necessary for parents after a bereavement related to genetic conditions?

<p>Long-term emotional and social support (A)</p> Signup and view all the answers

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Study Notes

Genetic Disorders

  • Angelman Syndrome, Edouard Syndrome, Down Syndrome, and Turner Syndrome are common genetic disorders with various inheritance patterns.
  • Duchenne Muscular Dystrophy and Fragile X Syndrome are also prevalent disorders affecting individuals, particularly males.
  • Hemophilia A and B are genetic bleeding disorders requiring only one altered gene copy for expression.

Genetic Clinical Services

  • Services include prenatal diagnosis (e.g., ultrasound, amniocentesis) and postnatal routine karyotyping.
  • Genetic clinics provide confirmation of disorders, counseling, investigation, and prenatal diagnosis information.
  • Major providers of genetic services in the Philippines include the Institute of Human Genetics and UP Manila.

Genetic Units and Their Functions

  • Clinical Genetics Unit offers clinical services and metabolic disorder management.
  • Molecular Genetics Unit focuses on research of genetic conditions via techniques like DNA sequencing.
  • Biochemical Genetics Unit specializes in diagnosing metabolic disorders such as Phenylketonuria.
  • Hemoglobinopathy Unit addresses disorders of the hemoglobin chain, resulting in conditions like thalassemia.

Genetic Counseling

  • Aims to support individuals/families in understanding genetic disorders and their implications.
  • Helps in adjusting to the psychosocial impact of genetic conditions.
  • Provides guidance on diagnosis, risk of transmission, prognosis, and follow-up care.

Genetic Diagnosis

  • Establishes precise diagnosis of genetic disorders.
  • Involves several types of diagnostic classifications:
    • Diagnostic confirms a known condition.
    • Presymptomatic predicts future symptoms.
    • Susceptibility assesses risks for future genetic diseases.

Inheritance Patterns

  • Clinical genetics involved in examining hereditary traits through pedigree charts.
  • Autosomal dominant inheritance results in affected children typically having affected parents, with equal likelihood of transmission among genders.
  • Autosomal recessive inheritance may have carriers, but not all carriers show symptoms.

Consanguinity

  • Refers to individuals descended from the same ancestor; linked with higher risks of inborn metabolic errors.
  • Increases incidence of multifactorial disorders, such as diabetes and certain cancers.
  • Inbreeding considerations include guilt, reproductive decision-making, and the effects on extended family.
  • Informed consent is crucial for procedures in genetic healthcare, ensuring that patients understand risks and benefits.
  • Ethical considerations include balancing personal choices with familial impact and societal norms.

Psychosocial Considerations

  • Guilt from perceived genetic transmission may affect parents.
  • Decisions about reproduction can be influenced by genetic conditions' implications for offspring.
  • Support needed post bereavement or when navigating a loved one's genetic health challenges.

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