Genetics Basics

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Questions and Answers

Which scenario increases recurrence risk the most for a multifactorial disorder?

  • The parents are of advanced age.
  • The parents are first cousins. (correct)
  • The parents have different ethnic backgrounds.
  • The parents have similar heights.

What is the inheritance pattern when a mother has a mitochondrial disease?

  • Only the daughters inherit the disease.
  • Only the sons inherit the disease.
  • None of the children inherit the disease.
  • All of the children inherit the disease. (correct)

If Jack has a mitochondrial disease and Sally is healthy and pregnant, what is the risk that their child will inherit the disease?

  • 100%
  • 50%
  • 0% (correct)
  • 25%

Which of the following is a characteristic of the mitochondrial genome?

<p>There are no introns present. (D)</p> Signup and view all the answers

What is the result when a conception is trisomic for chromosome 7, and during the first cell division, the paternal chromosome 7 is lost?

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

If a patient has cystic fibrosis (CF), what is the risk that an unaffected full sibling carries a mutated CF gene?

<p>2 in 3 (B)</p> Signup and view all the answers

What is the risk that the child of a mother with cystic fibrosis will be a carrier of the disease?

<p>100% (B)</p> Signup and view all the answers

When is the recurrence risk for a multifactorially inherited birth defect higher?

<p>The proband is of the less commonly affected sex. (C)</p> Signup and view all the answers

What occurs when mutations in different autosomal recessive genes result in the development of leukemia in Fanconi anemia patients?

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

If Joe's brother has cystic fibrosis, what is the risk that Joe is a carrier?

<p>2/3 (C)</p> Signup and view all the answers

What mechanism causes Fragile X syndrome?

<p>A triplet repeat expansion. (D)</p> Signup and view all the answers

What is the term for the phenomenon where the severity of myotonic dystrophy increases with each succeeding generation?

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

How are Barbara and Blaine related?

<p>First cousins (C)</p> Signup and view all the answers

What inheritance pattern should be discussed with the parents of a baby diagnosed with achondroplasia shortly after birth?

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

What enzyme is utilized by stem cells and neoplastic cells to lengthen telomeres?

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

Which of the following is an accurate statement regarding chromosome replication?

<p>It is semiconservative. (B)</p> Signup and view all the answers

The leading strand of DNA in the replication fork is synthesized by which of the following mechanisms?

<p>Continuously by DNA polymerase delta. (B)</p> Signup and view all the answers

What is defective in individuals with Fanconi anemia, characterized by chromosome breakage and rearrangements?

<p>DNA repair enzyme (B)</p> Signup and view all the answers

What is the way bases are paired in a double helix of DNA?

<p>A-T, G-C (A)</p> Signup and view all the answers

Which of the following is a genetic metabolic disease involving degradation pathways?

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

In the context of multifactorial disorders, which of the following scenarios is most likely to elevate the recurrence risk?

<p>The parents are first cousins. (C)</p> Signup and view all the answers

What is the inheritance pattern observed in a family when the mother is affected by a mitochondrial disease?

<p>All children inherit the disease. (A)</p> Signup and view all the answers

If a father has a mitochondrial disease and the mother is unaffected, what is the chance their child will inherit the mitochondrial disease?

<p>0% (B)</p> Signup and view all the answers

Which statement accurately describes a key characteristic of the mitochondrial genome?

<p>It has no introns present. (A)</p> Signup and view all the answers

A conception is trisomic for chromosome 7. During the first cell division, the paternal chromosome 7 is lost, leaving two maternal chromosome 7’s in the daughter cells. What is this phenomenon known as?

<p>Uniparental disomy (B)</p> Signup and view all the answers

If a sibling is diagnosed with cystic fibrosis (CF), what is the probability that an unaffected full sibling is a carrier of the mutated CF gene?

<p>2/3 (A)</p> Signup and view all the answers

What is the likelihood that a child born to a mother with cystic fibrosis (CF) will be a carrier of the disease?

<p>100% (D)</p> Signup and view all the answers

Under which of the following conditions is the recurrence risk for a multifactorially inherited birth defect generally higher?

<p>When the proband is of the less commonly affected sex. (B)</p> Signup and view all the answers

Mutations in different genes causing the same phenotype is best described by what genetic term?

<p>Locus heterogeneity (B)</p> Signup and view all the answers

If an individual's brother has cystic fibrosis, what is the chance that the individual is a carrier of the disease?

<p>2/3 (B)</p> Signup and view all the answers

What is the mechanism underlying Fragile X syndrome?

<p>Triplet repeat expansion (C)</p> Signup and view all the answers

What is the term for the genetic phenomenon where the severity of a disease increases in successive generations?

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

Two individuals are related such that they share a set of grandparents. How are these individuals related?

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

A baby is born with achondroplasia. What is the most appropriate inheritance pattern to discuss with the parents?

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

Which enzyme is utilized by stem cells and neoplastic cells to maintain telomere length?

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

Which statement is most accurate regarding chromosome replication?

<p>It is semiconservative. (C)</p> Signup and view all the answers

How is the leading strand synthesized during DNA replication?

<p>Continuously by DNA polymerase delta. (C)</p> Signup and view all the answers

What cellular mechanism is defective in individuals with Fanconi anemia?

<p>DNA repair enzyme (C)</p> Signup and view all the answers

How do bases pair in a standard DNA double helix?

<p>A-T, G-C (C)</p> Signup and view all the answers

An example of a metabolic disease involving degradation pathways is which of the following?

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

What is the effect of some antineoplastic drugs?

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

Which cells have a haploid number of chromosomes?

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

Familial hypercholesterolemia can be caused by mutations in which genes?

<p>Homozygosity or heterozygosity for a mutation in the LDL receptor gene (C)</p> Signup and view all the answers

Genetic metabolic diseases are commonly due to mutations in what?

<p>Genes that code for enzymes (D)</p> Signup and view all the answers

In metabolic genetic diseases, what explains why heterozygotes are frequently normal?

<p>Heterozygotes produce enough enzymes for normal metabolic function. (B)</p> Signup and view all the answers

Sickle cell disease results from what?

<p>A glutamic acid to valine substitution in the beta-globin subunit of hemoglobin (C)</p> Signup and view all the answers

What causes Beta-thalassemia?

<p>Reduced or absent synthesis of β-globin subunits of hemoglobin (A)</p> Signup and view all the answers

What establishes the anterior/posterior axis in human development?

<p>The primitive streak (C)</p> Signup and view all the answers

Advanced pateranal age has an elevated risk of what?

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

What mutation is oncogenic when loss of function occurs in both alleles?

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

If Barbara and Blaine are first cousins, what is the risk Barbara will be a carrier of Hemophilia A?

<p>100% (A)</p> Signup and view all the answers

If Cassie and Blaine are having fraternal twins, what is the risk for their daughter to have Hemophilia A?

<p>50% (D)</p> Signup and view all the answers

If Cassie and Blaine are having fraternal twins, what is the risk for their son to have Hemophilia A?

<p>50% (A)</p> Signup and view all the answers

What is the recurrence risk for a couple to have another child with achondroplasia?

<p>~0% (D)</p> Signup and view all the answers

The chromosomes in stem cells and neoplastic cells do not generally shorten with each cell division because of what?

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

Some female carriers of hemophilia B (an X-linked recessive disease) have symptoms of the disease. What is the most likely explanation for how this occurs?

<p>The X chromosome for the normal gene is inactivated in a majority of cells in the body. (A)</p> Signup and view all the answers

Flashcards

First cousins as parents?

Increases recurrence risk most in multifactorial disorders when parents are related.

Mitochondrial inheritance?

All offspring inherit the mitochondrial disease from the mother.

Uniparental disomy

A condition where both chromosomes in a pair are inherited from one parent.

Risk of sibling carrying CF gene?

2/3 risk

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Risk of carrier if mother has CF?

100%

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Multiple genes causing same disease?

Locus heterogeneity.

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Cystic Fibrosis Carrier Risk?

The risk that Joe is a carrier is 2/3.

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Fragile X syndrome cause?

A triplet repeat expansion.

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Myotonic dystrophy severity increase?

Anticipation.

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Risk as carrier of Hemophilia A?

100%

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Fraternal Twin affected by hemophilia A?

50%

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Relationship between Barbara and Blaine?

First cousins.

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Achondroplasia inheritance pattern?

Autosomal dominant.

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Enzyme lengthens telomeres?

Telomerase.

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Antineoplastic drugs inhibiting?

Topoisomerase.

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Chromosome replication?

It is semiconservative.

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Synthesizing Leading Strand?

Continuously by DNA polymerase delta.

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Base pairing in DNA?

A-T, G-C.

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Glutamic acid to valine causes?

Sickle cell disease.

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Loss of function when oncogenic?

Tumor suppressor gene.

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Mitochondrial Genome?

No introns are present.

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Increased Recurrence Risk?

The proband is of the less commonly affected sex.

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Risk of child having mitochondrial disease

The risk that the child will have any form of the Mitochondrial disease is 0%.

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Fanconi Anemia defect.

Defective DNA repair enzyme.

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Hemophilia B in Females?

The X chromosome for the normal gene is inactivated in a majority of cells in the body.

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Haploid number of chromosomes?

Secondary spermatocyte.

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Familial Hypercholesterolemia?

Homozygosity or heterozygosity for a mutation in the LDL receptor gene.

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Genetic metabolic diseases?

Genes that code for enzymes.

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Genetic metabolic disease?

Phenylketonuria.

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Why are heterozygotes okay?

Heterozygotes for metabolic enzymes produce enough for normal metabolic function.

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Beta-thalassemia?

Reduced or absent synthesis of β-globin subunits of hemoglobin.

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Anterior/Posterior Axis?

The primitive streak.

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Leading Strand DNA synthesis?

Continuously by DNA polymerase delta.

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Advanced Paternal Age

Increased risk of achondroplasia.

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Study Notes

  • Recurrence risk is increased most for multifactorial disorders when the parents are first cousins.
  • In families with a mitochondrial disease where one parent is affected, all children of the affected mother will inherit the disease.
  • If Jack is diagnosed with a mitochondrial disease and his wife Sally is pregnant, the risk that their child will have the disease is 0%.
  • A characteristic of the mitochondrial genome is the absence of introns.
  • In a conception trisomic for chromosome 7, if the paternal chromosome 7 is lost during the first cell division, the daughter cells will have uniparental disomy.
  • An unaffected full sibling of a patient with cystic fibrosis (CF) has a 2 in 3 risk of carrying a mutated CF gene.
  • The risk that the child of a mother with cystic fibrosis will be a carrier of the disease is 100%.
  • The recurrence risk for a multifactorially inherited birth defect is higher when the proband is of the less commonly affected sex.
  • Mutations in different autosomal recessively inherited genes can result in the development of leukemia in Fanconi anemia patients due to locus heterogeneity.
  • If Joe's brother has cystic fibrosis, the risk that Joe is a carrier is 2/3.
  • Fragile X syndrome, a common cause of mental retardation, generally acts like an X-linked recessive disease, and is caused by a triplet repeat expansion.
  • In myotonic dystrophy, the severity of the disease increases with each succeeding generation, a phenomenon called anticipation.

Hemophilia A Example

  • Barbara's risk of being a carrier for hemophilia A is 100%.

  • Cassie and Blaine's daughter's (the fraternal twin) risk of being affected with hemophilia A is 50%.

  • Cassie and Blaine's son's (the fraternal twin) risk of having hemophilia A is 50%.

  • Barbara and Blaine are first cousins.

  • Baby John was diagnosed with achondroplasia shortly after birth, autosomal dominant inheritance should be discussed with the parents.

  • The recurrence risk for a couple to have another child with achondroplasia is ~0%.

  • Human cells have a finite lifespan, contributing to aging, while stem cells and neoplastic cells have indefinite lifespans.

  • Chromosomes in cells get progressively shorter with each cell division due to telomere sequences shortening.

  • Stem cells and neoplastic cells utilize the enzyme telomerase to lengthen the telomeres.

  • Some antineoplastic drugs act by inhibiting topoisomerase.

  • Chromosome replication is semiconservative.

  • The leading strand of DNA in the replication fork is synthesized continuously by DNA polymerase delta.

  • Fanconi anemia, an autosomal recessive disease characterized by chromosome breakage, is due to a defective DNA repair enzyme.

  • Some female carriers of hemophilia B have symptoms because the X chromosome for the normal gene is inactivated in a majority of cells in the body.

  • In a double helix of DNA, the base pairs are A-T and G-C.

  • Secondary spermatocytes have a haploid number of chromosomes.

  • Familial hypercholesterolemia is caused by homozygosity or heterozygosity for a mutation in the LDL receptor gene.

  • Most genetic metabolic diseases are caused by mutations in genes that code for enzymes.

  • Phenylketonuria is a genetic metabolic disease involving degradation pathways.

  • In metabolic genetic diseases, heterozygotes are generally normal because heterozygotes produce enough enzymes for normal metabolic function.

  • A glutamic acid to valine substitution in the beta-globin subunit of hemoglobin causes sickle cell disease.

  • Reduced or absent synthesis of β-globin subunits of hemoglobin results in β-thalassemia.

  • The primitive streak establishes the anterior/posterior axis in human development.

  • Increased paternal age is associated with a risk of having a child with achondroplasia.

  • A loss of function mutation in a tumor suppressor gene is oncogenic when it occurs in both alleles.

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