30 Questions
Which syndrome is characterized by tall stature, small testes, gynaecomastia, slightly lower IQ, and infertility?
Klinefelter Syndrome
What is the IQ range typically observed in individuals with 47,XXX?
80-90
Which gene on Xp21 is associated with Duchenne muscular dystrophy (DMD) and mental retardation?
Steroid sulfatase gene (STS)
Individuals with tiny ring X syndrome exhibit severe mental retardation due to what condition?
Absence of XIST gene
In an unbalanced female X-autosome carrier with 46,X,der(X),t(X;autosome), which chromosome segment should usually be preferentially inactivated?
The X chromosome segment containing XIC
Which genetic disorder is associated with the DMD gene at Xp21?
Duchene/Becker muscular dystrophy
What is the consequence of disruption of sex vesicle in males with a balanced male X-autosome carrier?
Infertility due to spermatogenic arrest
Which chromosomal abnormality results in X nullisomy and autosomal trisomy in males?
46,Y,der(X),t(X;autosome)
Which gene is associated with lissencephaly located at Xq22.3?
XLIS
In genetics, what does the term 'derivative' chromosome refer to?
Modified or altered version of a chromosome
Match the following genetic disorders with their associated genes:
Duchenne muscular dystrophy (DMD) = Xp21 X-linked ichthyosis = Xp22.3 Hypogonadism and anosmia = Kallmann gene (ANOS1) Skeletal dysplasia = CDPX gene
Match the following chromosomal abnormalities with their characteristics:
47,XXY Klinefelter syndrome = Tall stature 47,XXX Triple X syndrome = IQ 82, learning difficulties, impaired speech 47,XYY syndrome = Normal IQ, minor learning difficulties, behavioral issues Tiny ring X syndrome = Severe mental retardation due to functional X disomy
Match the following phenotypes with their corresponding chromosomal configurations:
Balanced female X-autosome carrier = 46,X,t(X;autosome) Unbalanced female X-autosome carrier = 46,X,der(X),t(X;autosome) Partial Turner syndrome = FEMALES 48,XXXY and 49,XXXXY severe retardation = Klinefelter syndrome
Match the following characteristics with their corresponding syndromes:
Small testes, gynaecomastia, infertility = 47,XXY Klinefelter syndrome Mostly normal phenotype with lower IQ and fertility issues = 47,XXX Triple X syndrome Mostly normal phenotype with tall stature and minor learning difficulties = 47,XYY syndrome Rare severe retardation with extra X chromosomes = 48,XXXY and 49,XXXXY
Match the following genes with their associated conditions:
Duchenne muscular dystrophy (DMD) = Xp21 Steroid sulfatase gene (STS) = X-linked ichthyosis Kallmann gene (ANOS1) = Hypogonadism and anosmia CDPX gene = Skeletal dysplasia
Match the following with their consequences in males with unbalanced male X-autosome carrier (46,Y,der(X),t(X;autosome)):
X nullisomy = Not viable Autosomal trisomy = Not viable Disruption of sex vesicle = Presumed mechanism for infertility Derivative chromosome formation = Formation due to genetic events
Match the following terms with their associated genetic disorder:
DMD gene at Xp21 = Duchenne/Becker muscular dystrophy Lissencephaly gene XLIS at Xq22.3 = Lissencephaly X-linked Mendelian disorders classic historical example = Duchenne/Becker muscular dystrophy Premature ovarian failure to primary amenorrhea = Ovarian dysfunction
Match the following descriptions with the appropriate term:
Critical regions at Xq13-q22 and Xq22-q27 breakpoints affecting ovarian function = X-linked Mendelian disorders Invariably infertile due to spermatogenic arrest = Balanced male X-autosome carrier Exposed to classic historical example of Duchene/Becker muscular dystrophy at Xp21 = Disruption of X loci Modified or altered version of a chromosome = Derivative chromosome
Match the following chromosomal abnormalities with their consequences:
46,Y,t(X;autosome) = Invariably infertile 46,X,der(X),t(X;autosome) = Not viable due to X nullisomy and autosomal trisomy
Match the following terms with their associated symptoms or characteristics:
Tiny ring X syndrome = Severe mental retardation Balanced male X-autosome carrier (46,Y,t(X;autosome)) = Spermatogenic arrest leading to infertility Unbalanced female X-autosome carrier (46,X,der(X),t(X;autosome)) = Preferential inactivation of a specific chromosome segment Male with disruption of sex vesicle due to balanced male X-autosome carrier = "Presumed mechanism for infertility"
What is the classic historical example of an X-linked Mendelian disorder located at Xp21?
Duchenne/Becker muscular dystrophy
In males with a balanced male X-autosome carrier, what is the consequence of spermatogenic arrest?
Invariably infertile
What genetic condition is associated with the XLIS gene located at Xq22.3?
Lissencephaly
What is the presumed mechanism of infertility in males with a balanced male X-autosome carrier?
Disruption of the sex vesicle
Why are unbalanced male X-autosome carriers with 46,Y,der(X),t(X;autosome) not viable?
Due to X nullisomy and autosomal trisomy
What are the common physical characteristics associated with Klinefelter syndrome?
Tall stature, tendency toward long arms and legs, small testes, gynaecomastia
Describe the phenotype of individuals with 47,XXX karyotype.
Mostly normal phenotype with normal fertility, IQ around 82, learning difficulties, and impaired language and speech.
What are the characteristics of individuals with 47,XYY karyotype?
Mostly normal phenotype with normal fertility, tall stature, IQ usually normal but lower than siblings, minor learning difficulties, and behavioral issues.
Which genetic conditions are associated with Xp21 and Xp22.3 deletions?
Xp21: Duchenne muscular dystrophy, Xp22.3: X-linked ichthyosis and hypogonadism
What are the characteristics of individuals with ring X syndrome?
Phenotype varies based on chromosome loss, can be associated with severe mental retardation due to X disomy.
Study Notes
Klinefelter Syndrome
- 47,XXY: normal face, tall, tendency towards long arms and legs, small testes, fail to produce normal levels of testosterone, gynaecomastia (40%), slightly lower IQ, infertility
- Rare 48,XXXY and 49,XXXXY: severe retardation
- 47,XXX: mostly normal phenotype, normal fertility, possibility of premature ovarian failure, IQ 82 (10-20 points lower than siblings), learning difficulties with language and speech impaired, motor skills delayed
- 47,XYY: mostly normal phenotype, normal fertility, tall, IQ normal but usually lower than siblings, some minor learning difficulties and behavioural issues
X Deletions
- Xp21: Duchenne muscular dystrophy (DMD), retinitis pigmentosa, adrenal hypoplasia, glycerol kinase deficiency, mental retardation
- Xp22.3: steroid sulfatase gene (STS), causes X-linked ichthyosis, Kallmann gene (ANOS1), leads to hypogonadism and anosmia, CDPX gene causes skeletal dysplasia
Ring X
- 45,X/46,X,r(X): phenotype variable depending on the amount of chromosome lost and inactivation pattern, rarely seen in males
- Tiny ring X syndrome: associated with severe MR due to functional X disomy, due to absence of XIST
Females
- Balanced female X-autosome carrier, 46,X,t(X;autosome): two translocation chromosomes, der(X) and der(autosome), der(X) contains XIC, X segment on der(autosome) lacks XIC
- Unbalanced female X-autosome carrier, 46,X,der(X),t(X;autosome): needs to have der(X) inactivated, usually preferential inactivation of der(X) if it contains XIC, inactivation can spread along autosomal segment on der(X) although unpredictable
- Partial Turner syndrome: critical regions at Xq13-q22 and Xq22-q27 breakpoints, invariably affect ovarian function, premature ovarian failure to primary amenorrhea, disruption of X loci may expose X-linked Mendelian disorders
Males
- Balanced male X-autosome carrier, 46,Y,t(X;autosome): invariably infertile due to spermatogenic arrest, disruption of the sex vesicle is the presumed mechanism
- Unbalanced male X-autosome carrier, 46,Y,der(X),t(X;autosome): not viable due to X nullisomy and autosomal trisomy
Derivative Chromosomes
- Formed due to various genetic events such as translocations, inversions, deletions, duplications, or other structural abnormalities
- Modified or altered version of a chromosome
Learn about the characteristics and variations of Klinefelter syndrome, a genetic condition characterized by the presence of an extra X chromosome in males. Understand the impact on physical features, hormone production, fertility, and cognitive abilities.
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