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33 Cards in this Set

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Achondroplasia
AD. Cell-signaling defect of fibroblast growth factor receptor 3. Results in dwarfism; short limbs, but head and trunk are normal size. Associated with advanced paternal age.
Polycystic Kidney Disease
AD. Formerly known as adult polycystic kidney disease. Always BILATERAL, massive enlargement of kidneys due to mulitple cysts. Present with flank pain, hematuria, HTN, progressive renal failture. 90% of cases are due to mutation in APKD1. chromosome 16 (16 letters in polycystic kidney) Associated with polycystic liver disease, berry aneurysms, mitral valve prolapse. Infantile form is AR.
Familial adenomatous polyposis
AD. Colon becomes covered with polyps after puberty; progresses to colon cancer unless resected. Deletion on chromosome 5 (APC gene)' 5 letters in "polyp."
Familial hypercholesterolemia (hyperlipidemia type IIA)
AD. Elevated LDL due to defective or absent LDL receptor. Heterozygotes have elevated cholesterol around 300 mg/dL. Homozygotes have 700+, severe atherosclerotic disease early in life, and tendon xanthomas; MI before age 20
Hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome)
AD. Inherited disorder of blood vessels. Findings; telangetasias, recurrent epistaxis, skin discolorations, AVMs
Hereditary spherocytosis
AD. Spheroid erthyrocytes due to spectrin or ankyrin defect; hemolytic anemia; inc. MCHC. Splenectomy is curative.
Huntington's disease
AD. Findings: depression, progressive dementia, choreiform movements, caudate atrophy, and decreased levels of GABA and ACh in the brain. Symptoms manifest between ages 20 and 50. Gene located on chromosome 4; trinucleotide repeat disorder w/anticipation; Hunting "4" food.
Marfan's syndrome
AD. Fibrillin gene mutation -> connective tissue disorder affecting skeleton, heart, and eyes. Findings: tall with long extremities, pectus excavatum, hyperextensive joints, long, tapering fingers & toes, cystic medial necrosis of aorta -> aortic incompetence and dissecting aortic aneurysms; floppy mitral valve. Subluxation of lenses.
Multiple Endocrine Neoplasias
AD. 1 w/menin, 2 w/ ret. 2a = parathyroid, medullary thyroid, pheo. 1 = pituitary, parathyroid, pancreas
Neurofibromatosis type 1
AD. Findings: cafe-au-lait spots, neural tumors, Lisch nodules, skeletal disorders, optic pathway gliomas, pheos, and inc. tumor susceptibility. Long arm of chromosome 17; von Recklinghausen has 17 letters.
Neurofibromatosis type 2
AD. Bilateral acoustic neuroma, juvenile cataracts. NF2 gene on chromosome 22; type 2 =22.
Tuberous sclerosis.
AD. Findings: facial lesions, hypopigmented "ash leaf spots" on skin, cortical and retinal hamartomas, seizures, mental retardation, renal cysts and angiomyolipomas, cardiac rhabdomyomas, increased incidence of astrocytomas, Incomplete penetrance, variable presentation.
von Hippel-Lindau disease
AD. Findings: hemangioblastomas of retina/cerebellum/medulla; about half of affected individual develop multiple bilateral renal cell carcinomas and other tumors. Associated with deletion of VHL gene (tumor suppressor) on chromosome 3. Results in constitutive expression of HIF (transcription factor) and activation of angiogenic growth fators. Von Hippel-Lindau = 3 words for chromosome 3.
albinism
AR
infantile polycystic kidney disease, or ARPKD
AR!
cystic fibrosis
AR. defect in CFTR gene on chromosome 7, commonly deletion of Phe 508. CFTR channel actively secretes Cl in lungs and GI tract and reabsorbs it from sweat. Defective Cl channel means abnormally thick mucus in lungs/GI tract. Infertility in males.
glycogen storage diseases
AR
hemochromotosis
AR
mucopolysaccharidoses
AR
phenylketonuria
AR
sickle cell anemia
AR
sphingolipidoses (except Fabry's)
AR
thalassemias
AR
Bruton's agammaglobulinemia
X-linked recessive
Wiskott-Aldrich syndrome
X-linked recessive
Fabry's disease
X-linked recessive
G6PD deficiency
X-linked recessive
Ocular albinism
X-linked recessive
Lesch-Nyhan syndrome
X-linked recessive
Duchenne's and Becker's muscular dystrophy
X-linked recessive
Hunter's syndrome
X-linked recessive
Hemophilia A
X-linked recessive
Hemophilia B
X-linked recessive