Biochemistry · USMLE Step 1

USMLE Medical Genetics: Chromosomal and Molecular Disorders

Trisomies, microdeletion syndromes, and trinucleotide repeat disorders with their hallmark clinical features.

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Trisomy 21
Down syndrome
What is the most common cause (mechanism) of Down syndrome?
Nondisjunction during maternal meiosis I
How does maternal age affect the risk of having a child with Down syndrome?
Risk increases significantly with advancing maternal age
What type of chromosomal rearrangement can cause Down syndrome independent of maternal age?
A Robertsonian translocation, commonly involving chromosomes 14 and 21
What congenital heart defect is classically associated with Down syndrome?
Endocardial cushion defect (atrioventricular septal defect)
Trisomy 18
Edwards syndrome
Trisomy 13
Patau syndrome
Which chromosomal microdeletion causes DiGeorge syndrome?
Deletion of 22q11.2
Why do patients with DiGeorge syndrome have recurrent infections?
Thymic aplasia leads to a T-cell deficiency
Which chromosomal microdeletion causes Williams syndrome?
Deletion of 7q11.23
What cardiac defect is classically seen in Williams syndrome?
Supravalvular aortic stenosis
What is the genetic mechanism of Prader-Willi syndrome?
Deletion of the paternally inherited copy of the 15q11-13 region
What is the genetic mechanism of Angelman syndrome?
Deletion of the maternally inherited copy of the 15q11-13 region
Genomic ____ is the phenomenon by which a gene's expression depends on which parent it was inherited from.
imprinting
Which chromosomal deletion causes cri-du-chat syndrome?
Deletion of the short arm of chromosome 5 (5p deletion)

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