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N530 Pathophysiology Exam 1 Study Guide — Updated and Latest Questions and Correct Answers with Rationale

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N530 Pathophysiology Exam 1 Study Guide — Updated and Latest Questions and Correct Answers with Rationale

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1. Understand the process of meiosis related to homologous chromosomes.
 Gametes are haploid cells: They have only 1 member of each chromosome pair,
for a total of 23 chromosomes. Haploid cells are formed from diploid cells by
meiosis
 In meiosis, the cell has a more complex task than mitosis. It still needs to
separate sister chromatids (the two halves of a duplicated chromosome), as in
mitosis. But it must also separate homologous chromosomes, the similar but
nonidentical chromosome pairs an organism receives from its two parents.




2. Define chromosomal mosaic.
 The body has two or more different cell lines, each of which has a different
karyotype (possession of multiple genetically different cell lines in a single
person)
 Mosaics are often formed by early mitotic nondisjunction occurring in one
embryonic cell but not in others
 Both Turner's syndrome (45,X) and Down's syndrome (trisomy for chromosome
21) have had chromosomal mosaicism demonstrated by cytogenetic analysis
of cultured lymphocytes.



3. Causes/common traits of genetic disorders

, A. Cri du chat
 Genetic disorder caused by a chromosomal deletion of the short arm of
chromosome 5
 Chromosomal deletion: caused by a broken chromosome and lost DNA
 Gamete with a deletion unites with a normal gamete to form a zygote 
the zygote thus has ONE chromosome with the normal gene complement
and ONE with some missing genes
 Many genes can be lost in a deletion—thus serious consequences result
even though one normal chromosome is present
 Term literally means “cry of the cat”—describes the characteristic cry of the
affected child
 Symptoms: low birth weight, severe intellectual disability, microcephaly (smaller
than normal head size), and heart defects
B. Turner Syndrome
 Genetic disorder where females are born with only ONE X chromosome
(karyotype noted as 45,X)
 X chromosome is usually inherited from mother, thus caused by meiotic error in
father
 Symptoms:
 Not considered intellectually disabled—some impairment of spatial and
mathematical reasoning ability is found
 Short stature, wide spaced nipples, reduced carrying angle at elbow,
webbing of neck
 Cortication of aorta, edema in feet
 Underdeveloped ovaries—sterile
 15-20% of spontaneous abortions with chromosome abnormalities have this
karyotype—only 0.5% survive to term
C. Fragile X
 Fragile site located on the long arm of the X chromosome—caused by duplication
at fragile sites
 Second most common genetic cause of intellectual disability (second to down
syndrome)
 Higher incidence in males because they only have on X chromosome
 Symptoms:
 Intellectual disability (mental retardation)
D. Cystic Fibrosis
 Autosomal recessive disorder—most lethal recessive disease in white children
 Cystic fibrosis gene encodes a chloride ion that alters sodium balance
 Defective transport of chloride ions leads to a salt imbalance, which
results in secretions of abnormally thick, dehydrated mucus.
 Digestive organs, particularly the pancreas, become obstructed, causing
malnutrition, and the lungs become clogged with mucus, making them
highly susceptible to bacterial infections
 Males and females are affected equally
 Consanguinity (marriage between related individuals) can cause cystic fibrosis
 Seen in siblings of affected individuals but not usually their parents

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