NACE EXAM — Health Care exam material
HEAL100 · Other
HEAL100 Health Care — exam and revision material · Other
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Health Care exam material, 5 pages. Originally published on StudyMerit.
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6.1: Chromosomal Mutations Chromosome Mutations or Aberrations changes in total chromosome number, additions or deletions of chromosome segments, or complete rearrangement of chromosome section Aneuploidy addition or deletion of a single AUTOSOMAL chromosome Not sex chromosomes Not entire set o Monosomy = deletion of a single chromosome Lethal in mammals For X-chromosome, if either incomplete or missing, developmental delays or health problems Baffles scientist because there is still another copy of every gene present Tolerated in plants Less viable, less fertile; NO EVOLUTIONARY ADVANTAGE o Trisomy = addition of a single chromosome More tolerable, but can be lethal Small chromosome = greater chance of survival Large chromosome = lesser chance of survival In plants, creates different phenotypes Less viable Less fertile Grow slower Types of Trisomy o Trisomy 21 = Down Syndrome Discovery and history Langdon Down (1866) 1/700 babies, over 6,000 afflicted MATERNAL AGE linked o Speculation??? Eggs are much older, even though they are arrested in meiosis I, but more time is given for them to develop abnormalities and have difficulties during cell division o
Lifespan ~50 years (dementia) Genetics 14-16 phenotypes, but most exhibit half of them NONDISJUNCTION DURING MEIOSIS 1 OF ANAPHASE 1 OR 2 IN THE OVUM Down Syndrome Critical Region (DSCR) o Used mouse model Did not always display phenotype characteristics o 3 copies of chromosome 21 present on 95% of afflicted individuals o 2% have mosaic of trisomy Some have 2 copies, some have 3 o Small percentage have translocation of extra piece, but it is attached to another chromosome Higher incidence of LEUKEMIA o Lower chance of cancers w/tumor due to DSCR1 gene Blocks vascular epithelial growth factor (VEGF) Means that vasculature cannot develop to support solid tumor growth Testing for Genetic Disorders o Use prenatal genetic screenings 10 weeks Mother’s blood + cell-free fetal DNA Non-invasive Determine risk estimate of developing aneuploidy Is there abnormal amount of chromosomes 21, 18, 13, or sex chromosomes? 15-22 weeks CVS = Chorionic villus sampling Cells from placental biopsy More invasive, higher risk to mother and baby Calls analyzed via PCR or FISH (fluorescent in situ hybridization) 22 weeks Amniocentesis o Remove amniotic fluid from placenta o Contains fetal cells Karyotyping done to detect aneuploidy, deletions, duplications,
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HEAL100 · Other
HEAL100 · Other
HEAL100 · Other
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