Deck 2: Genes and Genetic Diseases
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Deck 2: Genes and Genetic Diseases
1
What is the most common cause of Down syndrome?
A) Paternal nondisjunction
B) Maternal translocations
C) Maternal nondisjunction
D) Paternal translocations
A) Paternal nondisjunction
B) Maternal translocations
C) Maternal nondisjunction
D) Paternal translocations
Maternal nondisjunction
2
A biologist is explaining how RNA directs the synthesis of protein.Which process is the biologist describing?
A) Termination
B) Transcription
C) Translocation
D) Translation
A) Termination
B) Transcription
C) Translocation
D) Translation
Translation
3
What genetic disorder is the result if an individual possesses an XXY chromosome configuration?
A) Turner
B) Klinefelter
C) Down
D) Fragile X
A) Turner
B) Klinefelter
C) Down
D) Fragile X
Klinefelter
4
A 13-year-old girl has a karyotype that reveals an absent homologous X chromosome with only a single X chromosome present.What medical diagnosis will the nurse observe on the chart?
A) Down syndrome
B) Cri du chat syndrome
C) Turner syndrome
D) Fragile X syndrome
A) Down syndrome
B) Cri du chat syndrome
C) Turner syndrome
D) Fragile X syndrome
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5
A 15-year-old female is diagnosed with Prader-Willi syndrome.This condition is an example of:
A) genomic imprinting.
B) an autosomal recessive trait.
C) an autosomal dominant trait.
D) a sex-linked trait.
A) genomic imprinting.
B) an autosomal recessive trait.
C) an autosomal dominant trait.
D) a sex-linked trait.
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6
After a geneticist talks to a patient about being a chromosomal mosaic, the patient asks the nurse what that means.How should the nurse respond? You may _____ genetic disease(s).
A) only be a carrier of the
B) have a mild form of the
C) have two
D) be sterile as a result of the
A) only be a carrier of the
B) have a mild form of the
C) have two
D) be sterile as a result of the
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7
The condition in which an extra portion of a chromosome is present in each cell is called:
A) reciprocal translocation.
B) partial trisomy.
C) inversion.
D) Down syndrome.
A) reciprocal translocation.
B) partial trisomy.
C) inversion.
D) Down syndrome.
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8
A child is diagnosed with cystic fibrosis.History reveals that the child's parents are siblings.Cystic fibrosis was most likely the result of:
A) X-inactivation.
B) genomic imprinting.
C) consanguinity.
D) obligate carriers.
A) X-inactivation.
B) genomic imprinting.
C) consanguinity.
D) obligate carriers.
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9
A patient, age 9, is admitted to a pediatric unit with Duchenne muscular dystrophy.When planning care the nurse recalls the patient inherited this condition through a trait that is:
A) X-linked dominant.
B) X-influenced.
C) X-limited.
D) X-linked recessive.
A) X-linked dominant.
B) X-influenced.
C) X-limited.
D) X-linked recessive.
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10
A nurse recalls the basic components of DNA are:
A) pentose sugars and four phosphate bases.
B) a phosphate molecule, deoxyribose, and four nitrogenous bases.
C) adenine, guanine, and purine.
D) codons, oxygen, and cytosine.
A) pentose sugars and four phosphate bases.
B) a phosphate molecule, deoxyribose, and four nitrogenous bases.
C) adenine, guanine, and purine.
D) codons, oxygen, and cytosine.
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11
Which of the following mutations have the most significant effect on protein synthesis?
A) Base pair substitutions
B) Silent mutations
C) Intron mutations
D) Frameshift mutations
A) Base pair substitutions
B) Silent mutations
C) Intron mutations
D) Frameshift mutations
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12
Cystic fibrosis is caused by what gene abnormality?
A) X-linked dominant
B) X-linked recessive
C) Autosomal dominant
D) Autosomal recessive
A) X-linked dominant
B) X-linked recessive
C) Autosomal dominant
D) Autosomal recessive
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13
A 20-year-old pregnant female gives birth to a stillborn child.Autopsy reveals that the fetus has 92 chromosomes.What term may be on the autopsy report to describe this condition?
A) Biploidy
B) Triploidy
C) Tetraploidy
D) Aneuploidy
A) Biploidy
B) Triploidy
C) Tetraploidy
D) Aneuploidy
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14
A cell that does not contain a multiple of 23 chromosomes is called a _____ cell.
A) diploid
B) euploid
C) polyploid
D) haploid
A) diploid
B) euploid
C) polyploid
D) haploid
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15
A patient wants to know the risk factors for Down syndrome.What is the nurse's best response?
A) Fetal exposure to mutagens in the uterus.
B) Increased paternal age.
C) Family history of Down syndrome.
D) Pregnancy in women over age 35.
A) Fetal exposure to mutagens in the uterus.
B) Increased paternal age.
C) Family history of Down syndrome.
D) Pregnancy in women over age 35.
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16
An aide asks the nurse why people who have neurofibromatosis will show varying degrees of the disease.Which genetic principle should the nurse explain to the aide?
A) Penetrance
B) Expressivity
C) Dominance
D) Recessiveness
A) Penetrance
B) Expressivity
C) Dominance
D) Recessiveness
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17
The base components of DNA are:
A) A, G, C, and U.
B) P, G, C, and T.
C) A, G, C, and T.
D) X, XX, XY, and YY.
A) A, G, C, and U.
B) P, G, C, and T.
C) A, G, C, and T.
D) X, XX, XY, and YY.
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18
A patient demonstrates severe mental retardation caused by a deletion of part of chromosome 5.What genetic disorder will the nurse see documented in the chart?
A) Prader-Willi syndrome
B) Down syndrome
C) Cri du chat syndrome
D) Trisomy X
A) Prader-Willi syndrome
B) Down syndrome
C) Cri du chat syndrome
D) Trisomy X
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19
What is the result of homologous chromosomes failing to separate during meiosis?
A) Neurofibromatosis
B) Nondisjunction
C) Polyploidy
D) Conjoined twins
A) Neurofibromatosis
B) Nondisjunction
C) Polyploidy
D) Conjoined twins
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20
A DNA strand has a region with the sequence ATCGGAT.Which of the following would be a complementary strand?
A) CGATACGT
B) TAGCCTAG
C) TUGCCTUG
D) UAGCCUAG
A) CGATACGT
B) TAGCCTAG
C) TUGCCTUG
D) UAGCCUAG
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21
The regions of the heterogeneous nuclear RNA that must be spliced out to form functional RNA are called:
A) promoter sites.
B) introns.
C) exons.
D) anticodon.
A) promoter sites.
B) introns.
C) exons.
D) anticodon.
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22
A 12-year-old male is diagnosed with Klinefelter syndrome.His karyotype would reveal which of the following?
A) XY
B) XX
C) XYY
D) XXY
A) XY
B) XX
C) XYY
D) XXY
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23
To express a polygenic trait:
A) genes must interact with the environment.
B) several genes must act together.
C) multiple mutations must occur in the same family.
D) penetrance must occur.
A) genes must interact with the environment.
B) several genes must act together.
C) multiple mutations must occur in the same family.
D) penetrance must occur.
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24
A 50-year-old male was recently diagnosed with Huntington disease.Transmission of this disease is associated with:
A) penetrance of a trait.
B) recurrence risk.
C) expressivity.
D) delayed age of onset.
A) penetrance of a trait.
B) recurrence risk.
C) expressivity.
D) delayed age of onset.
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25
The gradual increase in height among the human population over the past 100 years is an example of:
A) a polygenic trait.
B) a multifactorial trait.
C) crossing over.
D) recombination.
A) a polygenic trait.
B) a multifactorial trait.
C) crossing over.
D) recombination.
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26
When discussing DNA replication, which enzyme is most important?
A) RNA polymerase
B) Transfer RNA
C) Messenger RNA
D) DNA polymerase
A) RNA polymerase
B) Transfer RNA
C) Messenger RNA
D) DNA polymerase
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27
A nurse is reviewing the pedigree chart.When checking for a proband, what is the nurse looking for?
A) The person who is first diagnosed with a genetic disease.
B) The individual who has a disease gene but is phenotypically normal.
C) The phenotype of genetic material.
D) The codominance.
A) The person who is first diagnosed with a genetic disease.
B) The individual who has a disease gene but is phenotypically normal.
C) The phenotype of genetic material.
D) The codominance.
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28
When the nurse is teaching the staff about X-linked recessive disorders, which information should the nurse include? (select all that apply)
A) The trait is seen much more often in females than in males.
B) The trait is never transmitted from father to son.
C) The gene can be transmitted through a series of carrier females.
D) The gene is passed from an affected father to all his daughters.
E) The trait never skips generations.
A) The trait is seen much more often in females than in males.
B) The trait is never transmitted from father to son.
C) The gene can be transmitted through a series of carrier females.
D) The gene is passed from an affected father to all his daughters.
E) The trait never skips generations.
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29
What is the diagnosis of a 13-year-old female who has a karyotype that reveals an absent homologous X chromosome with only a single X chromosome present? Her features include a short stature, widely spaced nipples, and a reduced carrying angle at the elbow.
A) Down syndrome
B) Cri du chat syndrome
C) Turner syndrome
D) Klinefelter syndrome
A) Down syndrome
B) Cri du chat syndrome
C) Turner syndrome
D) Klinefelter syndrome
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30
Which of the following disorders is manifested primarily in males?
A) Cystic fibrosis
B) Neurofibromatosis
C) Muscular dystrophy
D) Klinefelter syndrome
A) Cystic fibrosis
B) Neurofibromatosis
C) Muscular dystrophy
D) Klinefelter syndrome
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31
What type of mutation does not change the amino acid sequence and thus has no observable consequence?
A) Frameshift
B) Spontaneous
C) Silent
D) Missense
A) Frameshift
B) Spontaneous
C) Silent
D) Missense
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