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Describe at least two reasons why testing for a genetic condition might be advantageous.

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Below are concordance rates for five different human disorders studied in monozygotic (MZ) and dizygotic (DZ) twins.  Concordance  Disorder  MZ  DZ  A 100%50% B 17%16% C 56%11% D 100%25% E 50%100%\begin{array} { c l c } \hline & { \text { Concordance } } \\\text { Disorder } & \text { MZ } & \text { DZ } \\& & \\\hline \text { A } & 100 \% & 50 \% \\\text { B } & 17 \% & 16 \% \\\text { C } & 56 \% & 11 \% \\\text { D } & 100 \% & 25 \% \\\text { E } & 50 \% & 100 \%\end{array} One of the above disorders is in part caused by significant genetic effects. In addition to a significant genetic contribution toward the disorder, there are also significant environmental effects that contribute toward the disorder phenotype. To which of the above disorders would this description MOST likely apply?


A) A
B) B
C) C
D) D
E) E

F) A) and D)
G) A) and C)

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Which of the following are typical reasons why individuals or couples may seek genetic counseling? (Select all that apply.)


A) A husband and wife are closely related and they wish to have children.
B) A husband is 15 years older than his wife and they wish to have children.
C) A person knows of a genetic disease in the family.
D) A couple has given birth to a child with a genetic disease.
E) A couple experiences difficulties in achieving a successful pregnancy.

F) B) and C)
G) C) and D)

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Which of the following is NOT a typical characteristic of human traits that follow an autosomal recessive inheritance pattern?


A) They often "skip" generations.
B) They appear equally in males and females.
C) Parents of affected children are often phenotypically normal themselves.
D) When affected individuals marry phenotypically normal individuals, their children are often phenotypically normal.
E) All of the above are characteristic of autosomal recessive inheritance.

F) All of the above
G) D) and E)

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In an effort to identify the influence of genetic factors on both Type 1 diabetes and Type II diabetes, researchers calculated concordance rates for monozygotic twins. Concordance rates of 30-50% have been found for Type I diabetes with concordance rates of 80% for Type II. For both kinds of diabetes, dizygotic concordance rates were about 15%. What does this information suggest concerning the relative effect of genetic and environmental factors for each type of diabetes?


A) Genetic factors have little or no role in the occurrence of Type I diabetes.
B) Type II diabetes is primarily determined by nongenetic factors.
C) Genetic influences exert a larger role in Type II diabetes than in Type I diabetes.
D) Type II diabetes appears to be caused by a single unidentified gene.
E) Environmental factors have no role in the occurrence of either type of diabetes.

F) A) and D)
G) A) and C)

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What is/are the possible inheritance pattern(s) for the characteristic in Pedigree 1? Assume no new mutations and complete penetrance. What is/are the possible inheritance pattern(s)  for the characteristic in Pedigree 1? Assume no new mutations and complete penetrance.   A)  autosomal recessive only B)  autosomal dominant only C)  X-linked recessive only D)  X-linked dominant only E)  All of these are possible.


A) autosomal recessive only
B) autosomal dominant only
C) X-linked recessive only
D) X-linked dominant only
E) All of these are possible.

F) A) and E)
G) C) and D)

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Which of the following is NOT normally used to study the inheritance of human traits or disorders?


A) pedigree analysis
B) twin studies
C) adoption studies
D) All of these are used in the study of human traits or disorders.
E) None of these is used in the study of human traits or disorders.

F) C) and E)
G) None of the above

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The pedigree below shows the sex-linked recessive inheritance of Nance-Horan syndrome, a rare Mendelian disorder in which affected persons have cataracts and abnormally shaped teeth. What is the probability that the first child of IV-6 and V-3 would have Nance-Horan syndrome? The pedigree below shows the sex-linked recessive inheritance of Nance-Horan syndrome, a rare Mendelian disorder in which affected persons have cataracts and abnormally shaped teeth. What is the probability that the first child of IV-6 and V-3 would have Nance-Horan syndrome?   A)  <sup>1</sup>/<sub>4</sub> B)  <sup>1</sup>/<sub>2</sub> C)  1/8 D)  3/16 E)  <sup>3</sup>/<sub>4</sub>


A) 1/4
B) 1/2
C) 1/8
D) 3/16
E) 3/4

F) A) and C)
G) A) and B)

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Tony, who is not diseased, has a sister with cystic fibrosis (CF). Neither of his parents has CF. Tony is expecting a child with Tina. Tina's family history is unknown. Draw a pedigree that includes all of this information. Below each person in the pedigree, write his or her genotype or possible genotypes, using A for the normal CF allele and a for the disease-causing recessive allele.

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In the pedigree, Tony would be represent...

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Which term refers to mating between closely related people?


A) consanguinity
B) probanding
C) congenital
D) concordance
E) discordance

F) A) and E)
G) C) and D)

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Assume that the concordance values for a particular disease are 63% for monozygotic twins and 36% for dizygotic twins. Which of the following are TRUE? (Select all that apply.)


A) Environmental factors are important in susceptibility to this disease.
B) Genetic factors are important in susceptibility to the disease with monozygotic twins but not with dizygotic twins.
C) Genetic factors are not important in susceptibility to this disease.
D) Genetic factors are important in susceptibility to this disease.
E) Environmental factors are important in susceptibility to this disease with dizygotic twins but not with monozygotic twins.

F) B) and C)
G) A) and E)

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Researchers studying genetic determination of childhood asthma noted 65% concordance for monozygotic twin pairs in which at least one twin has asthma and 37% concordance for dizygotic twin pairs in which at least one twin has asthma. a. Explain the meaning of 65% concordance for asthma in monozygotic twins. b. Interpret the difference in concordance for asthma between monozygotic and dizygotic twins. c. If genes do influence childhood asthma, how is that 35% of monozygotic twin pairs are discordant for asthma?

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a. The 65% concordance for asthma in mon...

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Lucy is 16 weeks pregnant and undergoes maternal serum screening to measure her maternal alpha fetoprotein levels (AFP) . Her AFP level is several times higher than normal levels. For which of the following disorders should Lucy be offered additional testing?


A) trisomy 21, a chromosome abnormality
B) sickle-cell disease, an autosomal recessive disorder
C) spina bifida, a neural-tube defect
D) hemophilia A, a sex-linked recessive disorder
E) Lucy does not need additional testing for any disorder.

F) C) and E)
G) B) and C)

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In one study with both monozygotic and dizygotic twins, the concordance value for a neurological disorder was 100% for monozygotic twins. Which of the following statements is CORRECT?


A) The concordance value for dizygotic twins will be also 100%.
B) There will be no phenotypic variation in susceptibility for the disorder for all the pairs of twins in the study.
C) The concordance value for dizygotic twins will be 25%.
D) For dizygotic twins, all the variation in susceptibility for the disorder will be due to environmental factors.
E) Most of the variation in susceptibility for the disorder for monozygotic twins is likely due to genetic factors assuming that the concordance value for dizygotic twins is significantly less than 100%.

F) A) and B)
G) A) and C)

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Could the characteristic followed in the pedigree below be caused by an autosomal dominant disease? Why or why not? Could the characteristic followed in the pedigree below be caused by an autosomal dominant disease? Why or why not?   A)  Yes, all individuals fit the autosomal dominant inheritance pattern. B)  No, the offspring of I-1 and I-2 contradict an autosomal dominant inheritance. C)  No, the offspring of I-3 and I-4 contradict an autosomal dominant inheritance. D)  No, the offspring of II-3 and II-4 contradict an autosomal dominant inheritance. E)  Yes, the offspring of I-1and I-2 are consistent with an autosomal dominant inheritance pattern.


A) Yes, all individuals fit the autosomal dominant inheritance pattern.
B) No, the offspring of I-1 and I-2 contradict an autosomal dominant inheritance.
C) No, the offspring of I-3 and I-4 contradict an autosomal dominant inheritance.
D) No, the offspring of II-3 and II-4 contradict an autosomal dominant inheritance.
E) Yes, the offspring of I-1and I-2 are consistent with an autosomal dominant inheritance pattern.

F) B) and C)
G) A) and E)

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Is it possible that the characteristic in the pedigree below could be autosomal dominant? If so, what is the genotype of each individual? If not, explain why not, giving specific genotypes. Use alleles D and d. Is it possible that the characteristic in the pedigree below could be autosomal dominant? If so, what is the genotype of each individual? If not, explain why not, giving specific genotypes. Use alleles D and d.

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The American College of Medical Genetics recommends mandatory screening of newborn infants for 29 conditions, and many states have adopted this recommendation into law. a. Explain the benefits of mandatory newborn screening for medical conditions. b. Why might some people be concerned about or even opposed to mandatory screening of newborns? c. Do you support mandatory screening of newborn infants for genetic disorders? Defend your position with facts and arguments.

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a. The benefits of mandatory newborn scr...

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Juliet and Bob have two children, Jack and Norma. No one in this family is red-green color blind, although Juliet sometimes has difficulty passing the color-vision part of the driving test. Norma has a color-blind son with Tom, who is not color blind. Draw a pedigree that includes all of this information. Below each person in the pedigree, write his or her genotype for the red-green color blindness gene, using B for the normal allele and b for the color blindness allele.

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Juliet (Bb) - Bob (Bb)
|...

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