Molecular Genetics US Medical PG Flashcards - Medical Study Cards
Master Molecular Genetics with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Molecular Genetics Flashcard Deck - 10 Cards
Flashcard 401: What kind of mutation exists in the following base changes?
- CUU (Leucine) → AUU (Isoleucine)
- UUU (Phenylalanine) → UUC (Phenylalanine)
- CAG CCC ACT → CAG TCC CAC T
- CAG CAG UAA → CAG CAG CAA
- UCA → UGA
(Silent, Missense, Nonsense, Nonstop, Frameshift)
Answer: - **CUU (Leucine) → AUU (Isoleucine)**: Missense mutation
- **UUU (Phenylalanine) → UUC (Phenylalanine)**: Silent mutation
- **CAG CCC ACT → CAG TCC CAC T**: Frameshift mutation
- **CAG CAG UAA → CAG CAG CAA**: Nonstop mutation (Stop codon → Amino acid)
- **UCA → UGA**: Nonsense mutation (Amino acid → Stop codon)
Extra: - **Silent**: Same amino acid (often 3rd position/wobble).
- **Missense**: Different amino acid.
- **Nonsense**: Changes to a Stop codon (UAA, UAG, UGA).
- **Nonstop**: Stop codon changes to an amino acid.
- **Frameshift**: Insertion or deletion not in a multiple of 3, shifting the reading frame.
Flashcard 402: A 6-year-old African American boy presents with easy fatigability and splenomegaly. CBC shows mild anemia. Hemoglobin electrophoresis shows a hemoglobin variant that migrates more slowly toward the anode than both HbA and HbS.
What mutation is the most likely cause of this patient's condition?
Answer: Missense mutation (Glutamic acid to Lysine substitution at position 6 of the β-globin chain)
**Diagnosis:** Hemoglobin C (HbC) disease
**Electrophoresis migration (toward anode):** HbA > HbS > HbC (A Fat Slow Crawl)
Extra: - **HbC disease** is caused by a missense mutation where a negatively charged glutamic acid is replaced by a positively charged lysine.
- **Clinical features:** Mild hemolytic anemia, splenomegaly, and HbC crystals (rod-shaped) in red blood cells.
- **Electrophoresis:** Since lysine is more positive than valine (HbS) or glutamic acid (HbA), HbC migrates the slowest toward the positive anode.
Flashcard 403: A 2 y/o boy comes with easy bruising.
-Parent stated he develops marked bruising & open wounds following minor trauma.
-Skin is difficult to suture due to its extreme fragility.
-Physical exam: Hyperextensible skin, multiple ecchymoses over the forearms.
- Skin biopsy: defect in extracellular processing of collagen.
-Which steps of collagen synthesis is most likely impaired in this patient?
Answer: N-terminal propeptide removal or N & C terminal propeptide removal.
due to defect in procollagen peptidases (defect in collagen 3 & 5) that lead to Ehlers-Danlos syndrome.
(hyperextensible skin, joint laxity, tissue fragility)
Flashcard 404: Identify the location or function of the following molecular markers:
- CCA sequence
- Poly-A tail
- 7-methylguanosine cap
- TATA box
Answer: - **CCA sequence**: Located at the 3' end of **tRNA**; the site where amino acids bind ("**C**an **C**arry **A**mino acids").
- **Poly-A tail**: Added to the 3' end of **mRNA** after transcription (post-transcriptional modification).
- **7-methylguanosine cap**: Located at the 5' end of **mRNA** (post-transcriptional modification).
- **TATA box**: An upstream eukaryotic **DNA promoter** sequence that binds TATA-binding protein (TBP) to initiate transcription.
Flashcard 405: What are the followings associated with?
-Cleavage of DNA strands to remove supercoils
-Excision of thymine dimers within DNA
-Removal of mismatched base pairs during DNA replication
-Removal of RNA primer nucleotides
-Unwinding of the 2 strands of template DNA
(DNA polymerase 1, DNA gyrase, UV-specific endonuclease, helicase)
Answer: Cleavage of DNA strands to remove supercoils: DNA gyrase (topoisomerase 2)
-Excision of thymine dimers within DNA: UV-specific endonuclease.
-Removal of mismatched base pairs during DNA replication: DNA polymerase 3 (most common), DNA pol 1, DNA pol 2.
-Removal of RNA primer nucleotides: DNA polymerase 1
-Unwinding of the 2 strands of template DNA: Helicase
Flashcard 406: Which cell cycle phase is characterized by resting, non-dividing cells?_____
Answer: G0
Flashcard 407: What form of hemoglobin protects against sickling in sickle cell anemia? _____
Answer: HbF
Flashcard 408: What protein is defective in Marfan syndrome?_____
Answer: Fibrillin (scaffold for elastin)
Flashcard 409: What is the most common cause (95%) of Down syndrome? _____
Answer: Meiotic nondisjunction
Flashcard 410: What is the mode of inheritance of Familial Mediterranean fever? _____
Answer: Autosomal recessive
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