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Genetics
MRCPCH Part 1
Dr M Bhat
Demonstration
Genes are on chromosomes
Types of Genetic Disorder
• Chromosomal
• Single Gene
• Contiguous gene disorder
• Multifactorial (polygenic)
Metaphase spread
Normal Male 46 XY
Normal Female 46 XX
Down Syndrome
Trisomy 21
47, XX, +21
Chromosome abnormalities
• Autosomal trisomies
• Sex Chromosome abnormalities
• Deletions / duplications / inversions / ring
chromosomes
• Translocations
-Reciprocal
-Robertsonian
Translocations
Down Syndrome
Trisomy 21
47, XX, +21
Nondisjunction
Abnormal Meiosis
Parents’ Cells
Normal Meiosis
Gametes (sex cells)
Zygotes (Fertilized Cells)
Trisomy 21 Monosomy 21
Down’s Syndrome
• 95% Trisomy 21
• 3% Translocation
• 2% Mosaic
Baby with Down’s Syndrome
Hand / foot having Down’s Syndrome
Eye with Down’s Syndrome
Risk of Down’s Syndrome in relation to
maternal age
Maternal age at delivery Risk (live birth)
All ages 1/650
20 1/1500
30 1/900
40 1/110
45 1/45

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Types of Genetic Disorder - Genetics MRCP 1 - 123Doc Education