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Objectives: At the end of the module, the student should be able to:

1). Discuss how genes affect human diseases.


2). Discuss the transmission pattern of Mendelian disorders.
3). Explain the pathophysiology (biochemical and molecular basis) of the
common clinical manifestations of single-gene disorders.
4). Discuss the genetic defects and clinical manifestation of Marfan
syndrome and Ehler-Danlos syndrome.
5). Discuss the genetic basis of Familial Hypercholesterolemia.
6). Discuss common genetic disorders associated with enzyme defects.
7). Discuss complex multigenic disorders.
8). Discuss common chromosomal disorders:
a. cytogenetic disorders involving autosomes, e.g. trisomies
b. cytogenetic disorders involving sex chromosomes
9). Discuss Single-Gene disorders with nonclassic inheritance:
a. trinucleotide repeat mutations.
b. Mutations in mitochondrial genes
c. Genomic imprinting
d. Gonadal mosaicism
10). Enumerate the more common diagnostic methods in genetic
diseases.

Laboratory Activities:

Case 1. Hammad Al Salman is an Egyptian suffering from Sickle-cell


disease. When he climbs mountains to herd his goats, he often
experiences joint and muscle pains.

A. Explain the symptoms experience by Hammad.


B. By schematic representation, illustrate the genetic basis of his
condition.

Case 2. Maria and Pedro have a son name Ernesto, who easily bleeds.
Both Maria and Pedro do not show the clinical manifestation of
their son. A review of family history disclose that the father of
Maria also shows spontaneous bleeding and easy bruising.
Laboratory examination showed that Ernesto has low levels of
Factor VIII.
A. Show the genetic inheritance of this condition, using simple
illustration.
B. What are the chances that the sons of Ernesto will also show this
condition?

How about his daughters?

His grandchildren?

C. Is it possible for a female to manifest this disease?

If yes or no, explain.


Case 3. Elizabeth a 45-year-old, elderly primigravida delivered a live
baby boy. The boy showed low set ears, simian crease on both
palms. The child also showed ventricular septal defect on his
heart.
A. Illustrate and discuss briefly Robertsonian translocation in Down
syndrome.

B. Enumerate other clinical manifestations of Down syndrome.


Case 4. Edilberto a 24-year-old engineering student suddenly develops
dry cough, coryza and high-grade fever. He took paracetamol
which afforded relief of fever, but 2 days later he develops
progressive difficulty of breathing which necessitated
hospitalization. A nasal swab was done and Reverse
Transcriptase Polymerase Chain Reaction test was done to
determine for the COVID-19 virus.
A. Enumerate and discuss briefly the steps of a normal polymerase
chain reaction.

B. Why is a reverse transcriptase needed for the detection of SARS-CoV-


2?

C. Comment on the use of Rapid Antibody test for Covid-19.

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