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Genetics Quiz 1

Total questions: 10

Worksheet time: 20mins

Name
Class
Date
1.

Which of the following clinical findings is more characteristic of a congenital dystrophy than a congenital myopathy?

a)

early fibrosis in muscles

b)

joint contractures

c)

presentation in infancy

d)

profound weakness

2.

Which of the following manifestations of muscular dystrophy is more prominent among individuals with the Becker phenotype than in those with the Duchenne phenotype?

a)

cardiomyopathy

b)

cognitive impairment

c)

hypertrophy of the calf

d)

involvement of the lungs

3.

Which of the following mechanisms of action is responsible for the efficacy of eteplirsen in patients with muscular dystrophy?

a)

decrease in inflammation

b)

delivery of micro-dystrophin

c)

partial restoration of dystrophin

d)

prevention of fibrosis

4.

A clinician examining a 15-month-old girl with facial weakness suspects a facioscapulohumeral muscle disorder. To confirm the diagnosis, which of the following tests should be performed first?

a)

EMG

b)

Genetic Testing

c)

MRI

d)

Muscle Biopsy

5.

Which of the following muscles is often the earliest affected in a patient with a facioscapulohumeral muscle disorder?

a)

anterior tibalis

b)

biceps

c)

orbicularis oris

d)

semimembranosus

6.

Which of the following pathophysiologic mechanisms describes the etiology of facioscapulohumeral muscle disorders?

a)

hypermethylation of repeats on chromosome 4

b)

loss of open reading frames on chromosome 4

c)

mutations in genes associated with metabolism of RNA

d)

overexpression of DUX4

7.

Which of the following abnormalities is responsible for the myotonia observed in patients with myotonic muscular dystrophies?

a)

abnormal translation of muscleblind proteins

b)

absence of functional chloride channel

c)

repeat expansion of coding regions

d)

splicing out of exon 7A

8.

Which of the following is the most common cause of death in patients with myotonic dystrophy type 1?

a)

cancer

b)

cardiac arrhythmia

c)

cardiomyopathy

d)

pulmonary complications

9.

Which of the following characteristics is more typical of myotonic muscular dystrophy type 2 than of myotonic muscular dystrophy type 1?

a)

avoidant personality disorder

b)

cardiac conduction disorders

c)

early truncal weakness

d)

early-onset cataracts

10.

A 29-year-old man is diagnosed with myotonic dystrophy type 2. Which of the following procedures or evaluations should be part of the routine management of this patient?

a)

genetic counseling

b)

muscle biopsy

c)

needle EMG

d)

neuropsychiatric testing