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【单选题】

Defective Genes and Human Health Each of us carries about half a dozen defective(有缺点的) genes. We remain blissfully(快乐地) unaware of this fact unless we, or one of our close relatives, are amongst the many millions who suffer from a genetic disease. About one in ten people has, or will develop at some later stage, an inherited(遗传的)genetic disorder, and approximately 2,800 specific conditions are known to be caused by defects (mutations) in just one of the patient’’s genes. Some single gene disorders are quite common-—cystic(胞状的) fibrosis (纤维化) is found in one out of every 2,500 babies born in the Western World—and in total, diseases that can be traced to single gene defects account for about 5% of all admissions to children’’s hospitals. Most of us do not suffer any harmful effects from our defective genes because we carry two copies of nearly all genes, one derived from our mother and the other from our father. The only exceptions to this rule are the genes found on the male chromosomes (染色体) Males have one X and one Y chromosome, the former from the mother and the latter from the father, so each cell has only one copy of the genes on these chromosomes. In the majority of cases, one normal gene is sufficient to avoid all the symptoms of disease. If the potentially harmful gene is recessive(后退的), then its normal counterpart(配对的) will carry out all the tasks assigned to both. Only if we inherit from our parents two copies of the same recessive gene will a disease develop. On the other hand, if the gene is dominant(显性的), it alone can produce the disease, even if its counterpart is normal. Clearly only the children of a parent with the disease can be affected, and then average only half the children will be affected. Huntington’’s chorea (舞蹈病) , a severe disease of the nervous system, which becomes apparent only in hood, is an example of a dominant genetic disease. Finally, there are the X chromosome-linked genetic diseases. As males have only one copy of the genes from this chromosome, there are no others available to fulfill the defective gene’’s function. Examples of such diseases are Duchenne muscular dystrophy(营养不良) and, perhaps most well known of all, hemophilia(血友病). Queen Victoria was a carrier of the defective gene responsible for hemophilia, and through her it was transmitted to the royal families of Russia, Spain, and Prussia. Minor cuts and bruises, which would do little harm to most people, can prove fatal to hemophiliacs, who lack the proteins(Factors VIII and IV) (凝血因子VIII和IV)involved in the clotting(血凝结)of blood, which are coded for by the defective genes. Sadly, before these proteins were made available through genetic engineering, hemophiliacs were treated with proteins isolated from human blood. Some of this blood was contaminated(污损) with the virus, and has resulted in tragic(悲惨的) consequences for many hemophiliacs. Use of genetically engineered proteins in the utic applications, rather than blood products, will avoid these problems in the future. Not all defective genes necessarily produce detrimental(有害的)effects, since the environment in which the gene operates is also of importance. A classic example of a genetic disease having a beneficial effect on survival is illustrated by the relationship between sickle-cell,(镶形血球)anemia (贫血症) and malaria(疟病). Only individuals having two copies of the sickle-cell gene and one normal gene are unaffected and, more importantly, are able to resist infection(传染) by malarial parasites (寄生虫). The clear advantage, in this case, of having one defective gene explains why this gene is common in populations in those areas of the world where malaria is endemic(特有的). Which of the following statements on genes and diseases is NOT TRUE

A.
Genetically engineered proteins are better than blood products in treating hemophilia.
B.
Only those who suffer from a genetic disease carry about half a dozen defective genes.
C.
The Y chromosome males have are from their fathers.
D.
Whether a defensive gene produces ill effects has something to do with the environment in which the gene operates.
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参考答案:
举一反三

【单选题】PT、APTT同时延长,哪组凝血因子有缺陷()

A.
TF、FVⅡ
B.
FI、F Ⅱ、FV、FX
C.
PK、HMWK
D.
Ⅷ、IX、XI
E.
IX、XI、XII

【单选题】慢性髓细胞白血病急变时,最可靠的染色体变化是()

A.
ph染色体
B.
出现非整倍体
C.
出现假二倍体
D.
出现除ph染色体以外的附加染色体
E.
以上均不对

【单选题】下列哪种症状较少见于小舞蹈病患者()

A.
低热
B.
关节炎
C.
肾炎
D.
心瓣膜炎
E.
风湿结节

【单选题】有关凝血因子Ⅴ正确的说法是()。

A.
在肝脏中合成
B.
参与外源性凝血途径的激活
C.
属于依赖维生素K的凝血因子
D.
在体内是最稳定的凝血因子
E.
参与内源性凝血途径的始动激活

【多选题】Huntington舞蹈病可出现()

A.
偏身投掷运动
B.
静止性震颤
C.
肌张力障碍
D.
手足徐动症
E.
舞蹈症

【单选题】补充不稳定凝血因子宜选用()

A.
新鲜全血
B.
红细胞制剂
C.
普通血浆
D.
代血浆
E.
新鲜冰冻血浆

【单选题】下列关于基因和染色体关系的叙述,错误的是 [ ]

A.
染色体是基因的载体
B.
基因在染色体上呈线性排列
C.
一条染色体上有多个基因
D.
染色体就是由基因组成的

【单选题】风湿性舞蹈病的临床特征中哪一项是错误的

A.
多见于女性患者
B.
以四肢和面部为主的不自主、无目的的快速运动
C.
兴奋和注意力集中时消失
D.
病程呈自限性
E.
其动作入睡后可消失

【单选题】下述哪项丕星王风湿性舞蹈病的特点

A.
可为疾病的首发表现
B.
病变可留有后遗症
C.
全身或部分肌肉的不自主的、无目的的快速运动
D.
在兴奋或注意力集中时加剧
E.
经治疗后病情不会复发
相关题目:
【单选题】PT、APTT同时延长,哪组凝血因子有缺陷()
A.
TF、FVⅡ
B.
FI、F Ⅱ、FV、FX
C.
PK、HMWK
D.
Ⅷ、IX、XI
E.
IX、XI、XII
【单选题】慢性髓细胞白血病急变时,最可靠的染色体变化是()
A.
ph染色体
B.
出现非整倍体
C.
出现假二倍体
D.
出现除ph染色体以外的附加染色体
E.
以上均不对
【单选题】下列哪种症状较少见于小舞蹈病患者()
A.
低热
B.
关节炎
C.
肾炎
D.
心瓣膜炎
E.
风湿结节
【单选题】有关凝血因子Ⅴ正确的说法是()。
A.
在肝脏中合成
B.
参与外源性凝血途径的激活
C.
属于依赖维生素K的凝血因子
D.
在体内是最稳定的凝血因子
E.
参与内源性凝血途径的始动激活
【多选题】Huntington舞蹈病可出现()
A.
偏身投掷运动
B.
静止性震颤
C.
肌张力障碍
D.
手足徐动症
E.
舞蹈症
【单选题】补充不稳定凝血因子宜选用()
A.
新鲜全血
B.
红细胞制剂
C.
普通血浆
D.
代血浆
E.
新鲜冰冻血浆
【单选题】下列关于基因和染色体关系的叙述,错误的是 [ ]
A.
染色体是基因的载体
B.
基因在染色体上呈线性排列
C.
一条染色体上有多个基因
D.
染色体就是由基因组成的
【单选题】风湿性舞蹈病的临床特征中哪一项是错误的
A.
多见于女性患者
B.
以四肢和面部为主的不自主、无目的的快速运动
C.
兴奋和注意力集中时消失
D.
病程呈自限性
E.
其动作入睡后可消失
【单选题】下述哪项丕星王风湿性舞蹈病的特点
A.
可为疾病的首发表现
B.
病变可留有后遗症
C.
全身或部分肌肉的不自主的、无目的的快速运动
D.
在兴奋或注意力集中时加剧
E.
经治疗后病情不会复发
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