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Molecular Diagnostics Flashcards

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  1. What is the primary purpose of the denaturation step in PCR?

    Answer: To separate double-stranded DNA into single strands

    Denaturation at 94–96°C breaks the hydrogen bonds between complementary base pairs, separating the double-stranded DNA into single-stranded templates for subsequent primer annealing.

  2. Why is Taq polymerase used in PCR instead of a standard DNA polymerase?

    Answer: It is thermostable and survives repeated heating to 94°C

    Taq polymerase, derived from Thermus aquaticus, is thermostable and retains activity through the repeated high-temperature denaturation cycles required in PCR.

  3. In quantitative real-time PCR (qPCR), what does the Ct (cycle threshold) value represent?

    Answer: The cycle at which fluorescence crosses the detection threshold

    The Ct value is the PCR cycle number at which the fluorescence signal rises above background threshold; a lower Ct indicates a higher initial amount of target nucleic acid.

  4. Which technique is used to detect RNA viruses such as HIV or Hepatitis C virus by molecular methods?

    Answer: Reverse transcriptase PCR (RT-PCR)

    RT-PCR uses reverse transcriptase to first convert the viral RNA into complementary DNA (cDNA), which is then amplified by standard PCR to enable detection of RNA-based targets.

  5. SYBR Green dye in qPCR generates signal by:

    Answer: Intercalating into any double-stranded DNA formed during amplification

    SYBR Green intercalates non-specifically into any double-stranded DNA, producing fluorescence proportional to the amount of double-stranded PCR product accumulated.

  6. Fluorescence in situ hybridization (FISH) is primarily used in molecular diagnostics to:

    Answer: Detect specific DNA sequences or chromosomal rearrangements in intact cells

    FISH uses fluorescently labeled DNA probes that hybridize to complementary chromosomal sequences, enabling visualization of gene deletions, amplifications, or translocations directly in cells or tissue sections.

  7. Which electrophoresis technique is best suited for separating very large DNA fragments greater than 50 kilobases?

    Answer: Pulsed-field gel electrophoresis (PFGE)

    PFGE uses alternating electrical fields that cause large DNA molecules to reorient and migrate differently, enabling resolution of fragments up to several megabases that co-migrate in standard agarose electrophoresis.