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Bioethics Exam 3 Notes
terms
70
Law
Undergraduate 3
04/04/2012

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Term
Of 100 couples who pay for several attempts at in vitro fertilization, about how many take home a baby?
Definition
25-30
Term
What is the biggest biological barrier to pregnancy in an infertile couple trying to conceive?
Definition
Age of egg
Term
Today, the Vatican holds that in vitro fertilization is morally:
Definition
Impermissible
Term
In the McCaughey case of septuplets, what was the fate of the babies?
Definition
They all lived, but at least two have cerebral palsy
Term
Which of these is false about the history of assisted reproduction and its associated ethical issues?
Definition
Due to the successes of assisted reproduction, most infertile parents eventually take home a baby
Term
Which of the following statements is false?
Definition
Hwang Woo Suk successfully cloned a human embryo.
Term
What did President George W. Bush do in the summer of 2006 regarding embryonic stem cells?
Definition
He vetoed a Congressional bill that would have loosened restrictions on federal funds for research with embryonic stem cells
Term
Which of these statements is false?
Definition
The only way to create stem cells is by using human embryos
Term
The Argument for an Open Future objects to originating a child by cloning by arguing in part that:
Definition
Unreasonable and perhaps wrong expectations based on the chosen phenotype may be placed on a child created this way
Term
Announcement that the lamb Dolly had been created by cloning about the year:
Definition
1997
Term
The great bias in pediatric surgery regarding conjoined twins is that:
Definition
It is always better to live life as a singleton than as a conjoined person.
Term
To say that Baby Fae’s operation was research and not therapy implies that:
Definition
There was little chance of success.
Term
The Christian theologian Paul Ramsey argued that:
Definition
Parents should never be allowed to volunteer their children for research
Term
To say a baby is an “organ donor” is misleading because:
Definition
Babies cannot agree to the organ transplant.
Term
In regard to eugenics, which of these is FALSE?
Definition
The origins of the eugenics movement were in Nazi Germany.
Term
If you have two copies of a gene for breast cancer, there is now some evidence that which of the following may increase your longevity?
Definition
A double mastectomy
Term
The best evidence that teenagers at risk for type II diabetes can prevent it comes from:
Definition
Studies of immigrants from other countries with healthier diets.
Term
GINA refers to a federal law that forbids:
Definition
Discrimination in employment or insurance based on genetic testing
Term
How many attempts did it take Steptoe and Edwards to create Louise Brown?
Definition
100 attemps, she was 101
Term
What's Louise Brown doing today?
Definition
Lived a normal life. Married, had a natural born son
Term
What happened to Steptoe?
Definition
died in 1988, before Queen Elizabeth was going to knight him.
Term
What happened to Edwards?
Definition
became a fellow of the royal society, a great honor in english scientific community
Term
what were physicians J. Marion Sims and Robert Latou Dickinson condemned in the history of assisted reproduction?
Definition
artificial insemination (AIH)
Term
How much does the average couple pay to adopt a child?
Definition
$20,000 some pay 100,000
Term
Why does payment vary by race and characteristics of the child-to-be-adopted?
Definition
different races are more in demand in north america, which influences the cost of different races of babies
Term
How much was Mary Beth Whitehead paid to bear Baby M?
Definition
$10,000
Term
What did Judge Sorkow rule in the Baby M case?
Definition
said that whitehead agreed to be a surrogate mother, so she should just take her money and hand over the baby
Term
What did the New Jersey Supreme Court rule in the Baby M case?
Definition
They declared Whitehead, the surrogate mother, legal custody with full visiting rights; invalidated the surrogate contract
Term
What was the Baby Jaycee case about?
Definition
"child with 5 parents" parents divorced, had surrogate mother, sperm and egg from two other people
Term
How do critics thing children created by surrogacy are harmed by having multiple adults involved in their creation?
Definition
They may be confused with their identity
Term
What is the Paradox of Harm
Definition
someone can be harmed by simply being born
Term
What's the overall chance of taking home a baby each time an infertile couple tries IVF?
Definition
about 23%
Term
How are the McCaughey septuplets doing today?
Definition
at least four of them have disabilities
Term
who were the oldest women to have gestated babies?
Definition
Maria Carmen del Bousada, 67
Adriana Illiescu, 66
Term
How old was actor Tony Randall when he recently became a father?
Definition
77
Term
What controversial experiments in the 1970's preceded the ban on use of federal funds involving human embryos
Definition
creation of embryos from eggs outside of the womb
Term
What was the Rios case about?
Definition
died childless, debate on what to do with their frozen embryos, waited to see if someone would adopt them, no one did so they were destroyed
Term
What was the Davis Case?
Definition
a divorced couple fought over their frozen embryos. the wife wanted to donate them to an infertile couple, husband wanted them destroyed. They were destroyed.
Term
What did the Dickey-Warner Amendment ban?
Definition
funds will not be made available to those researching on embryos that will destroy,etc. them
Term
1997 Announcement of cloning of lamb Dolly
Definition
first clone. galvanized interest in cloning human embryos
Term
1998 Advanced Cell Technology uses cow eggs to grow human embryos
Definition
fused the two together, removed the nucleus from the cow egg
Term
1998 Creation of immortalized human stem cell lines
Definition
found bone marrow, can help an injured body grow new cells
Term
2001 Adult human stem cells discovered
Definition
embryos also contain many adult organs and tissue
Term
2001 First press conference by American president about a current controversy in medical ethics.
Definition
Bush rejected using funds to create embryos for research
Term
2005 Fraud of Hwang Woo Suk
Definition
lied about cloning human embryos and stem cells from them
Term
2006 Veto of bill to fund embryonic stem cell research
Definition
Senate voted to expand federal funding of embryonic stem cell research
Term
Potential of personhood
Definition
"no human can experience pain before 14 days"
Term
Indeterminacy
Definition
if unsure, do not act on something until you are sure
Term
What are xenografts?
Definition
transplant of an organ from one species to another
Term
Did Baby Fae have a good chance to reach age 21, as Bailey once claimed?
Definition
no
Term
What was Tom Regan's and PETA's critique of the xenograft?
Definition
beings who have a life should live it. its not right to end a healthy life to try to make a dying one last longer
Term
What was the goal of the Ontario protocol
Definition
an anencephalic baby could become a donor only after being pronounced dead by criteria of brain death. did not happen very often
Term
Why was Paul Holc famous?
Definition
first baby to receive a heart from an encephalic baby
Term
What is anencephaly?
Definition
characterized by the absence of the cerebrum and cerebellum, as well as the top of the skull, resulting in exposure of the brain stem.
Term
What was the 1992 Baby Theresa case about?
Definition
wanted to donate baby for organs, had to be brain dead in order for this to happen...even though she was going to die no matter what, they would not pronounce her dead so that organs could be donated
Term
Why is the phrase "organ donor" misleading in the above cases?
Definition
infants are vulnerable, have no consent
Term
What are the long-term outcomes for separating conjoined twins?
Definition
one can possibly die, or even both. May cause problems that did not exist before trying to separate
Term
• What role did Nancy Wexler play in the discovery of a marker and image test for Huntington's disease?
Definition
clinical psychologist, She helped to discover the gene for Huntington's disease and to develop a predictive test for it
Term
• What's the difference between a marker for a gene and a gene (test for the gene itself)?
Definition
the chance of having it vs. actually being tested and knowing you have the gene
Term
• What genes have been discovered for breast cancer?
Definition
BRCA1,BRCA2,CHEK2....smoking and/or taking the pill can increase the risk of getting the cancer
Term
• Does bilateral mastectomy for women with genes for breast cancer associated with longer life?
Definition
yes
Term
• What does "eugenics" mean?
Definition
Was created by Americans ( the melting pot)

"improving of hereditary characteristics through voluntary, selective breeding"
Term
• The Immigration Protection Act of 1924
Definition
established quotas according to countries of origin. Wanted to keep "inferior" races out of the country as long as possible
Term
• Case of Carrie Buck & Buck vs. Bell decision
Definition
Carrie inherited a mental disease, at 18 year old she was institutionalized while pregnant. Court permitted her to sterilization. ( Belief that poor, and mentally ill people should not be aloud to have children)
Term
• J. B. S. Haldane "An ounce of algebra is worth a ton of verbal argument."
Definition
belief that we can try to control numbers of population any way we can, but opinions on what beliefs are the right ones will always be an ongoing battle
Term
• Testing for Alzheimer's disease
Definition
creates fear in people because it strikes a person's identity. Drinking alcohol can accelerate the decline that accompanies Alzheimer's.
Term
• How might it be in a person's self-interest to take a presymptomatic genetic test?
Definition
So they know if their children or other family members could potentially have the gene.
Term
• A program at a recent concert advertised that woman who fear they are at genetic risk for breast cancer can send a blood sample and check for $600 to a lab in Utah for confidential testing. Why is this a scam?
Definition
It is not a real test. Tests need to be administered by a professional, and can be free through insurance. There is usually no cost directly to the patient for these tests
Term
• What recommendation did the President's Commission make about testing?
Definition
emphasized that counseling should be guaranteed before and after testing
Term
phrenology
Definition
claim that the inherited size and shape of the head determined intelligence and character
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