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Review Question - QID 880

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QID 880 (Type "880" in App Search)
Which of the following conditions exhibit the inheritance pattern shown in Figure A, assuming no new mutations?
  • A

Duchenne muscular dystrophy

15%

319/2099

Hunter's syndrome

16%

342/2099

Hemophilia B

18%

369/2099

Spondyloepiphyseal dysplasia (SED) tarda

14%

296/2099

Diastrophic dysplasia

36%

763/2099

  • A

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The pedigree chart (males are squares and females are circles) shown in Figure A demonstrates an autosomal recessive trait.

Diastrophic dysplasia is the only autosomal recessive condition with all of the other options being X-linked recessive disorders. Along with Becker's MD these are the main orthopaedic X-linked recessive disorders.

There are many more autosomal recessive orthopedic disorders. Autosomal recessive pedigrees often appear in both sexes with equal frequency, tend to skip generations, and affected offspring are usually born to unaffected parents. When both parents are heterozygote, approximately 1/4 of the progeny will be affected.

X-linked and autosomal dominant disorders with complete penetrance will not skip generations.

X-linked recessive disorders will have affected sons if the mother has the disease (this does not occur in the 3rd cross of Figure A on the far right).

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