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Kaplan Qbank USMLE



Author13 Posts
  #1

31. A 25 year old woman has mild expression of hemophilia A. A genetic diagnosis reveals that she is heterozygous carrier of a mutation in the X-linked factor VIII gene. Which of the following is the most likely explanation for mild expression of disease in this individual?

A. Her father is affected, and her mother is a heterozygous carrier

B. A high proportion of the X chromosome carrying the mutation are active

C. A nonsense mutation is causing formation of a trunchated protein

D. One of her X chromosomes carries the SRY gene

E. X inactivation does not affect the entire chromosome




___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #2

bbbbbbbbbbbbbb

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The Key to Succeed is Patience.

  #3

B

  #4

bebe

  #5

B is right.. anyone want to give an explanation?

___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #6

not at this time and moment

  #7

according to the Lyon hypothesis, one of the X chromosomes is inactivated. this is a random process.

in males, X-linked disorders are expressed since this is the only X they have.

in females, 2 xs are found. hence the normal one is able to compensate as it will be expressed in some cells by a random process.

however random processes r not absolute.

this unfortunate lady has undergone greater inactivation of the normal X chromosome than the mutant one. hence she expreses the disease.




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If you yourself are at peace, then there is at least some peace in the world.

  #8

Good answer study... smiling face

___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #9

lets hope the ecfmg think so too




___________________
If you yourself are at peace, then there is at least some peace in the world.

  #10

grin

___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #11

nod

  #12

Ah, you know what review program has a really good explanation of this is Score95.com. I just purchased a membership and I was checking in their notes about what guys are talking about. I wanted to post what their explanation, but I guess its against the rules of the forum.

Cheers!!!

  #13

B IS RIGHT







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