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Kaplan Qbank USMLE



Author9 Posts
  #1

A 3 year-old boy is brought to a physician because the mother notices that the child is engaging in less active play and tires easily. During physical examination, the pediatrician notices that the child's thighs are larger than normal for age and that the child cannot stand up without using his arms to help. Further studies demonstrate a defective dystrophin gene in the boy.

Which of the following people in the child's family is most likely to also have this disease?

A. Father
B. Father's brother
C. Mother
D. Mother's brother
E. Sister



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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2

d?

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we are all in the gutter but some of us looking at the stars

  #3

explanation: xlinked recessive disorder transmitted by mother & affect males so probably her brother has it ..transmitted from there mother


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we are all in the gutter but some of us looking at the stars

  #4

nodnod

  #5

yoga wrote:
explanation: xlinked recessive disorder transmitted by mother & affect males so probably her brother has it ..transmitted from there mother

nodnod

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #6

The correct answer is D.

The disease is Duchenne muscular dystrophy, an X-linked recessive muscular disease usually caused by a deletion involving the dystrophin gene. This defect produces accelerated muscle breakdown leading initially to proximal muscle weakness, then later to generalized weakness that typically begins before age 5. A feature of X-linked recessive diseases is that carrier mothers pass the disease to half their sons; affected fathers can have carrier daughters but not affected sons. Since the mother is presumably normal (because the disease is X-linked), she must be a carrier to have an affected son, and the grandmother must also be a carrier, therefore the mother's brother (maternal uncle) may also have the disease.

The father's (choice A) side of the family, including the father's brother (choice B), most likely does not carry the defective gene (since they themselves would be affected, and furthermore since the father cannot pass the gene on to a son). It would be extremely unlikely for a carrier female to marry an affected male (and the question does not mention any similar symptoms in the father).

The mother (choice C) and possibly the sister (choice E) are carriers of, but not affected by, the defective gene.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #7

nod

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“When a person really desires something, all the universe conspires to help that person to realize his dream.”

  #8

finally i got something right

thank God,,may i answer most of the q right

nnl dont u have q about becker?


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we are all in the gutter but some of us looking at the stars

  #9

I think i so no but maybe in the previous questions there a couple of them.

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."







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