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Question 574

Genetics → General

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Destination Site
Type SSBA
UUID bfc86bba-589a-4ccb-b3b3-5b20e70048de

Classification

Speciality
Obstetrics and Gynaecology
Group
Basic
Title
Genetics
Topic
General
Subtopic 1
Principles of Inheritance
Subtopic 2
Autosomal Recessive Inheritance
Subtopic 3
Inherited Gene Copies
Question Type
SBA

Question

SSBA
Question Header
Which additional finding is required to establish the two-copy inheritance pattern in this child?
Question Stem
A child is being assessed for a condition that follows autosomal recessive inheritance. A mutated copy of the relevant gene has been identified in the child's DNA and traced to the mother. Several RNA transcripts from that same maternal gene copy are also detected. The child's paternally inherited copy has not yet been characterised. An observer incorrectly treats the multiple transcripts as evidence that the child has inherited two mutated gene copies.

Options

A The child's paternally inherited copy of the same gene is also mutated
B The child's maternally inherited copy produces additional RNA transcripts
C The father has a mutated copy of the gene, without establishing which copy the child inherited
D The mother has two mutated copies of the gene, without characterising the child's paternal copy
E The mother has a mutation in her mitochondrial DNA

Explanation

Autosomal recessive inheritance requires the child to inherit two mutated gene copies, one from each parent. Multiple RNA transcripts can be copies made from the same DNA sequence; their number does not establish a second inherited gene copy. The unresolved requirement is therefore a mutated paternal copy in the child, rather than further evidence concerning the already identified maternal copy or a parent's genotype alone.

Option Validity

B) Additional transcription from the same maternal DNA copy does not show that a mutated copy was inherited from the father.

C) A mutated paternal gene copy must be shown to have been inherited by the child; its presence in the father alone leaves that requirement unresolved.

D) More information about the mother's gene copies does not establish the state of the child's paternally inherited copy.

E) Mitochondrial DNA is maternally inherited and does not establish the required mutated paternal copy of the autosomal gene.

Further Reading

Saxena R. Textbook for MRCOG-1: Basic Sciences in Obstetrics and Gynaecology. Jaypee Brothers Medical Publishers; 2016. Chapter 8, Genetics: Transcription, Mitochondrial DNA and Autosomal Recessive Pattern of Inheritance. Printed pages 255–256 and 258.

Source & metrics

Authored Difficulty
5.00
Evaluation Score
—
Destination
Site
Source
Saxena - MRCOG-1 Basic Sciences - Genetics
Source Section
Chapter 8 — Genetics; Principles of Inheritance; Transcription; Mitochondrial DNA
Source Locator
Printed pages 255–256 and 258
Updated
2026-10-06 01:57:35
Difficulty Factor
Not available yet
Attended Users
No candidate-attempt data yet
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