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Question

A female carrier for hemophilia A gene gets married to a genetically normal male. What are the chances of her delivering a male offspring with hemophilia?

The correct answer is
50%

Hemophilia A Inheritance Probability

This question requires understanding the principles of X-linked recessive inheritance.

Understanding Hemophilia A

Hemophilia A is an X-linked recessive disorder. This means the gene causing it is on the X chromosome. Males have XY chromosomes, and females have XX. A male with one affected X chromosome will express the disorder. A female must have the affected gene on both X chromosomes to be affected, but can be a carrier if she has it on only one.

Genetic Cross Setup

  • Mother: Carrier for hemophilia A. Her genotype is $XHXh$, where $XH$ represents the normal allele and $Xh$ represents the hemophilia allele.
  • Father: Genetically normal male. His genotype is $XHY$.

Calculating the Chance for Male Offspring

To find the probability of having a male offspring with hemophilia, we need to consider the chromosomes passed from each parent to a son:

  • A son inherits the Y chromosome from his father.
  • A son inherits one X chromosome from his mother.

The mother ($XHXh$) can pass either her $XH$ allele or her $Xh$ allele to her offspring.

  • If she passes $XH$, the son's genotype is $XHY$ (normal).
  • If she passes $Xh$, the son's genotype is $XhY$ (affected with hemophilia).

Since the mother has a 50% chance of passing on the $Xh$ allele, the probability that her male offspring will have hemophilia is 50%.

Punnett Square Analysis

$XH$ $Xh$
$XH$ (from Father) $XHXH$ (Normal Female) $XHXh$ (Carrier Female)
$Y$ (from Father) $XHY$ (Normal Male) $XhY$ (Affected Male)

The Punnett square shows the possible genotypes of the offspring. For male offspring (inheriting Y from the father), the possibilities are $XHY$ (normal) and $XhY$ (affected). Each has an equal probability, leading to a 50% chance of an affected male.

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Important Questions from Coagulation Disorders

  1. Which of the following is an oral anticoagulant?
  2. Which one of the following statements is characteristic of Purpura fulminans ?
  3. With regard to transfusion therapy, cryoprecipitate is a rich source of which of the following? 

    1. Fibrinogen 

    2. Clotting factor VIII 

    3. Clotting factor IX 

    4. von Willebrand factor 

    Select the correct answer using the code given below.

  4. Which one of the following correctly describes the mode of inheritance of haemophilia B?
  5. Which one of the following is correct regarding blood components in clinical practice ?
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