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Review Question - QID 107015

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QID 107015 (Type "107015" in App Search)
A 21-year-old female presents to the clinic requesting prenatal counseling. She was born with a disease that has led her to have recurrent upper respiratory infections throughout her life requiring antibiotic prophylaxis and chest physiotherapy as well as pancreatic enzyme replacement therapy. She marries a man (without this disease phenotype) from a population where the prevalence of this disease is 1/100. What is the chance that their child will have the disease of interest?

9/100

33%

50/153

1/10

21%

32/153

18/100

24%

36/153

81/100

10%

15/153

9/10

5%

8/153

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The disease in question is cystic fibrosis, an autosomal recessive disease. Since the mother is homozygous for the mutation for the autosomal disease, cystic fibrosis, and the father is a possible carrier, the chance that their child will have cystic fibrosis is 9/100 or 9%.

If all the conditions of Hardy Weinberg equilibrium are met (see topic and below), then one can use the equation p^2 + 2pq + q^2 = 1 (where p is the normal allele and q is the mutant allele) to determine the frequencies of the alleles in the population. Since the prevalence of cystic fibrosis (q^2) is 1/100, the frequency of the mutant allele is the square root of 1/100, which is 1/10 (q). Since p + q = 1, then p + 1/10 = 1; therefore, p = 9/10. To determine the frequency of the carriers in the population, use 2pq which is 2 x 1/10 x 9/10 which is 18/100. Therefore, the father has a 18/100 chance of being a carrier for the cystic fibrosis gene. To calculate whether the child will have the disease we multiply the following probabilities: the chance the mother has the mutant alleles (1) and the chance she will give the child a mutated gene (1); the chance the father will give the child the mutated gene (1/2) and the chance the father is a carrier (18/100); therefore, 1 x 1 x 1/2 x 18/100 = 9/100 is the probability that the child will have cystic fibrosis.

Illustration A depicts the Hardy-Weinberg equation and explains the meanings of the associated variables.

Incorrect Answers:
Answer 2: 1/10 is the frequency of the mutant allele (q).
Answer 3: 18/100 is the carrier frequency in the population (2pq).
Answer 4: 81/100 is the frequency of homozygous individuals for the normal phenotype (p^2).
Answer 5: 9/10 is the frequency of the normal allele (p).

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