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Episode Notes

USMLE purpose: Review genetics and pedigree-style probability questions using a clean inheritance-pattern workflow.

How to use this page

  1. Identify the inheritance pattern first.
  2. Determine carrier/affected status for each parent.
  3. Write the Punnett-style probability before choosing an answer.
  4. Use the toggles as rapid recall.
Episode metadata
FieldDetails
EpisodeRandy Neil Biostats 26
TopicGenetics and pedigree questions
Runtime11 min
Published2024-02-04
SourceOpen YouTube video

One-liner

Pedigree questions are probability questions: identify the inheritance pattern, assign parent genotypes, then multiply independent probabilities.

Inheritance recognition table

PatternClassic clueRisk shortcut
Autosomal dominantVertical transmission; affected parent often affected childHeterozygous affected parent → 50% affected children
Autosomal recessiveSkipped generations; siblings affectedTwo carrier parents → 25% affected, 50% carrier
X-linked recessiveMostly males; no father-to-son transmissionCarrier mother → 50% affected sons
MitochondrialMaternal transmissionAffected mother can transmit to all children

Anki-style rapid recall

What is the risk of an affected child from two autosomal recessive carriers?

25% affected, 50% carrier, 25% unaffected non-carrier.

What inheritance pattern has no father-to-son transmission?

X-linked inheritance.

What pattern suggests mitochondrial inheritance?

Transmission through affected mothers to children.

Practice Question

Two unaffected parents have an affected child with an autosomal recessive disorder. What is the chance their next child is affected?

  • A) 0%
  • B) 25%
  • C) 50%
  • D) 75%
Reveal answer & explanation

Answer: B) 25%

Unaffected parents with an affected autosomal recessive child are presumed carriers; carrier × carrier gives 25% affected risk.