Doubt - Qn on achondroplasia genetics

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voicesinmyhead

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qn id 701 in Uworld.

An achondroplasic man who doesnt know his family h/o comes with a normal wife and asks about the chance that the kid will be achondroplasic too?

Answer is 50 % (result of AD inheritance)

But achondroplasia is acquired by sporadic mutation in 85% cases, and only the rest is AD.

Wouldnt the better answer be that the child wont get the disease?
 
The father already has the mutation. No need to consider spontaneous ways of acquiring it. Just apply the mode of inheritance (AD): one from mom and one from dad!
 
Yeah, i was just wondering why the question has his unknown family history mentioned then.
Spontaneous mutations are not inherited, right?
 
Yeah, i was just wondering why the question has his unknown family history mentioned then.
Spontaneous mutations are not inherited, right?

Probably an example of where over-thinking it can get us in trouble. Even if his achondroplasia is of the sporadic type, it isn't a somatic acquired mutation... He can still pass it on to his kids. So there is always a 50% chance of a child getting it.
 
qn id 701 in Uworld.

An achondroplasic man who doesnt know his family h/o comes with a normal wife and asks about the chance that the kid will be achondroplasic too?

Answer is 50 % (result of AD inheritance)

But achondroplasia is acquired by sporadic mutation in 85% cases, and only the rest is AD.

Wouldnt the better answer be that the child wont get the disease?

I think the key point here is that you assume normal patterns of inheritance unless otherwise specified.
 
The dude has the disease. He is a dwarf. All of his cells of his body have the mutation. The "sporadic mutation" bit mainly applies to mutation in the gametes of men of increasing paternal age.
 
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