Genetics and Evolution

Mitochondrial inheritance Practice Questions

19 free Mitochondrial inheritance practice questions for the USMLE Step 1, each with the correct answer and a detailed explanation. Open any question below, or take the full set as an interactive quiz.

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All Mitochondrial inheritance questions

19 questions
  1. Q1. Which inheritance pattern best describes transmission of mutations in mitochondrial DNA (mtDNA) in humans?
  2. Q2. In a family pedigree for a mitochondrial disease, which of the following patterns is expected if the disease is due to an mtDNA mutation?
  3. Q3. What is “heteroplasmy” in the context of mitochondrial genetics?
  4. Q4. Which phenomenon explains why siblings of the same mother may have different severity of a mitochondrial disorder despite inheriting the same mutation?
  5. Q5. Which structural feature of human mtDNA distinguishes it from nuclear DNA?
  6. Q6. Why do mitochondrial diseases often affect tissues with high energy demand (like brain and muscle)?
  7. Q7. Which of the following statements about recombination in human mitochondrial DNA is most accurate?
  8. Q8. Which of the following is a possible mechanism by which paternal mitochondria are excluded from inheritance in humans?
  9. Q9. If a woman carries a homoplasmic harmful mtDNA mutation, what is the risk that her child (regardless of sex) will inherit the mutation?
  10. Q10. Which of the following scenarios would argue against a strictly maternal mtDNA inheritance model in humans?
  11. Q11. Which term describes a condition in which some cells in a person’s body have mutated mtDNA and others have normal mtDNA, leading to variable expression of a mi…
  12. Q12. Which of the following features is NOT typical of mitochondrial (mtDNA) inheritance of disease?
  13. Q13. Why does mitochondrial inheritance behave as a single locus rather than following Mendelian segregation rules?
  14. Q14. Which principle explains why rare deleterious mtDNA mutations may be lost in one generation despite being present in the mother?
  15. Q15. Which of the following is a potential challenge when diagnosing mitochondrial diseases using family history alone?
  16. Q16. Which of the following statements about nuclear-encoded mitochondrial proteins and their inheritance is correct?
  17. Q17. Which mitochondrial feature makes mtDNA a useful tool for tracing human maternal ancestry over many generations?
  18. Q18. Which of the following would be strong evidence for a nuclear (rather than mitochondrial) cause of a suspected mitochondrial disease?
  19. Q19. Why might a heteroplasmic mother have both affected and unaffected children when carrying a deleterious mtDNA mutation?