Pedigree analysis · USMLE Step 1

If a pedigree shows an affected male whose mother is unaffected but paternal grandfather is affected, which inheritance pattern is least likely?

  1. Autosomal dominant
  2. Autosomal recessive
  3. X-linked recessive
  4. X-linked dominant
Show answer and explanation

Correct answer: X-linked dominant

X-linked dominant inheritance would require the mother to carry a mutant X. An affected male with an unaffected mother argues against X-linked dominant, making it the least likely pattern here.

Difficulty: Medium Question 14 of 19

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