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USMLE · Question #415

USMLE Question #415: Real Exam Question with Answer & Explanation

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Question

A couple has a daughter who is ataxic and has a seizure disorder. She also has a strange affect characterized by excessive laughter at inappropriate times. Cytogenetic analysis demonstrates a normal genotype with 46 chromosomes and no apparent deletions. These symptoms are most likely due to:

Options

  • Aconfined placental mosaicism
  • Bexpansion of a trinucleotide repeat
  • Ca point mutation in an autosome
  • Drandom inactivation of the X chromosome
  • Euniparental disomy

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