107年:(醫檢)血液(1)

父母皆為β thalassemia trait ,則孩子是 β thalassemia major 的機率為何?

A0%
B25%
C50%
D100%

詳細解析

本題觀念:

β 型地中海型貧血(beta thalassemia)的遺傳方式及親代帶因者(trait/carrier)後代罹病機率計算。

選項分析

β 型地中海型貧血(beta thalassemia)屬自體隱性遺傳(autosomal recessive)。帶因者(β thalassemia trait / minor)本身為雜合子(heterozygous,βN/βmut),通常無明顯症狀。

當父母雙方皆為 β thalassemia trait(βN/βmut × βN/βmut),依孟德爾遺傳定律:

βNβmutβNβN/βNβN/βmutβmutβN/βmutβmut/βmut\begin{array}{c|cc} & \beta^N & \beta^{mut} \\ \hline \beta^N & \beta^N/\beta^N & \beta^N/\beta^{mut} \\ \beta^{mut} & \beta^N/\beta^{mut} & \beta^{mut}/\beta^{mut} \end{array}

  • βN/βN\beta^N/\beta^N(正常):25%
  • βN/βmut\beta^N/\beta^{mut}(帶因者/trait):50%
  • βmut/βmut\beta^{mut}/\beta^{mut}major/重型地貧):25%

(A) 0%:錯誤。雙親皆帶因,後代有 2

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