Q.68 Which of the following statement is true for X linked recessive inheritance?
1. All sons of an normal mother should show the trait
2. All sons of an affected mother should show the trait
3. Many more females than males should exhibit the trait
4. All daughters of an normal mother should show the trait
X-linked recessive disorders affect males predominantly due to hemizygosity on their single X chromosome.
Correct Answer
2. All sons of an affected mother should show the trait
Why Option 2 is Correct
Affected mother = homozygous recessive (XᵃXᵃ). All her eggs carry Xᵃ. Sons inherit her Xᵃ + father’s Y → 100% affected sons (XᵃY). Daughters get Xᵃ + father’s Xᴺ → all carrier daughters (XᵃXᴺ).
All Options Explained
1. All sons of a normal mother should show the trait
Normal mother = either XX (no allele) or XᴺXᵃ (carrier). Carrier mothers produce 50% affected sons only. Sons get random X from mother → 50/50 chance.
❌ Incorrect: Only 50% risk from carriers.
2. All sons of an affected mother should show the trait
Affected mother (XᵃXᵃ) passes Xᵃ to ALL offspring. Sons = XᵃY (affected). Classic pattern in hemophilia pedigrees.
✅ Correct: 100% transmission to sons.
3. Many more females than males should show the trait
Opposite true: Males affected >> females. Females need homozygous XᵃXᵃ (rare); males need only XᵃY (single copy).
❌ Incorrect: Males >> females affected.
4. All daughters of a normal mother should show the trait
Normal mother passes normal X to half daughters at most. Carrier daughters = heterozygous (carrier, not affected). Affected daughters require affected father + carrier/affected mother.
❌ Incorrect: Daughters rarely affected.
X-Linked Recessive Pedigree Patterns
| Maternal Status | Sons Affected | Daughters Affected |
|---|---|---|
| Normal (XX) | 0% | 0% |
| Carrier (XᴺXᵃ) | 50% | 50% carriers |
| Affected (XᵃXᵃ) | 100% | 100% carriers* |
*If father normal; 100% affected if father affected.
Exam Mnemonic: Affected Mom → All Sons Affected (AMASA). Classic for hemophilia, color blindness, Duchenne MD.


