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Why do hemophilia A and B appear mostly in males?

AThe genes sit on the Y chromosome
BThe genes are autosomal dominant ones
CThe defects are linked to the X chromosome
DMales make fewer clotting factors overall
Answer & Solution
Correct answer: C. The defects are linked to the X chromosome
1. Both hemophilia A and hemophilia B are linked to the X chromosome. 2. Males are XY, so they carry only one X and have no second copy to compensate. 3. A single defective X therefore manifests the disease in a male. 4. Females are XX, so they would need a defective gene from each parent to manifest it. 5. The usual pattern is transmission from a healthy carrier mother to her male offspring. 6. A Y-linked gene could not be passed from mother to son at all, so that option breaks the stated inheritance route. 7. Hemophilia C differs, being autosomal and not a true recessive, which is why it does not show this male predominance. _Source: OpenStax Anatomy and Physiology (CC BY 4.0), Ch 18 "The Cardiovascular System: Blood", section 18.5 Hemostasis_
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