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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