USMLE purpose: Review genetics and pedigree-style probability questions using a clean inheritance-pattern workflow.
Pedigree questions are probability questions: identify the inheritance pattern, assign parent genotypes, then multiply independent probabilities.
| Pattern | Classic clue | Risk shortcut |
|---|---|---|
| Autosomal dominant | Vertical transmission; affected parent often affected child | Heterozygous affected parent → 50% affected children |
| Autosomal recessive | Skipped generations; siblings affected | Two carrier parents → 25% affected, 50% carrier |
| X-linked recessive | Mostly males; no father-to-son transmission | Carrier mother → 50% affected sons |
| Mitochondrial | Maternal transmission | Affected mother can transmit to all children |
Two unaffected parents have an affected child with an autosomal recessive disorder. What is the chance their next child is affected?