USMLE-Rx Step 1 Qmax Challenge #1193

Check out today’s Step 1 Qmax Question Challenge.

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usmle-rx-step-1-qmax-challenge-1193A 66-year-old woman with a history of cigarette smoking and extensive sun exposure is found to have a basal cell carcinoma. The cancer is excised, with clear margins, and genotyped so the the causative mutation may be identified. The mutation of interest is shown in the DNA-coding region and corresponding polypeptides shown below.

Which of the following diseases is caused by the same type of mutation as this patient’s mutation?

A. Cystic fibrosis
B. Duchenne muscular dystrophy
C. Huntington disease
D. Sickle cell disease
E. Williams syndrome


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8 thoughts on “USMLE-Rx Step 1 Qmax Challenge #1193”

  1. A poor question. Is it really B? The mutation looks like a single nucleotide deletion. 60-65% of mutations of the dystrophin gene in patients with DMD are deletions of one or more exons (not nucleotides). Partial gene duplications occur in another 5-10% of individuals. The genetic lesions in the rest of the DMD patients are single nucleotide variants, small deletions or insertions in the coding sequence, or splice site variants.

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