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Imagine That You Know Two Sisters-Rose and Sam-Both of Whom

Question 53

Multiple Choice

Imagine that you know two sisters-Rose and Sam-both of whom smoke. Rose has a mutation in the gene for alpha-1 antitrypsin, whereas Sam does not. Which of the following statements is TRUE regarding these sisters?


A) Because both sisters smoke, Rose and Sam will certainly develop emphysema; however, given her mutation, Rose will likely develop a much more serious form of the disease.
B) Given that a mutation in alpha-1 antitrypsin serves a "protective" function against the development of emphysema, Rose will not develop this disease but Sam will.
C) It is possible that neither Rose nor Sam will develop emphysema; however, the fact that both sisters smoke-added to the mutation that Rose carries-increases their chances of developing this disease.
D) Rose is predisposed to develop emphysema, but if Sam does, this will be a random occurrence-environmental factors or lifestyle choices (such as smoking) have not been associated with emphysema.

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