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Biochemistry · Molecular biology and genetics: whole-exome sequencing
Sample itemA child has an undiagnosed syndromic intellectual disability. Karyotype and chromosomal microarray are normal. Which test is best suited to find a single-gene variant by examining the protein-coding regions of the genome?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Whole-exome sequencing
Whole-exome sequencing captures and sequences the coding exons, where most disease-causing variants of Mendelian disorders lie. Karyotype and microarray detect only large structural or copy-number changes. FISH and Southern blotting test single targeted loci.
Option by option
A. G-banded karyotype
Karyotype shows only gross chromosomal abnormalities.
B. Whole-exome sequencing (correct)
Correct. Exome sequencing reads coding regions at single-base resolution.
C. Fluorescence in situ hybridisation
FISH tests a specific locus selected in advance.
D. Southern blotting
Southern blotting tests a single known locus.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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