HY USMLE Q #802 – MSK / Genetics

A 5-year-old boy is brought to the physician by his parents for poor motor development. He has a waddling gait and enlargement of the calf muscles. He has difficulty standing up from a seated position on the floor and uses his arms to support himself. Serum CK is elevated. Which of the following is most likely to be seen in this patient?

  AR disorder; decreased muscle length of individual muscle fibers
  AR disorder; increased muscle bulk caused by muscle cell hypertrophy
  AR disorder; replacement of muscle cells by connective tissue stromal cells
  AD disorder; decreased muscle length of individual muscle fibers
  AD disorder; increased muscle bulk caused by muscle cell hypertrophy
  AD disorder; replacement of muscle cells by connective tissue stromal cells
  XR disorder; decreased muscle length of individual muscle fibers
  XR disorder; increased muscle bulk caused by muscle cell hypertrophy
  XR disorder; replacement of muscle cells by connective tissue stromal cells