What is The Royal Disease?

NGSS Phenomena:
In the 1800s and early 1900s, it was discovered that many of the descendants of Queen Victoria of Great Britain had issues with their blood not clotting. Normally, when you get a bruise or cut, your blood will stick together to form a clot. This closes up the wound and stops you from bleeding. In some people in Queen Victoria’s family, it was very hard for their body to stop bleeding once they started. At times, they might even start bleeding internally (under the skin) for no reason at all.


The chart below shows the descendants of Queen Victoria. Lines connect people who are directly related. In red boxes, we can see the people who had this problem. The half red circles show a person who didn’t have issues with clotting, but had children that had the problem. All of the squares are men and all of the circles are women.

NGSS Phenomena:
In 1952, this disease was found to be an issue with the enzyme (a type of protein), factor IX. When this protein doesn’t work properly, blood will not be able to stick together to stop bleeding.

1. Factor IX is a , which is formed in living things under the direction of a which is found on a .

Drag the answers below into the grey placeholders above

protein
trait
chromosome
gene

2. Using the model provided, describe the mutation with the enzyme (a type of protein), factor IX. Discuss both how it is passed down and how this mutation affects both men and women. Why is a model like the one provided important to show how hemophilia is passed down from parent to child?

3. The issue we’re seeing with factor IX is a that may be caused by a that causes a change to the organism.

Drag the answers below into the grey placeholders above

mutation
beneficial
neutral
trait
harmful

4. Which statement best explains the relationship between factor IX and a trait of these people?

5. What relationship can you see between the half-filled sections and the fully filled-in sections?

6. What relationship can be drawn between the fact that only men are affected with this issue and the differences between men’s and women’s chromosomes?

7. Why are there parents in the chart who have children that have problems with their blood clotting, but the parents don’t have the disease?

8. Explain how this phenomenon shows the relationship between proteins and observable traits.

9. One of your classmates makes the following statement about the data:


The children who have red box/circle all had one parent with a red box/circle. For those children, the mom gave them all her diseased genes and they did not get any genes from the father.



Evaluate this statement and, if needed, correct any misconceptions your classmate may have.

Get Started with InnerOrbit

  • Browse All Our Question Clusters

  • Create Your Own Assessments

  • Analyze Student Performance in 3 Dimensions

This matching question aligns to the following standards

  • LS3.A: Inheritance of Traits

  • MS-LS3-1

This free response question aligns to the following standards

  • Structure and Function

  • Developing and Using Models

  • LS3.B: Variation of Traits

  • LS3.A: Inheritance of Traits

This matching question aligns to the following standards

  • MS-LS3-1

  • LS3.B: Variation of Traits

  • LS3.A: Inheritance of Traits

This multiple choice question aligns to the following standards

  • MS-LS3-1

  • Developing and Using Models

  • LS3.A: Inheritance of Traits

This free response question aligns to the following standards

  • MS-LS3-1

  • Developing and Using Models

  • LS3.A: Inheritance of Traits

  • LS3.B: Variation of Traits

This free response question aligns to the following standards

  • LS3.A: Inheritance of Traits

  • LS3.B: Variation of Traits

  • Developing and Using Models

  • MS-LS3-1

  • Structure and Function

This free response question aligns to the following standards

  • MS-LS3-1

  • LS3.A: Inheritance of Traits

  • LS3.B: Variation of Traits

  • Developing and Using Models

  • Structure and Function

This free response question aligns to the following standards

  • LS3.A: Inheritance of Traits

  • Developing and Using Models

  • MS-LS3-1

  • Structure and Function

This free response question aligns to the following standards

  • LS3.A: Inheritance of Traits

  • LS3.B: Variation of Traits

  • Developing and Using Models

  • Structure and Function

Get Started with 3D NGSS Assessments

How InnerOrbit Works

Select Questions

Choose from pools of rigorous NGSS aligned question clusters

Build Assessments

Copy, remix, and create your own science assessments

Assign to Classes

Students take do-nows, exit slips, and formative or summative assessments

Refocus Lessons

Give feedback, track growth, and use intuitive reports to identify gaps

Create Rigorous Science Assessments

From Phenomena-Based Questions Tagged Individually with Specific NGSS Standards

Choose from Multiple Choice, Drawing, Matching, Fill in the Blank, and Free Response Questions

  • What is the Effect of These Aerosols?

    6 Questions
    Published
    • MS-ESS2-6

  • Why Does This Drop so Slowly?

    16 Questions
    Published
    • MS-PS2-5

  • What Makes Glaciers Change Over Time?

    21 Questions
    Published
    • MS-ESS2-1

  • What Changes are Occurring at the Padma River?

    13 Questions
    Published
    • HS-ESS2-5

  • What is Happening to the California Condor Population?

    14 Questions
    Published
    • MS-LS2-1

  • Which Trash Cleaning Solution is Better?

    13 Questions
    Published
    • MS-LS2-5

  • How do Mushrooms Get Their Energy?

    24 Questions
    Published
    • HS-LS1-7

  • Browse
    1000+
    Questions

Intuitive Reports to Easily View Progress

Track student growth and gaps in three dimensions

    Easily Build and Assign
    Your First NGSS Assessments