Probability

Probability

7 min read Updated Mar 26, 2026

You flip a coin and roll a die at the same time. What is the probability of getting heads AND a 6? Your intuition says β€œpretty low” - and it is: 12\frac{1}{2} x 16\frac{1}{6} = 112\frac{1}{12}. Now, what is the probability of getting heads OR a 6 (or both)? That is a different question with a different rule. Confusing β€œand” with β€œor” is the most common probability mistake on the MCAT, and it costs easy points.

Basic Probability

The probability of an event is a number between 0 (impossible) and 1 (certain).

P(event) = (number of favorable outcomes) / (total number of possible outcomes)

The probability that an event does NOT happen: P(not A) = 1 - P(A). This complement rule is often the fastest way to solve probability problems.

The AND Rule (Multiplication)

When you want the probability that event A AND event B both occur:

Example: What is the probability that two carrier parents (Aa x Aa) have a child with cystic fibrosis (aa)?

From the Punnett square: P(aa) = 14\frac{1}{4} for each child.

What is the probability that their first TWO children both have CF? P(aa AND aa) = 14\frac{1}{4} x 14\frac{1}{4} = 116\frac{1}{16}. Each birth is independent.

The OR Rule (Addition)

When you want the probability that event A OR event B occurs:

Example: What is the probability of rolling a 2 OR a 5 on a single die? These are mutually exclusive (cannot roll both at once): P = 16\frac{1}{6} + 16\frac{1}{6} = 26\frac{2}{6} = 13\frac{1}{3}.

Example: What is the probability of drawing a heart OR a king from a standard deck? These overlap (king of hearts is both): P = 1352\frac{13}{52} + 452\frac{4}{52} - 152\frac{1}{52} = 1652\frac{16}{52} = 413\frac{4}{13}.

Independent vs. Dependent Events

Independent events: The outcome of one does not affect the other. Coin flips, separate births, separate dice rolls. Use P(A and B) = P(A) x P(B).

Dependent events: The outcome of one changes the probability of the other. Drawing cards without replacement, selecting people from a small group. For dependent events: P(A and B) = P(A) x P(B given A).

On the MCAT, genetics problems almost always involve independent events (each child is an independent event). Chemistry and physics problems involving sequential draws or measurements may involve dependent events.

Punnett Squares as Probability Tools

A Punnett square is just a visual multiplication table for gamete probabilities.

For a monohybrid cross Aa x Aa:

A (12\frac{1}{2})a (12\frac{1}{2})
A (12\frac{1}{2})AA (14\frac{1}{4})Aa (14\frac{1}{4})
a (12\frac{1}{2})Aa (14\frac{1}{4})aa (14\frac{1}{4})

Phenotype ratio: 34\frac{3}{4} dominant, 14\frac{1}{4} recessive.

For a dihybrid cross (AaBb x AaBb), the probability of any particular combination uses the AND rule across two independent gene loci. P(aabb) = P(aa) x P(bb) = 14\frac{1}{4} x 14\frac{1}{4} = 116\frac{1}{16}.

Combinations vs. Permutations

Permutations: Order matters. β€œHow many ways can 3 runners finish a race?” This is nPr = n!/(n-r)!

Combinations: Order does not matter. β€œHow many ways can you choose 3 people from a group of 10?” This is nCr = n!/[r!(n-r)!]

The MCAT rarely requires you to compute factorials. Instead, it tests whether you know which concept to apply. If a genetics problem asks β€œin how many birth orders can a family of 4 children have exactly 2 boys,” that is a combination: 4C2 = 6 possible orders.

The Complement Shortcut

Sometimes it is easier to calculate the probability of what you do NOT want and subtract from 1.

Example: What is the probability of rolling at least one 6 in four rolls of a die?

Direct calculation is messy (one 6, two 6s, three 6s, four 6s). Instead:

  • P(no 6 on a single roll) = 56\frac{5}{6}
  • P(no 6 in four rolls) = (56\frac{5}{6})⁴ = 6251296\frac{625}{1296} = about 0.48
  • P(at least one 6) = 1 - 0.48 = 0.52
Two parents are both carriers for sickle cell trait (Aa x Aa). What is the probability that their first child is unaffected (AA or Aa)?
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P(unaffected) = P(AA) + P(Aa) = 14\frac{1}{4} + 24\frac{2}{4} = 34\frac{3}{4}. Alternatively, use the complement: P(unaffected) = 1 - P(affected) = 1 - P(aa) = 1 - 14\frac{1}{4} = 34\frac{3}{4}.
A disease has a prevalence of 11000\frac{1}{1000}. A test for this disease has a 5% false positive rate and 0% false negative rate. If a patient tests positive, what is the approximate probability they actually have the disease?
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Approximately 2%. Out of 1000 people: 1 has the disease (true positive). 999 are healthy, and 5% of them test positive: 999 x 0.05 = about 50 false positives. Total positives = 51. Of those 51 positives, only 1 actually has the disease: 151\frac{1}{51} = about 2%. This is Bayes' theorem in action - a low-prevalence disease produces many false positives relative to true positives.