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https://quizlet.com/96197393/abgc-practice-test-1-022015-flash-cards/ | sjblease | A 26-year-old woman comes for genetic counseling for presymptomatic testing for Huntington disease (HD). Her psychiatrist has told the genetic counselor that the woman has an unstable living situation and is showing signs of depression. The woman told the psychiatrist that "she has no one." The woman is very emotional when she arrives at the counselor's office and demands HD testing. Which of the following is the BEST way to proceed with the session? | Explain being uncomfortable arranging her testing, and refer her to another genetic counselor. | Discuss with the patient the statements that she made, and proceed with the protocol and testing as requested. | Proceed with testing because her depression may be an early manifestation of HD. | Acknowledge the patient's situation, and refer her for psychological services before proceeding. | D |
https://quizlet.com/96197393/abgc-practice-test-1-022015-flash-cards/ | sjblease | A 13-year-old girl comes to the genetics clinic because of frequent nosebleeds. When taking the family history, which of the following is the MOST important for the genetic counselor to elicit? | gastrointestinal bleeds | varicose veins | hearing loss | renal carcinoma | A |
https://quizlet.com/96197393/abgc-practice-test-1-022015-flash-cards/ | sjblease | Which of the following individuals has the greatest risk of having a child with Down syndrome? | a man who has t(14q;21q) | a woman who has t(14q;21q) | a woman who is 35 years old | a woman who has a child with trisomy 21 | B |
https://quizlet.com/96197393/abgc-practice-test-1-022015-flash-cards/ | sjblease | A pregnant woman has an ultrasound that identifies a lumbar meningomyelocele in the fetus. Which of the following exposures is MOST closely associated with this birth defect? | tetracycline | lithium | phenytoin | valproic acid | D |
https://quizlet.com/96197393/abgc-practice-test-1-022015-flash-cards/ | sjblease | Ultrasonography of a 26-year-old woman at 16 weeks gestation shows fetal findings consistent with osteogenesis imperfecta, type II. The woman had a previous fetus affected with the same condition. The woman and her husband are healthy and have no obvious clinical characteristics of osteogenesis imperfecta. Which of the following is the MOST likely explanation for this recurrence? | autosomal recessive inheritance | de novo mutation | germline mosaicism | incomplete penetrance | C |
https://quizlet.com/96197393/abgc-practice-test-1-022015-flash-cards/ | sjblease | A 30-year-old woman comes for genetic counseling to discuss her recent presymptomatic testing for Huntington disease (HD), which was negative. Her mother was diagnosed with HD at age 36, and her deceased maternal grandmother was diagnosed with HD at age 40. Neither had DNA testing. Which of the following is MOST important to discuss with the woman? | Confirmatory DNA testing of her mother is needed. | Her mother and grandmother did not have HD. | She could still develop HD because of anticipation. | She did not inherit the familial condition. | A |
https://quizlet.com/96197393/abgc-practice-test-1-022015-flash-cards/ | sjblease | A pregnant woman is undecided about pursuing invasive testing. She asks, "If I were your wife, what would you tell me to do?" The counselor replies, "I don't know what I would do, but I do know what concerns I would think about." Which of the following techniques BEST describes this response? | advice giving | directive guidance | nondirective counseling | nonjudgmental reflection | C |
https://quizlet.com/96197393/abgc-practice-test-1-022015-flash-cards/ | sjblease | Which of the following laboratory studies is MOST likely to confirm the diagnosis of Smith-Lemli-Opitz syndrome? | 15q11-q13 methylation analysis | isoelectric focusing of transferrin | chromosomal microarray | 7-dehydrocholesterol analysis | D |
https://quizlet.com/96197393/abgc-practice-test-1-022015-flash-cards/ | sjblease | A couple whose child had a positive newborn screen for galactosemia is seen for genetic counseling. Followup testing showed slightly reduced GALT enzyme activity, gal1p and galactitol levels within normal limits, and one copy of the Q188R mutation in the GALT gene. Which of the following is MOST important to discuss with the parents? | Explain that screening tests are not diagnostic. | Recommend the enzyme studies be repeated. | Discuss the management of galactosemia. | Describe the purpose of newborn screening. | A |
A collection of multiple-choice questions intended for students preparing for the American Board of Genetic Counseling (ABGC) Certification Examination.
This is a mini subset to test reasoning models in lighteval.
See genetic-counselor-multiple-choice for more questions
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