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Questions and Answers
A woman with advanced breast cancer abruptly states she does not need genetic counseling because she will be fine. This is an example of:
Which of the following conditions is the most common cause of congenital heart defects in newborns?
Common triggers for sudden cardiac events for individuals with Long QT syndrome include all of the following except:
A father yells at the mother about their newborn child with Down syndrome, suggesting it's her fault. This is best described as:
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At a follow-up appointment for their child with Angelman syndrome, the father discusses his difficulties with sleep and lack of interest. What is the most appropriate intervention?
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The mother of a newborn with a cleft lip expresses feeling that the cleft lip is a punishment for considering termination. What emotional response is she expressing?
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After a positive result for a BRCA1 mutation, the genetic counselor encourages sharing the results with her adult daughter. What is the best response after the daughter no longer wants to speak with her?
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Spinal muscular atrophy is characterized by:
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This term is used to describe a slow heart rate:
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Which of the following is NOT an appropriate strategy for crisis intervention?
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Study Notes
Genetic Counseling and Family Dynamics
- Genetic counseling involves collecting and analyzing family medical history.
- A sudden refusal for genetic counseling by a patient can indicate escape-avoidance, a coping mechanism in response to distress.
Congenital Heart Defects
- Trisomy 21 is the leading cause of congenital heart defects in newborns, significantly impacting health.
Long QT Syndrome
- Emotional stress and vigorous exercise are common triggers for sudden cardiac events in individuals with Long QT syndrome, but sleep/rest does not typically trigger these events.
Emotional Responses in Genetic Counseling
- Parents may react negatively to genetic information; for instance, blaming each other can be a confrontational response.
- Feelings of guilt may surface in parents regarding previous decisions during pregnancy, reflecting emotional complexity surrounding congenital conditions.
Support in Genetic Counseling
- When a father shows prolonged grief and emotional distress regarding his child's condition, referral to mental health services is the most appropriate intervention.
Communication After Genetic Testing
- It is crucial for genetic counselors to support patients through family relationship changes after information disclosure, such as the impact of a positive BRCA1 mutation test.
Spinal Muscular Atrophy
- Spinal muscular atrophy is characterized by the loss of anterior horn cells in the spinal cord and is primarily an autosomal recessive disorder, linked to mutations in the SMA1 gene.
Heart Rate Terminology
- Bradycardia refers to a slow heart rate, differentiating it from terms like tachycardia, which indicates a rapid heart rate.
Crisis Intervention Strategies
- Effective crisis intervention involves exploring past coping strategies and available social supports, while avoiding minimizing the patient’s situation.
Understanding Discordant Phenotypes
- Monozygous (identical) twin females can exhibit extremely discordant phenotypes for certain genetic conditions, emphasizing the influence of environmental factors alongside genetics.
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Description
This quiz is designed as a practice exam for individuals participating in a CEU course. It covers essential aspects of genetic counseling and oncology, focusing on patient interactions and decision-making. Test your knowledge and ensure you meet the required score for continuing education.
