Genetic Assessment and Counseling

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Questions and Answers

Which of the following can be determined through amniocentesis in the third trimester?

  • Fetal brain activity
  • Fetal lung maturity (correct)
  • Fetal blood type
  • Fetal bone density

What is a major limitation of using ultrasound (USG) for prenatal diagnostics?

  • It cannot detect the presence of amniotic fluid.
  • It can only be used in the first trimester.
  • It may not be able to detect all abnormalities, including some genetic disorders like Down syndrome. (correct)
  • It carries a high risk of fetal loss.

Which of the following is a reason a person or couple might seek prenatal genetic counseling?

  • To determine the sex of the fetus.
  • To determine the best method of delivery.
  • To assess their risk of having a child with a genetic disorder. (correct)
  • To ensure the baby will have blue eyes.

Which of these is an example of retrospective genetic counseling?

<p>Counseling a couple after giving birth to a child with a genetic disorder. (D)</p> Signup and view all the answers

What is the 'LS' ratio in amniotic fluid analysis associated with?

<p>Fetal lung maturity (A)</p> Signup and view all the answers

What is a potential risk associated with amniocentesis?

<p>Increased risk of miscarriage (C)</p> Signup and view all the answers

Which of the following is NOT a type of genetic testing?

<p>Ultrasound (D)</p> Signup and view all the answers

What is the primary objective of quantitative genetic research in the context of genetic counseling?

<p>To understand the inheritance patterns of genetic disorders (C)</p> Signup and view all the answers

Which of the following genetic tests can be used to detect chromosomal abnormalities in the fetus?

<p>All of the above (D)</p> Signup and view all the answers

What is a karyotype?

<p>A test that examines the number and structure of chromosomes (A)</p> Signup and view all the answers

What is mosaicism?

<p>A condition in which the cells in the body have different chromosome counts (B)</p> Signup and view all the answers

What is an isochromosome?

<p>A chromosome that has been duplicated in the wrong direction (A)</p> Signup and view all the answers

Which of the following is a risk factor for genetic disorders?

<p>All of the above (D)</p> Signup and view all the answers

What is the purpose of genetic counselling?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is NOT a valid reason for genetic testing?

<p>Predicting an individual's future career success (B)</p> Signup and view all the answers

Which of the following is a factor that can influence the likelihood of a couple having a child with a genetic disorder?

<p>All of the above (D)</p> Signup and view all the answers

What is the main purpose of prenatal genetic testing?

<p>To identify genetic disorders in the developing fetus (D)</p> Signup and view all the answers

Genetic testing is widely employed to identify diseases in adults before they manifest symptoms. This type of testing often falls under the category of...

<p>Predictive testing (A)</p> Signup and view all the answers

What is the primary function of genetic counseling?

<p>Interpreting genetic test results and offering support to affected individuals and families (C)</p> Signup and view all the answers

Genetic testing focuses on identifying alterations in the following except:

<p>Hormones (B)</p> Signup and view all the answers

Which of the following is NOT a commonly employed technique in genetic testing?

<p>Electrocardiogram (ECG) (B)</p> Signup and view all the answers

Which of the following scenarios would most likely necessitate genetic testing?

<p>A couple planning to conceive has a family history of a genetic disorder. (C)</p> Signup and view all the answers

What is the fundamental branch of science that forms the foundation of genetic testing?

<p>Genetics (A)</p> Signup and view all the answers

Flashcards

Consanguineous couple

A couple closely related by blood, increasing genetic risks for disorders.

Isochromosomes

Abnormal chromosomes formed when a chromosome divides horizontally instead of vertically.

Mosaicism

Condition where some cells have abnormal chromosome numbers after nondisjunction post-fertilization.

Genetic counselling

A process providing information about heredity, disorders, and inheritance patterns.

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Nondisjunction disorder

Occurs when chromosomes fail to separate properly during cell division, often leading to genetic abnormalities.

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Karyotyping

A laboratory procedure that examines chromosomes to identify genetic abnormalities.

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Amniocentesis

A procedure to obtain amniotic fluid for genetic testing, typically performed in the second trimester.

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Preimplantation diagnosis

Testing embryos for genetic disorders before implantation during IVF.

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Prenatal Genetic Counseling

Counseling for individuals concerned about inherited diseases during pregnancy.

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Genetic Counselor

A professional who aids individuals in understanding genetic risks and conditions.

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Chromosomal Changes

Alterations in the number of chromosomes present, potentially leading to conditions like Down syndrome.

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Down Syndrome

A genetic disorder caused by the presence of an extra chromosome 21 (trisomy 21).

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Lecithin:Sphingomyelin Ratio

A measurement in amniotic fluid to assess fetal lung maturity.

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Fetal Loss Risk

Potential risk associated with amniocentesis, estimated at 0.5%.

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Maternal Rh Sensitization

A condition where a mother's immune system reacts against fetal Rh-positive blood cells.

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Genetic testing

Analyzing a sample to identify genetic markers indicating disease risk.

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Prenatal diagnosis

Testing conducted during pregnancy to identify genetic disorders in the fetus.

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Ethical issues in genetic testing

Considerations surrounding privacy, consent, and potential discrimination related to genetic information.

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Common diagnostic tests

Standard tests used to detect specific genetic diseases or conditions.

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Carrier testing

Testing individuals to see if they carry a gene for a genetic disorder.

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Predictive testing

Tests conducted on asymptomatic individuals to determine if they carry genes for future diseases.

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Pharmacogenomics

Study of how genes affect an individual's response to drugs, aiding personalized medicine.

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Study Notes

Genetic Assessment and Counseling

  • Genetic testing analyzes blood or tissue samples for biochemical, chromosomal, or genetic markers to detect genetic diseases.
  • Prenatal diagnosis and screening tests for genetic diseases in unborn children.
  • Genetic testing for adults can identify disease risks, or diagnose diseases before symptoms appear.
  • Determining the best treatment dosage for certain conditions.

Reason for Genetic Testing

  • Detecting genetic diseases in unborn children.
  • Identifying if people carry genes for diseases and might pass them on to their children.
  • Screening embryos for diseases.
  • Testing for genetic diseases in adults.
  • Diagnosing individuals with existing disease symptoms.

Definition of Genetics and Counseling

  • Genetics is the branch of biology concerning genes, genetic variation, and heredity.
  • Counseling is a process involving communication between parties, solving problems, providing resources, and making decisions. Genetic counseling helps individuals and families understand genetic disorders.

Definition of Genetic Counseling

  • Genetic counseling is a process in which patients or relatives at risk of a genetic disorder learn about consequences, transmission, and prevention of the disorder.
  • It's a communication process.
  • Genetic counselors assist individuals and families affected by or at risk of genetic disorders.

Purpose of Genetic Counseling

  • Pedigree analysis: Family trees illustrate trait inheritance across generations to understand risks of genetic disorders.
  • Ethnicity assessment: Understanding ethnic background reveals genetic disease risks (e.g., sickle cell disease).
  • Consanguinity: Close relatives are at higher risk for genetic conditions.
  • Prenatal exposure: Exposure to harmful substances during pregnancy can increase risks for genetic disorders.

Steps in Genetic Counseling

  • History taking: Detailed medical history, family history, and pregnancy history to assess genetic risk factors.
  • Pedigree analysis: Family history is constructed to identify genetic traits across generations.
  • Estimation of risk: Evaluating recurrence rates of genetic conditions by analyzing pedigrees and test results is critical.
  • Communication: Effectively sharing risk information with patients.

Types of Genetic Testing

  • Quantitative genetic research connects genetic factors to behavioral disorders.
  • Prenatal tests: Level II ultrasound, maternal serum AFP, chorionic villus sampling (CVS), and amniocentesis detect fetal abnormalities.

Maternal Blood Sampling for Fetal Cells

  • Using fetal cells in maternal blood for genetic analysis.
  • Fluorescence in-situ hybridization (FISH) identifies specific chromosomes for genetic disorders.

Maternal Serum Alpha Fetoprotein (MSAFP)

  • Detects neural tube defects (NTDs) in the fetus.
  • Elevated levels suggest NTDs like anencephaly and spina bifida.
  • Decreased levels may be indicative of Down syndrome.

Maternal Serum HCG and Estriol

  • Detects molar pregnancies (trophoblastic disease).
  • Elevated HCG levels accompany molar pregnancies and need monitoring to ensure treatment effectiveness.
  • Normal levels of estriol show normal fetal development and placental function. Decreased levels might indicate issues with fetal or placental development or Down syndrome.

Other Important Genetic Components and Counseling

  • Karyotyping: Detects chromosomal abnormalities (e.g., Down syndrome)
  • Genetic counselor's code of ethics: Principles of beneficence, non-maleficence, autonomy, and justice.
  • Ethical legal considerations in counseling: Disclosure, informed consent, and support decisions.
  • The risk of stigma about genetic conditions.
  • Parental counseling on choices about genetic tests and possible pregnancy termination.
  • Types of inherited conditions like dominant and recessive patterns.

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