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In a genetic counseling session, why is it important to establish a "contract" with the individual or family? A) To outline the financial costs associated with the genetic testing process. B) To define the roles and responsibilities of both the genetic counselor and the client during the session. C) To ensure the individual or family follows a strict medical regimen after the session. D) To discuss potential side effects of genetic testing and treatment options in detail. - Answer B) To define the roles and responsibilities of both the genetic counselor and the client during the session. A 30 year old man is being seen in cardiac genetics clinic because his 6 year old daughter recently survived a near drowning. After this incident she had genetic testing that revealed that she has Long QT syndrome. The father states that he assumes that he passed this condition on to his daughter because he had a brother that drowned when he was 8 years old. He is very concerned about how this diagnosis will change his lifestyle. What is the BEST response by the genetic counselor to respond to his concerns? A) Everyone passes something along to their children. B) It will take time to adjust to this new diagnosis. C) Long QT is a manageable condition. D) You are lucky that your daughter did not drown and that she is receiving good care. - Answer B) It will take time to adjust to this new diagnosis. A father brings his 10-year-old son to a genetics appointment due to concerns about the boy's delayed speech development and fine motor skills. The father appears reluctant to be at the appointment and dismisses the idea that his son has any developmental issues. What is the best approach to emphasize the importance of the appointment and guide decision making? A) Compare the boy's development and skills to those of other children to demonstrate the delays. B) Focus solely on the medical perspective to convince the father of his son's condition. C) Accept the father's resistance and move forward with the session as originally planned. D) Utilize open-ended questions to understand the father's concerns and reasons for denial, facilitating a productive discussion. - Answer D) Utilize open-ended questions to understand the father's concerns and reasons for denial, facilitating a productive discussion.

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ABGC Boards Practice Exam Questions
With Correct Verified Solutions.
In a genetic counseling session, why is it important to establish a "contract" with the individual
or family?



A) To outline the financial costs associated with the genetic testing process.

B) To define the roles and responsibilities of both the genetic counselor and the client during
the session.

C) To ensure the individual or family follows a strict medical regimen after the session.

D) To discuss potential side effects of genetic testing and treatment options in detail. - Answer
B) To define the roles and responsibilities of both the genetic counselor and the client during
the session.



A 30 year old man is being seen in cardiac genetics clinic because his 6 year old daughter
recently survived a near drowning. After this incident she had genetic testing that revealed that
she has Long QT syndrome. The father states that he assumes that he passed this condition on
to his daughter because he had a brother that drowned when he was 8 years old. He is very
concerned about how this diagnosis will change his lifestyle. What is the BEST response by the
genetic counselor to respond to his concerns?



A) Everyone passes something along to their children.

B) It will take time to adjust to this new diagnosis.

C) Long QT is a manageable condition.

D) You are lucky that your daughter did not drown and that she is receiving good care. - Answer
B) It will take time to adjust to this new diagnosis.



A father brings his 10-year-old son to a genetics appointment due to concerns about the boy's
delayed speech development and fine motor skills. The father appears reluctant to be at the
appointment and dismisses the idea that his son has any developmental issues. What is the best
approach to emphasize the importance of the appointment and guide decision making?



A) Compare the boy's development and skills to those of other children to demonstrate the
delays.

B) Focus solely on the medical perspective to convince the father of his son's condition.

,A 40 year old woman was recently diagnosed with breast cancer. She is struggling to decide
whether she should move forward with genetic testing in the form of a high risk/moderate risk
breast cancer panel. While taking the family history, it becomes clear that she is from a large
family that is extremely close-knit. She frequently turns to them for support. She does not have
a partner or children. What is the best approach to facilitate decision making?



A) Discuss the pros and cons of testing.

B) Point out the potential risk to her family members.

C) Offer to schedule a follow up appointment for her and any of her selected family members.

D) Discuss how a positive test result impacts medical management. - Answer C) Offer to
schedule a follow up appointment for her and any of her selected family members.



A mother has a child with microcephaly and developmental delay. The child has been referred
to genetics for evaluation and genetic testing. The mother is unhappy to be at the appointment
and denies that there are concerns for the child. What is the best approach to show the utility
of the appointment and facilitate decision making?



A) To prove that the child has microcephaly and is delayed, compare the child's development
and head size to the metrics of other children.

B) Ask open-ended questions geared towards learning about the reason for her unhappiness
and denial.

C) There is no need to try to engage the mother further. She has made up her mind. Move
forward with the session as planned.

D) Assume the reason is cultural and ask her about her beliefs and traditions. - Answer B) Ask
open-ended questions geared towards learning about the reason for her unhappiness and
denial.



Which of the following is a potential strength of telephone-based genetic counseling in
comparison to video-based counseling?



A) Enhanced ability to establish trust and rapport between patients and counselors.

B) More efficient use of counseling session time due to lack of visual distractions.

C) Greater potential for accommodating patients with hearing impairments.

D) Improved accuracy in conveying complex genetic information. - Answer B) More efficient
use of counseling session time due to lack of visual distractions.

, B) It allows for direct face-to-face interaction between the counselor and patient.

C) It eliminates the need for patients to have access to technology.

D) It is more cost-effective and widely accessible. - Answer B) It allows for direct face-to-face
interaction between the counselor and patient.



What is a strength of video-based genetic counseling in comparison to in-person counseling?



A) It eliminates the need for patients to provide a detailed medical history.

B) It ensures a higher level of patient confidentiality and data security.

C) It provides a similar level of personal connection as face-to-face interactions.

D) It is only suitable for patients with minor mobility issues. - Answer C) It provides a similar
level of personal connection as face-to-face interactions.



Which limitation is shared by both in-person and telehealth-based genetic counseling?



A) Limited access for patients with disabilities.

B) Inability to accommodate patients' scheduling preferences.

C) Higher cost compared to other virtual counseling methods.

D) Reduced patient satisfaction due to the absence of technology. - Answer A) Limited access
for patients with disabilities.



Which limitation is associated with telephone-based genetic counseling?



A) It is less suitable for patients with medical conditions affecting travel.

B) It does not allow for real-time communication between the counselor and patient.

C) It requires advanced technical skills from patients and counselors.

D) It is not covered by insurance companies. - Answer B) It does not allow for real-time
communication between the counselor and patient.



Which of the following imprinting disorders is associated with the SNRPN gene?



A) Angelman; Chromosome 15

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