ABGC Practice Questions With
Guaranteed Pass Solutions.
A woman is seen for genetic counseling because her three year old son was recently diagnosed
with Duchene's Muscular Dystrophy. She is feeling very guilty about the diagnosis and the fact
that she passed along this disease to her son. Her son's physician has referred her to see a
cardiologist on numerous occasions but she has not kept the scheduled appointments. What is
the best approach to take with this patient to encourage her to see a cardiologist?
A) Tell her that she is being irresponsible and wasting the cardiologist's time by not keeping her
scheduled appointments
B) Discuss with her the reasons why she has not been able to keep her scheduled appointments
and provide support to encourage her to make keep her next appointment
C) Tell her that she is at risk for cardiac disease and that she must keep her appointment
D) Explain that if she wants to have more children it is important to maintain her own health -
Answer B
A 22 year old woman is referred to genetics clinic for evaluation of frequent nosebleeds often
occurring at night. In taking a family history, you learn her father has also experienced recurrent
nosebleeds and her paternal grandmother died from a stroke in her 50s. Upon exam, your
patient was found to have telangiectases on her mouth and hands. What diagnosis is most
likely?
A) Ataxia-telangiectasia
B) Hemophilia B
C) Hereditary Hemorrhagic Telangiectasia
D) Hereditary Hemochromatosis - Answer C
Please select the coping style which is best represented by the counselee: The genetic counselor
is meeting with a mother of a child with multiple congenital anomalies. After her initial grief,
she now states the child is a gift which will help her to become a stronger person and allow her
the opportunity to provide the best care and environment for a child severe medical problems.
A) Accept responsibility
B) Distancing
, A woman has an ultrasound evaluation that reveals the fetus has caudal regression. Which of
the following maternal conditions is most closely associated with this birth defect?
A) Epilepsy
B) High blood pressure
C) HIV
D) Type I diabetes - Answer D
A couple who are first cousins are seen for preconception genetic counseling to find out about
their chances of having a child with a genetic disease that runs in their family. Their common
maternal aunt has PKU. What is the chance that this couple will have a child with PKU?
A) 1/9
B) 1/16
C) 1/36
D) 1/64 - Answer C
A 30 year old man presents with fatigue and joint pain in his hands. During the appointment a
pedigree is constructed. Which of these statements about the family history is most compelling
for hereditary hemochromatosis?
A) The patient has a brother also has joint pain and fatigue
B) The patient has Celtic Ancestry and a father with primary liver cirrhosis
C) The patient's mother is from Ireland and she has iron deficiency anemia
D) The patient's sister is a frequent blood donor - Answer B
When contracting with a patient at the beginning of a genetic counseling session, which of the
following should the counselor address FIRST?
A) An outline for the session allowing the patient to add any concerns to discuss in the session
B) the charges for testing and if the patient wants the insurance company to be billed
C) the patient's ethnic background to assess the risk for other genetic conditions
D) the patient's religious background to determine how to provide information in a sensitive
Guaranteed Pass Solutions.
A woman is seen for genetic counseling because her three year old son was recently diagnosed
with Duchene's Muscular Dystrophy. She is feeling very guilty about the diagnosis and the fact
that she passed along this disease to her son. Her son's physician has referred her to see a
cardiologist on numerous occasions but she has not kept the scheduled appointments. What is
the best approach to take with this patient to encourage her to see a cardiologist?
A) Tell her that she is being irresponsible and wasting the cardiologist's time by not keeping her
scheduled appointments
B) Discuss with her the reasons why she has not been able to keep her scheduled appointments
and provide support to encourage her to make keep her next appointment
C) Tell her that she is at risk for cardiac disease and that she must keep her appointment
D) Explain that if she wants to have more children it is important to maintain her own health -
Answer B
A 22 year old woman is referred to genetics clinic for evaluation of frequent nosebleeds often
occurring at night. In taking a family history, you learn her father has also experienced recurrent
nosebleeds and her paternal grandmother died from a stroke in her 50s. Upon exam, your
patient was found to have telangiectases on her mouth and hands. What diagnosis is most
likely?
A) Ataxia-telangiectasia
B) Hemophilia B
C) Hereditary Hemorrhagic Telangiectasia
D) Hereditary Hemochromatosis - Answer C
Please select the coping style which is best represented by the counselee: The genetic counselor
is meeting with a mother of a child with multiple congenital anomalies. After her initial grief,
she now states the child is a gift which will help her to become a stronger person and allow her
the opportunity to provide the best care and environment for a child severe medical problems.
A) Accept responsibility
B) Distancing
, A woman has an ultrasound evaluation that reveals the fetus has caudal regression. Which of
the following maternal conditions is most closely associated with this birth defect?
A) Epilepsy
B) High blood pressure
C) HIV
D) Type I diabetes - Answer D
A couple who are first cousins are seen for preconception genetic counseling to find out about
their chances of having a child with a genetic disease that runs in their family. Their common
maternal aunt has PKU. What is the chance that this couple will have a child with PKU?
A) 1/9
B) 1/16
C) 1/36
D) 1/64 - Answer C
A 30 year old man presents with fatigue and joint pain in his hands. During the appointment a
pedigree is constructed. Which of these statements about the family history is most compelling
for hereditary hemochromatosis?
A) The patient has a brother also has joint pain and fatigue
B) The patient has Celtic Ancestry and a father with primary liver cirrhosis
C) The patient's mother is from Ireland and she has iron deficiency anemia
D) The patient's sister is a frequent blood donor - Answer B
When contracting with a patient at the beginning of a genetic counseling session, which of the
following should the counselor address FIRST?
A) An outline for the session allowing the patient to add any concerns to discuss in the session
B) the charges for testing and if the patient wants the insurance company to be billed
C) the patient's ethnic background to assess the risk for other genetic conditions
D) the patient's religious background to determine how to provide information in a sensitive
