NURS C475 - QUIZ 2. Julia(aged 32 is BRCA1 positive.... QUESTIONS & ANSWERS.

Julia (aged 32) is BRCA1 positive, which is known to greatly increase the risk for breast and ovarian cancer. She was tested because her mother, who had ovarian cancer, was BRCA1 positive. Julia has decided to have both of her ovaries removed because she believes that, in her family, being BRCA1 positive increases the risk for ovarian cancer only. How should a genetic counselor respond to Julia’s statement? Select one: a. Accept Julia’s explanation as a manifestation of her autonomy and remain nondirective in the interactions with her.  b. Discuss Julia’s responsibility to inform all the other female members of her family about her BRCA1 status and cancer risk c. Clarify that a BRCA1 mutation does not preferentially express ovarian cancer over breast cancer in any given family. d. Encourage her to consider a bilateral mastectomy. Feedback The correct answer is: Clarify that a BRCA1 mutation does not preferentially express ovarian cancer over breast cancer in any given family. Question 2 Correct 1 points out of 1 Flag question Question text Which lethal cardiac arrhythmia can occur as a complication of long QT syndrome? Select one: a. Mitral valve prolapse b. Atrial node reentry tachycardia c. Torsade de Pointes  d. Prolonged atrial fibrillation Feedback The correct answer is: Torsade de Pointes Question 3 Correct 1 points out of 1 Flag question Question text What would be the patient’s response to a normal drug dose that because of a genetic variation in an enzyme that prepares the drug for elimination results in a blood drug level that is below the minimum effective concentration (MEC)? Select one: a. The drug’s duration of action is longer than expected. b. The risk for toxic side effects is increased. c. Drug entry exceeds drug elimination d. The intended response fails to be produced.  Feedback The correct answer is: The intended response fails to be produced. Question 4 Correct 1 points out of 1 Flag question Question text Which type of body tissue has the highest risk for cancer development? Select one: a. Any tissue that retains the ability to divide  b. Bone tissue because its absorption of radiation is cumulative c. Connective tissue that remains functional throughout life d. Brain tissue because it does not respond well to injury Feedback