You are a genetic counselor, and your patient has asked to be tested to determine if she carries a gene that predisposes her to early-onset cancer. If your patient has this gene, there is a 50/50 chance that all of her siblings inherited the gene as well; there is also a 50/50 chance that it will be passed on to their offspring. Your patient is concerned about confidentiality and does not want anyone in her family to know she is being tested, including her identical twin sister. Your patient is tested and found to carry a mutant allele that gives her an 85% lifetime risk of developing breast cancer and a 60% lifetime risk of developing ovarian cancer. At the result-disclosure session, she once again reiterates that she does not want anyone in her family to know her test results.
- a. Knowing that a familial mutation is occurring in this family, what would be your next course of action in this case?
- b. Is it your duty to contact members of this family despite the request of your patient? Where do your obligations lie: with your patient or with the patient’s family? Would it be inappropriate to try to persuade the patient to share her results with her family members?
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Chapter 16 Solutions
Human Heredity: Principles and Issues (MindTap Course List)
- In Section 12-1, Julie is concerned that she may develop breast cancer, but testing shows that she does not carry the rare high-risk BRCA1 and BRCA2 alleles. What if further testing showed that some of her aunts, her mother, and she carried a common low-risk allele for breast cancer. What would you recommend to Julie if you were her genetic counselor?arrow_forwardA couple has had a child born with neurofibromatosis. They come to your genetic counseling office for help. After taking an extensive family history, you determine that there is no history of this disease on either side of the family. The couple wants to have another child and wants to be advised about the risks of that child having neurofibromatosis. What advice do you give them?arrow_forwardA couple comes into the family counseling center and wants information on genetic counseling. They are thinking of starting a family but the wife has a family history of Tay Sachs disease. Kieran is a genetic counselor who will explain the services available at the center. Kieran’s discussion will include genetic mutation, tests that may be done during pregnancy, and advances being made in genetic therapy. What information can Kieran give the couple regarding the services of the genetic counseling center?arrow_forward
- As a genetic counselor, you inform Susan and John that a blood test for cystic fibrosis is available. Would you recommend genetic testing for Susan and John? Explain.arrow_forwardJeremy notices that his friend Dan (the son of Robyn, a single parent) has the same laugh and dimples as the longtime mailman. Ignoring ethical and privacy concerns, Jeremy decides that since he has just learned about PCR in class, he will perform a paternity test on the side during his BISC 336 lab to determine whether Mike is related to the mailman or whether he is related to the Corner store clerk. He obtains hair samples from all three. He finds a 100% match between Mike and the mailman, what should he tell Mike? A. He found his long lost Father - the milkman B. Nothing, it is impolite to meddle is someone else's business C. Nothing he can't determine relatives using the information he has D. He found his long lost Father - the milkman E. Nothing, instead he should contact the news media and tell them he has found the first cloned humanarrow_forwardA couple comes into the family counseling center and wants information on genetic counseling. They are thinking of starting a family but the wife has a family history of Tay Sachs disease. Kieran is a genetic counselor who will explain the services available at the center. Kieran’s discussion will include genetic mutation, tests that may be done during pregnancy, and advances being made in genetic therapy. What types of genetic testing can be done to give the couple more information?arrow_forward
- Ten years into the future and you have just become a parent of a new born baby who apparently appears healthy. Will you subject your child to genetic testing? Support your answer in 3-4 sentences. only 3-4 sentences thank you.arrow_forwardMake a list of the benefits that may arise from genetic testing as wellas possible negative consequences. Discuss the items on your list.arrow_forwardWhat are the negative consequences of doing a genetic test?arrow_forward
- The DNA profile of each individual is highly specific. The chances of two people having exactly the same DNA profile is 30,000 million to 1 (except for identical twins). Given a set of DNA profiles in figure 3, determine who the father is in a paternity case. The Case: Missis De Los Santos has a daughter who is in need of a liver transplant. Unfortunately, Mrs. De Los Santos was ruled out as a donor. She was asked to ask if her daughter's father could also go for a check-up for donor compatibility. Mrs. De Los Santos believes one of two men is her daughter's father. Who between the men is the daughter's father? Determine who the father in the case is by comparing the DNA profiles of the persons involved in the case. At the end of your profiling activity, you will know that you have correctly figured out who the father is if you have accounted where all the DNA markers of the daughter came from. Figure: Mother Probable Dad 1 Probable Dad 2 Daughter | | || ||||||arrow_forwardFitz was found to be a carrier for the deltaF508 mutation in cystic fibrosis (autosomal recessive). His wife, Oliva, screens negative for cystic fibrosis mutations. The carrier frequency in Olivia’s ethnic group is 1/60, and you know that this carrier screening only identifies 80% of mutations in her ethnic group. The couple has one child without cystic fibrosis, what is the risk for their next child to have cystic fibrosis? 1/1577 1/1184 1/296 Need answer in short and ASAP .arrow_forwardMrs. Xexy Lucero, G0, who is planning to become pregnant tells Nurse Sasha, "I am scared. My brother Zanjo, who was born 2 years after I was, died a month after he was born. My mother says that he had a very serious genetic defect. I don't know what to do." Which of the following responses are appropriate for Nurse Zasha to make? (Select all that apply). a. I Think your mother should make an appointment to meet with your obstetrician. I'm sure she knows a lot more about your brother's illness than she is telling you." b. There are a number of tests that can be performed during your pregnancy tO Screen the baby for genetic diseases." c. lt is almost impossible to figure out what happened way back then, but l'm sure everything will be fine with your baby." d. Do you think your mother would allow your brother's body to be unearthed so that it could be tested for the genetic disease? e. I will discuss your concerns with your Obstetrician. I am sure your doctor will refer you to agenetic…arrow_forward
- Human Heredity: Principles and Issues (MindTap Co...BiologyISBN:9781305251052Author:Michael CummingsPublisher:Cengage Learning