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Test Bank for Advanced Assessment 4th Edition Interpreting Findings and Formulating Differential Diagnoses By Mary Jo Goolsby; Laurie Grubbs | 9780803668942 | Chapter 1-22 | All Chapters with Answers and Rationals $13.49   Add to cart

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Test Bank for Advanced Assessment 4th Edition Interpreting Findings and Formulating Differential Diagnoses By Mary Jo Goolsby; Laurie Grubbs | 9780803668942 | Chapter 1-22 | All Chapters with Answers and Rationals

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Test Bank for Advanced Assessment 4th Edition Interpreting Findings and Formulating Differential Diagnoses By Mary Jo Goolsby; Laurie Grubbs | 9780803668942 | Chapter 1-22 | All Chapters with Answers and Rationals

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Test Bank for Advanced Assessment 4th Edition Interpreting
Findings and Formulating Differential Diagnoses By Mary Jo
Goolsby; Laurie Grubbs | 9780803668942 | Chapter 1-22 | All
Chapters with Answers and Rationals



The first step in the genomic assessment of a patient is obtaining information regarding:

A. Family history

B. Environmental exposures

C. Lifestyle and behaviors

D. Current medications - (ANSWER)ANS: A



A critical first step in any health assessment is collecting and interpreting the family health history (FHH).
FHH is key because it reflects shared genetic susceptibilities, shared environment, and common
behaviors (Yoon, Scheuner, & Khoury, 2003).



An affected individual who manifests symptoms of a particular condition through whom a family with a
genetic disorder is ascertained is called a(n):

A. Consultand

B. Consulband

C. Index patient

D. Proband - (ANSWER)ANS: D



A proband is a family member who manifests symptoms of a particular condition and/or brings the
family to medical attention (Bennett, 2010).



An autosomal dominant (AD) disorder involves the:

A. X chromosome

B. Y chromosome

C. Mitochondrial DNA

, D. Non-sex chromosomes - (ANSWER)ANS: D



AD inheritance is a result of a gene mutation in one of the 22 autosomes



To illustrate a union between two second cousin family members in a pedigree:

A. Arrows are drawn pointing to the male and female

B. Brackets are drawn around the male and female

C. Double horizontal lines are drawn between the male and female

D. Circles are drawn around the male and female - (ANSWER)ANS: C



A consanguineous family is related by descent from a common ancestry and is defined as a "union
between two individuals who are related as second cousins or closer" (Hamamy, 2012). Consanguinity, if
present in the family history, is portrayed using two horizontal lines to establish the relationship between
the male and female partners.



To illustrate two family members in an adoptive relationship in a pedigree:

A. Arrows are drawn pointing to the male and female

B. Brackets are drawn around the male and female

C. Double horizontal lines are drawn between the male and female

D. Circles are drawn around the male and female - (ANSWER)ANS: B



For adopted members of the family, use brackets as the appropriate standardized pedigree symbol.



When analyzing the pedigree for autosomal dominant (AD) disorders, it is common to see:

A. Several generations of affected members

B. Many consanguineous relationships

C. More members of the maternal lineage affected than the paternal

D. More members of the paternal lineage affected than the maternal - (ANSWER)ANS: A

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