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Genetic Testing and Counselling Quiz

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A patient has unexplained muscle weakness and a clinician orders testing to establish its genetic cause. Which type of testing is this?

  1. A Predictive testing for a healthy relative with a known familial variant
  2. B Population screening before any clinical assessment
  3. C Pharmacogenomic testing to guide future drug choice or dosing
  4. D Carrier testing in an unaffected reproductive partner
  5. E Diagnostic testing directed at the patient's current phenotype
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Answer: E. Diagnostic testing directed at the patient's current phenotype

See Section. Option E is correct: this is diagnostic genetic testing because the clinician is investigating symptoms the patient already has. The phenotype, meaning the observable clinical features, is unexplained muscle weakness. Testing seeks a genetic finding that could explain those features rather than estimating the future risk of an unaffected person. The clinical question determines which genes or types of chromosome change should be investigated. The same laboratory technology can be used for different purposes, so a blood sample or sequencing method does not by itself tell you whether testing is diagnostic. A negative result also needs to be interpreted within what that particular test could detect.

Carrier testing (D) usually asks whether an unaffected person carries a disease-associated variant that could affect reproductive risk, rather than explaining current weakness. B is population screening: an offer to a defined group to identify people who may need further assessment. Predictive testing (A) concerns a healthy relative's future risk, often by testing for a known familial variant. Pharmacogenomic testing (C) examines genetic influences on drug response, toxicity or dose, which is a prescribing question rather than a diagnosis of this patient's symptoms.

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More questions from this set. Start the quiz to answer them and see each explanation.

  1. 1

    A laboratory reports a variant of uncertain significance. What does this classification mean?

  2. 2

    Why can chorionic villus sampling (CVS) or amniocentesis answer a different question from non-invasive prenatal testing (NIPT)?

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