Free CGC Genomic Testing & Interpretation Questions and Answers — Questions and Answers
Question 1: What is the main purpose of genomic testing?
- To determine eye color
- To assess dietary preferences
- To identify disease-related genetic variants (Correct answer)
- To measure cholesterol levels
Correct answer: To identify disease-related genetic variants
Genomic testing identifies genetic variants that may contribute to disease or inherited traits.
Question 2: Which type of test examines many genes at once?
- Single-gene testing
- Panel testing (Correct answer)
- Biopsy
- Physical exam
Correct answer: Panel testing
Panel testing evaluates multiple genes associated with a condition or symptoms.
Question 3: What does a variant of uncertain significance (VUS) indicate?
- It is always benign
- It is always pathogenic
- Its significance is not currently known (Correct answer)
- It is a lab error
Correct answer: Its significance is not currently known
A VUS means the genetic change has unknown impact on health or disease risk.
Question 4: Which result indicates a disease-causing mutation?
- Benign
- Pathogenic (Correct answer)
- VUS
- Likely benign
Correct answer: Pathogenic
In genetics, a 'pathogenic' variant or mutation is one that is known to cause disease. This classification indicates a clear link between the genetic change and a specific health condition. Other options like benign or likely benign suggest no disease causation, while VUS (Variant of Uncertain Significance) means its impact is not yet known.
Question 5: Which technology is commonly used in genomic sequencing?
- Ultrasound
- MRI
- Next-generation sequencing (Correct answer)
- Blood pressure monitor
Correct answer: Next-generation sequencing
Next-generation sequencing (NGS), also known as high-throughput sequencing, is a revolutionary technology that allows for rapid and cost-effective sequencing of entire genomes or specific regions. It has become the standard method for genomic sequencing due to its ability to generate vast amounts of DNA sequence data simultaneously. Ultrasound and MRI are imaging techniques, and a blood pressure monitor is a diagnostic tool, none of which are used for genomic sequencing.
Question 6: Why is family history still relevant with genomic testing?
- It replaces the need for testing
- It helps personalize interpretation (Correct answer)
- It is only useful for ancestry
- It confirms lab techniques
Correct answer: It helps personalize interpretation
Family history is crucial even with genomic testing because it provides essential context for interpreting genetic results. It helps identify patterns of inheritance, highlight specific genes or conditions to investigate, and assess the clinical significance of variants found. This personalization ensures that genetic findings are understood within the individual's broader health and familial background, guiding appropriate management and counseling.
Question 7: Which role does a genetic counselor play in test interpretation?
- Collect payment
- Diagnose patients
- Interpret results for patients (Correct answer)
- Recommend medications
Correct answer: Interpret results for patients
Genetic counselors are healthcare professionals with specialized education and training in medical genetics and counseling. Their primary role is to interpret complex genetic test results for patients, explaining what the results mean for their health and their family. They also provide risk assessment, education, and support, helping patients make informed decisions about genetic testing and its implications.
Question 8: What is a limitation of direct-to-consumer genetic tests?
- They require surgery
- They are reviewed by doctors only
- They may lack clinical accuracy (Correct answer)
- They are free for all users
Correct answer: They may lack clinical accuracy
A significant limitation of direct-to-consumer (DTC) genetic tests is that they may lack the rigorous clinical accuracy and validation of tests ordered through a healthcare provider. These tests might not cover all relevant genes, may report variants of uncertain significance without proper clinical context, or provide results that are not actionable or fully understood without professional interpretation. This can lead to misinterpretation, unnecessary anxiety, or false reassurance for consumers.
Question 9: What does exome sequencing analyze?
- All regulatory sequences
- Non-coding RNA
- Only mitochondrial DNA
- The coding regions of the genome (Correct answer)
Correct answer: The coding regions of the genome
Exome sequencing specifically analyzes the exome, which comprises all the protein-coding regions of the genome (exons). While the exome makes up only about 1-2% of the entire genome, it contains the vast majority of known disease-causing mutations. This targeted approach is efficient for identifying genetic causes of many Mendelian disorders.
What is the main purpose of genomic testing?