Ethics in Genomics Flashcards

1
Q

What are the familial problems that can come about with genomic testing?

A

Decisions made by one generation affects the next

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the social consequences with genetic consequences?

A
  • Employment

- Insurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the major problem with the studies done on genetic testing?

A

Most are from the companies selling the testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are screening tests?

A

Test to identify asymptomatic individuals with a disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are carrier tests?

A

Test for a recessively inherited disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are diagnostic test?

A

Test used to diagnose a disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the two kinds of diagnostic tests?

A
  • Presymptomatic test (known disease, test for symptoms)

- Predisposition test (known risk, not known if carrier)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the stages of informing that a person has HD?

A

-Needs to go through psychological testing to indicate if they are capable of handling the information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the risks associated with genetic testing?

A
  • Stigmatization
  • Psychological harm
  • Detection of unwanted information
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the genetic information nondiscrimination act of 2008?

A
  • All health insurers cannot use genetic information to discriminate
  • Employers cannot discriminate with genetic disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

True or false: GINA covers all forms of insurance

A

False–only healht insurers and employers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Are insurance companies required to pay for preventive care/treatment by genetic tests?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What law protects against discrimination based on s/sx of genetic diseases?

A

ACA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are major causes of misinterpretation of genetic testing? (2)

A
  • “At risk” is interpreted as “affected” by both patients and community
  • Variable expressivity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why is it that some genes may not be detected on genomic testing, but still have the disease?

A
  • Variable expressivity

- Hard to have

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is pleiotropy?

A
17
Q

What is locus heterogeneity?

A
18
Q

What are the privacy concerns with genetic testing?

A
  • Specimens used for research

- One family member’s results may reveal parent’s status

19
Q

What are the mandatory screening issues with genetic testing?

A

May discriminate against those who refuse mandatory testing

20
Q

What is the rule of the NCAA in terms of genetic screening?

A

Sickle cell screening

21
Q

What is the positive predictive value? Negative?

A
22
Q

What is sensitivity vs specificity?

A
23
Q

What are genome wide association studies? What are the major issues with these?

A

Case-control studies that examine SNPs

Association does not imply causation

24
Q

What are the health system concerns with DTC testing?

A

May cause well worried patient getting more tests

25
Q

What are the major issues with DTC testing?

A

Not counseling the patient appropriately prior to diagnosing

26
Q

True or false: some studies suggest that family history is a better predictor of disease than DTC testing

A

True

27
Q

What are the five goals of genetic counseling?

A
  • Comprehend dx
  • Understand inheritance
  • Understand alternatives for dealing with risk
  • Choose a course of action consistent with their view of risk
  • Make best possible adjustment to disorder
28
Q

Wht are the four steps for analysing ethical dilemmas?

A
  • Assess the situation
  • Identify ethical problems
  • Decide on course of action based on ethics
  • Evaluation the situation
29
Q

What is prader willi and angelman syndrome?

A