American Board of Internal Medicine (ABIM) Certification Practice Exam

What should patients with a family history suggestive of an inherited disorder do before genetic testing?

1. Immediately undergo testing without consultation

2. Receive genetic counseling

3. Report family history to their primary physician only

4. Consult with a surgeon about testing

The correct answer is: Receive genetic counseling

Patients with a family history suggestive of an inherited disorder should first receive genetic counseling before proceeding with genetic testing. Genetic counseling provides patients with essential information regarding the implications of genetic disorders, the purpose and potential outcomes of testing, and the options available based on the results. This process also prepares patients emotionally and helps them understand the risks, benefits, and limitations of genetic testing. Additionally, genetic counselors can assist patients in interpreting test results and discussing potential next steps, including implications for family members and reproductive decisions. This consulting step is crucial for ensuring informed consent and appropriate follow-up care. It fosters a supportive environment that enables individuals to make educated decisions regarding their health based on comprehensive understanding rather than acts of impulsiveness or solely based on family history.