04-22-2007, 01:01 PM
Q. A 30-year-old white woman comes to the office for a periodic health evaluation. At this visit she asks you about a DNA test that she has heard about that can detect the presence of the adult polycystic kidney disease (APKD) gene in asymptomatic carriers. She has a family history of APKD. She has had no symptoms. Her blood pressure is normal, and renal ultrasound 2 months ago was normal. Serum creatinine concentration obtained 2 months ago was 0.9 mg/dL. Before obtaining blood for this test, it is important to explain to this patient that a positive test result would mean which of the following?
A
) She is certain to develop renal failure
B
) She may be eligible for disability
C
) She may have difficulty obtaining life insurance in the future
D
) She should avoid becoming pregnant
E
) She should be monitored for development of liver disease
A
) She is certain to develop renal failure
B
) She may be eligible for disability
C
) She may have difficulty obtaining life insurance in the future
D
) She should avoid becoming pregnant
E
) She should be monitored for development of liver disease