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Lynch syndrome Module 4 Option 1
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1.
Question 1.
What is your name?
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- Required.
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2.
Question 2.
Once you have identified a patient likely to have Lynch syndrome, you should refer patients for genetic counseling. Where should you refer your patient?
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- Required.
Refer your patient to your in-house mainstreaming service if you have one set up
Refer your patient to your linked specialized clinical genetics centre
I can refer to either of the above
None of the above
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3.
Question 3.
What are the 3 possible results of genetic testing?
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- Required.
The patient have Lynch syndrome, the patient doesn't have Lynch syndrome, or we are unsure whether the patient has Lynch syndrome
A pathogenic variant being identified, a pathogenic variant not being identified, and a variant of unknown significance being identified
Positive or negative
This is incorrect, there are 4 possible results
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4.
Question 4.
How can the cancer risk be managed in Lynch syndrome?
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- Required.
2 yearly colonoscopy
A daily low dose of aspirin, one-off testing for H. pylori, and lifestyle recommendations
Risk-reducing surgery
All of the above
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5.
Question 5.
If a pathogenic variant has been found in your patient, can the 1st degree family member (parents, siblings, and children) be offered predictive genetic testing?
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- Required.
Yes, but 2nd degree relatives can also be offered predictive genetic testing
No, family members can never be offered genetic testing in this situation
It would be unethical to offer genetic testing to relatives
Yes, to find out if the relatives have Lynch syndrome too
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6.
Question 6.
If a Variant of Unknown Significance (VUS) has been found in your patient, can the 1st degree family member (parents, siblings, and children) be offered predictive genetic testing?
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- Required.
No, even though we are certain that the patient has Lynch Syndrome
Yes, but 2nd degree relatives can also be offered predictive genetic testing
No, because we are not sure if the variant is benign or likely to be responsible for their cancer
Yes, to find out if the relatives have Lynch syndrome too