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• It also helps patients and their families cope with the psychological and
physical stress associated with a genetic condition.
When the nature of the condition is known, a genetic counselor sits down with the
patient and other family members and explains the diagnosis. A family pedigree may
be constructed, and the probability of transmitting the condition to future generations
can be calculated for different family members
Genetic Testing
• The ultimate goal of genetic testing is to recognize the potential for a
genetic condition at an early stage.
• Genetic testing is used:
– to screen newborns for genetic diseases,
– detect persons who are heterozygous for recessive diseases,
– detect disease-causing alleles in those who have not yet developed
symptoms of the disease,
– and to detect defective alleles in unborn babies.
• genetic testing allows people to make informed choices about
reproduction.
• Genetic testing includes:
– newborn screening,
– heterozygote screening,
– presymptomatic diagnosis,
– and prenatal testing.
• Newborn screening: Testing for genetic disorders in newborn infants is
called newborn screening.
– United States and many other countries require that newborn infants be tested for
phenylketonuria and galactosemia.
– Screening newborns for additional genetic diseases that benefit from treatment,
such as sickle-cell anemia and hypothyroidism, also is common.
• Heterozygote screening: Testing members of a population to identify
heterozygous carriers of recessive disease causing alleles, who are healthy
but have the potential to produce children with the particular disease, is
termed heterozygote screening.
• Presymptomatic testing :Evaluating healthy people to determine whether
they have inherited a disease-causing allele gene is known as
presymptomatic genetic testing.
– For example, presymptomatic testing is available for members of families that have
an autosomal dominant form of breast cancer.
– Several hundred genetic diseases and disorders can now be diagnosed prenatally
• Ultrasonography: Some genetic conditions can be detected through direct
visualization of the fetus. Such visualization is most commonly done with
ultrasonography—usually referred to as ultrasound.
For each of the following pedigrees, give the most likely mode of
inheritance. Carefully explain your reasoning.