Genetic Testing and Counseling · USMLE Step 1

What does the concept of “cascade testing” refer to in genetic testing and counseling?

  1. Testing only genetically unrelated individuals in a community
  2. Performing several different tests on the same single individual
  3. Testing at-risk relatives after a mutation is found in a proband
  4. Repeating the identical test on a patient again after one year
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Correct answer: Testing at-risk relatives after a mutation is found in a proband

Cascade testing involves offering genetic testing to biological relatives of an affected individual (proband) when a pathogenic mutation is identified — to detect asymptomatic carriers or at-risk individuals.

Difficulty: Medium Question 8 of 20

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