Welcome to olddocโs page.
Contributor score: 6
Comments ...
Subcomments ...
imnotarobotbut
How is one supposed to know this before having read this article?
+37
imgdoc
This question falls under the either you know it or you dont category. It isnt in FA or Uworld
+2
jaxx
So why would these A-holes put it on there as if prepping for this exam isn't stressful enough :-|
+9
usmlecrasher
and there's so much unnecessarily BS instead of real questions
+3
j44n
I'm just glad we're seeing this garbage now instead of having an aneurysm in the prometric center
+9
feanor
This Question is a perfect example of where you just jump off your seat to demand a refund or you decide to go Antisocial Disorder on your computer screen.
+
olddoc
I don't think it has to do with any extra info. The dx is FAP (mutation in APC gene) which is inherited in an AUTOSOMAL DOMINANT fashion ("A" is the mutant allele and "a" is the normal one. The girl in the question stem MUST be heterozygote "Aa", getting the mutant "A" from her sick father and "a" from her healthy mother. Assuming she marries a healthy husband (aa) (this is a normal assumption in genetics questions), their kid will be Aa (the phenotype that will 100% result in CRC) by a probability of 50%. Recall that FAP will 100% progress to CRC is not prophylactically removed.
+5
conniea168
It sucks because in psychiatry rotation as MS3 you may come across this fact that rate is ~50% in identical twins, but other than that it's unfair for Step 1 :/
+
imnotarobotbut
How is one supposed to know this before having read this article?
+37
imgdoc
This question falls under the either you know it or you dont category. It isnt in FA or Uworld
+2
jaxx
So why would these A-holes put it on there as if prepping for this exam isn't stressful enough :-|
+9
usmlecrasher
and there's so much unnecessarily BS instead of real questions
+3
j44n
I'm just glad we're seeing this garbage now instead of having an aneurysm in the prometric center
+9
feanor
This Question is a perfect example of where you just jump off your seat to demand a refund or you decide to go Antisocial Disorder on your computer screen.
+
olddoc
I don't think it has to do with any extra info. The dx is FAP (mutation in APC gene) which is inherited in an AUTOSOMAL DOMINANT fashion ("A" is the mutant allele and "a" is the normal one. The girl in the question stem MUST be heterozygote "Aa", getting the mutant "A" from her sick father and "a" from her healthy mother. Assuming she marries a healthy husband (aa) (this is a normal assumption in genetics questions), their kid will be Aa (the phenotype that will 100% result in CRC) by a probability of 50%. Recall that FAP will 100% progress to CRC is not prophylactically removed.
+5
conniea168
It sucks because in psychiatry rotation as MS3 you may come across this fact that rate is ~50% in identical twins, but other than that it's unfair for Step 1 :/
+
The doctor can't have the patient's opinion here because her mother is in the room watching when the doctor asks the patient's preference. The patient may then feel awkward to agree with her mother leaving the room. She may even feel intimidated to do so if the mother abuses her at home (The mom may get back at her at home later when they're alone). So I believe in such cases the doctor has to have the upper hand requesting the parent to leave the room to make the patient feel more comfortable. I don't have a reference but think this is just common sense.