Lynch syndrome: Managing genetic results module test

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1. What is your name? *

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2. You receive the patient's Lynch syndrome genetic testing results. What shall you do? *

Document the result in the patient’s medical records. Somebody will take notice
Add the patient's name to the MDM list to discuss the results and refer the patient to the clinical genetics department
Tell the consultant in charge of the patient
Call the patient immediately to discuss the results

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3. In the first instance, Who should give the genetic testing result to the patient? *

The MDT coordinator
The clinical genetics department, even if they don't know the patient
The consultant in charge of the patient
The person who carried out the genetic counselling discussion in the cancer team

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4. When you give the patient their genetics results, what should you discuss? *

What type of result they have: positive, uncertain-negative or uncertain
What the result means to the patient and implications for their treatment, surveilance, and lifestyle recomendations
Implications for family members and surveilance recomendations for the family
Discuss referral to their local clinical genetics department, and the likelyhood of receiving an appointment with the genetics department
All of the above

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5. What are the colonoscopy surveillance recommendations for MLH1 or MSH2 mutation carriers? *

2 yearly colonoscopy from the age of 20
2 yearly colonoscopy from the age of 25
2 yearly colonoscopy from the age of 45
2 yearly colonoscopy from the age of 35

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6. What are the colonoscopy surveillance recommendations for MSH6 and PMS2 mutation carriers? *

2 yearly colonoscopy from the age of 20
2 yearly colonoscopy from the age of 25
2 yearly colonoscopy from the age of 45
2 yearly colonoscopy from the age of 35

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