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Question
A 35-year-old female patient comes to your office with a large form to be filled out certifying that her health is within normal limits. This is as a part of pre-employment evaluation and is required in order for the patient to get the job. The form also asks for the results of the patient's APC (adenomatous polyposis coli) gene. This is in order for the company to determine which of its long-term employees will need expensive care. What should be your response?
Perform the test. Perform the test, but do not share the results with the employer. Do not perform the test. Ask the patient if she wants the test performed and the results reported. Perform the colonoscopy; the employer is entitled to know about current health problems but not future ones. Include the test only if the patient has family members with colon cancer.
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