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A 34-Year-Old Woman Comes to the Office After Her Sister

question 144

Multiple Choice

A 34-year-old woman comes to the office after her sister was diagnosed with breast cancer.  She has no nipple discharge, breast lumps, or discomfort.  Breast examination is normal.  Her sister was found to have a multiple base pair insertion affecting exon 11 of the BRCA1 gene that leads to a frameshift mutation.  A screening test to evaluate for a similar insertion mutation in the patient's BRCA1 gene is performed.  The test uses polymerase chain reaction (PCR) to amplify the target exon and gel electrophoresis to assess the size of the exon compared to the wild-type allele.  Which of the following must be known in order to perform the amplification part of this analysis?

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