@sahell I'm afraid I'm going to have to bug you about all confusions regarding offline NBMEs, since its you who put me on this damned path in the first place! NBME 4 has this ethics question about a child with Fragile X Syndrome, with the fathers sister being pregnant. Since the disease is X linked, I concluded the pregnant woman couldn't be a carrier, and marked "Keep the diagnosis confidential". All online discussions agree with this, except one guy, who suggested "Recommend family counseling" since the mother must've been the carrier, and she had a sister (who might want to have children in the future). But then again, I'm not sure what could be done with this information, since its an untreatable condition, unless you decide not to have kids and adopt, or to abort all male fetuses?? (that sounds horribly unethical though) What did you conclude?