bluedusk
Forum Elite
Topics: 35
Posts: 217
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guys this is an nmbe assessment-related q, so if you haven't taken it, pls DO NOT read on....
A doctor is in an elevator with residents discussing how one of them missed a penicillin allergy and whether to tell the patient. The two possible choices I remember are:
1. Tell them to report it as an adverse drug rx.
2. Check on the patient yourself.
Anyone have a clear read on which is right?
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| nsh_00
Forum Junior
Topics: 2
Posts: 48
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Yes I remember that question. The correct answer was to Remind the residents that they are not allowed to be discussing patients, esp. in the elevator i.e. in public.
The laws are strict about that more than ever
You have no business checking on the patient. He is not your patient. Nor is an adverse rxn to penicillin lethal...his rash will eventually clear up anyway. Nor is it your business to advice them as to how to handle their mistake.
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| bluedusk
Forum Elite
Topics: 35
Posts: 217
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nice. i didn't think of it in that light originally, thx!
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| nsh_00
Forum Junior
Topics: 2
Posts: 48
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I took the exam a few days back. Unfortunately the beh. q's were even more confusing than this one seemed. I found everything on NBME v. easy compared to the real thing.
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| SMALLFIDGET
Forum Junior
Topics: 9
Posts: 72
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nsh...i give penicillin daily...and it has the potential to be lethal..and how. So...
___________________
VR.
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| nsh_00
Forum Junior
Topics: 2
Posts: 48
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Yes It could be. I think this particular patient had the rash for a few days, or they'd given that sort of impression, apparently from what I was told an established rash would clear up and If it were to be lethal that would've happened right away. lethal or not, it's still not your responsibiltiy.
Anyway The question also insinuated that these residents were talking too much and in public.
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