roopashri
Forum Elite
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i dont have correct answer for this one... these beh sc qns are so difficult, i cant get them.
A 16-year-old boy and his mother come to the office because the mother is concerned that her son may have a drug problem. You have treated him in the past for mild intermittent asthma, and he currently uses an albuterol inhaler prior to exercise. You last saw him 1 year ago for a sports physical examination. At that time, he admitted to drinking alcohol on the weekends. He also admitted to marijuana use but had planned to quit using both before track season started. The mother says that her son now seems disinterested in school and other activities in which he was previously engaged. He has quit the track team, has become irritable, and he has a new set of friends whom his mother dislikes and describes as "druggies." She acknowledges that the boy's father, from whom she is divorced, has an alcohol abuse problem. The boy's older brother abused cocaine for 2 years but is now in a drug rehabilitation program. Prior to interviewing and examining the patient, the mother pulls you aside and asks you to test her son for drugs without informing him. Which of the following is the most appropriate response?
A) Agree to do toxicologic screening but review the test results with the patient before giving the results to the mother
B) Agree to do toxicologic screening only if, after discussing it with the patient, he agrees to the test
C) Agree to do toxicologic screening without the patient's knowledge per his mother's request
D) Decline to do toxicologic screening stating that you do not want to get caught between her and her son
E) Decline to do toxicologic screening unless under a court order
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| sturge_weber
Forum Guru
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i think b
partial emanicipation fod drug treatment, pregnancy ocs etc, so i think he has to agree but not sure
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| msyamp
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its b
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| mistral92
Forum Senior
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go for b
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| drk1980
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Partial Emancipation is applied to minors who are seeking treatment while on drugs, for abortion, OCP's, prenatal testing. This is to encourage more and more people to seek medical help and not be deterred by the hassles of informing their parents.
From the description in this case, its most likely the boy is abusing drugs...if he is not seekign treatment, i dont see how he can be partially emancipated. if he was, that would go against the very basic principle of partial emancipation. he is a minor, mother has brot him to the clinic for a check-up for her concerns........A seems the closest to ok.
corrections are welcome
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| sturge_weber
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welldrk1980 ur explanation seems quite challenging, seeems u re right
can anyone tell the answer and explain
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| drsnq
Forum Elite
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I think its c..as in case of minors no need to be discuss with the patient ...correct me.
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drsnq
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| mjl1717
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I like answer -b (c,d,e, are incorrect. In simple words I believe you have to give the pt a chance to say no to the test. Also you do not want to be a doc who represents a symbol of mistrust for the medical proffesion by secretly testing him under false pretense. {In other words you dont want to be known as the "sneaky doc" }
Good question roo!
Edited by mjl1717 on 12/22/05 - 02:07 PM
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| sturge_weber
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well i first thought its b, but as drsnq said, partial emanicipation would only be when someone is leaving drugs, not when he is on drugs, so partaial emanicipation would not apply here and the answer would go in favour of c
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| drk1980
Forum Guru
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drsnq, even if your patient is a minor, wudnt u discuss the problem with him/her(unless s/he is so young to understand language...16yrs is quite ok). Ethically speaking, after you get the results i think it shd be necessary to discuss it wth ur minor(by age) patient.
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| sturge_weber
Forum Guru
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well some behaviourals expert needed desperately
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| sturge_weber
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well i listen to u doc2378, now again i think, choice b right...o god ....roopa tell the answer if u have, or if u could find
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| roopashri
Forum Elite
Topics: 16
Posts: 190
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sorry sturge, dont have answer for this... i too think b, but not sure as always...
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| sturge_weber
Forum Guru
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ha ha ha we re all in same shoes, when is ur exam roopa and doc2378 and geroo...
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| roopashri
Forum Elite
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jan end may be, not sure.... u?
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| Doc2378
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jan 31st for me...
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| sturge_weber
Forum Guru
Topics: 77
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well mine jan 23... and cant even go ahead...of that
anyhow good going guys , all the best to all....
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| Geroo
Forum Guru
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mine end of jan,good luck guys
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