| Author | 8 Posts |
nadiabarati
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15-year-old white girl is brought to the health center by her mother for a periodic health evaluation and refill of tetracycline for acne. Upon entering the examination room, the patient's mother asks to speak alone with you. In private, she says, "My daughter has been like a different person for the past 4 months. She used to be on the honor roll and is now failing school. She received detention six times for truancy and for talking back to teachers. She argues with her brother and me over everything. She quit the tennis team and doesn't see any of her friends." The mother can think of no explanation for these changes. When you interview the patient alone, she becomes angry and says, "Mom should mind her own business and stop talking about me behind my back." She denies use of drugs or alcohol. She tells you, "I don't want to go out of the house because my acne makes me feel ugly. Plus, I've put on ten pounds." Today she weighs 54 kg (120 lb); she is 165 cm (5 ft 5 in) tall. Which of the following is the most appropriate advice to the mother?
A Her daughter is just going through a normal adolescent phase
B Her daughter would benefit from a diet program
C Her daughter would benefit from a trial of antidepressant medication
D She should use a behavior-modification program to control her daughter
E No advice is indicated because it would violate patient confidentiality
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| nadiabarati
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I think A
do you agree??
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| general malaise
Forum Guru
Topics: 14
Posts: 433
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I agree, normal reaction for a teen to weight gain.
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| surgeon99
Forum Senior
Topics: 9
Posts: 98
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A
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| tolito
Forum Fanatic
Topics: 119
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A. normal adulescent problem of body image. is normal except it becomes anorexia or bulimia or body dismorphic disorder.
however, i am worried about the truancy?????
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| r_albayunen
Forum Senior
Topics: 0
Posts: 218
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what about B?
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| smal
Forum Guru
Topics: 140
Posts: 727
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it should be D.
coz mother is concerned wt the overall behaviour.wt is not the prob.
prob is the acne.pt. should be made to accept it and advocated to respond
positively to everyhitng to get her life back.
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| spitmetal
Forum Guru
Topics: 25
Posts: 635
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b is wrong the MBI of the girl is 19.8 so theres no problem with her weight
c is wrong because she is not depress
the rest i dont know but A sound perfect
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