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Kaplan Qbank USMLE



Author19 Posts
  #1

A 35 year old married man comes to the phisycian because of 2 day history of burning with urination
he tells the phisycian that he had an affair while on a business trip 2 weeks ago
the next day the patient's wife telephones the physician,stating

"My husband saw you yesterday.Does he have a sexually transmitted disease ? "

Which of the following responses by the physician is most appropiate ?

a.- " I recommend that you see your gynecologist as soon as possible "

b.-" I suggest that you ask your husband if he has had any sexual relations outside the marriage "

c.-" I'm sorry,but I will need your husbands permission to discuss his care with you "

d.-"I'm sure everything is going to be all right "

e.-" Perhaps yopu and your husband should seek marital counseling "



  #2

?

  #3

C.

  #4

Agree with C

  #5

its A. no permission is required incase of STDs.

  #6

C.

i think no permission to report it to CDC

but the wife????

actually not sure


___________________
If you yourself are at peace, then there is at least some peace in the world.

  #7

I THINK IT SHOULD BE C

  #8

i m confuse between A & C




  #9

in case of STD, we can break confidentiality.But we have to give a chance the person to tell his wife himself. so the answer is C.


___________________
He will make it happen.

  #10

agree with mitty

___________________
Even if you are on the right track, you will get run over if you just sit there...KEEP RUNNING

  #11

C.. encourage husband to talk w/ wife..

  #12

I do agree that we should make the husband tell the wife. but C doesn't say so it is a simple "i can't tell you " and she should be informed , I think it is either b or e since these encourage talking but the look too rude I guess it may be a


___________________
Step 1 - 241/97 , step 2 ck 246/99 step 2 Cs Passed, citizen, graduated from Ainshams Egypt excellent with honor, 6 month research, with 5 publications currently prelim surgery resident. .

  #13

C

___________________
"Love is the only inflamation of the heart that drains in the vagina" (translation after Dr Petre Florescu, Professor of Pathology, UMF "Iuliu Hatieganu", Cluj Napoca

  #14

i think the answer is C,but the best option would be to ask both husband and wife to come to office together

___________________
Dont worry.Nobody knows 100%

  #15

exceptions to confidentiality is in infectious dis. to CDC AS WELL AS IDENTIFIABLE PPL AT RISK.
so A.

___________________
remedy for weakness is not brooding over it ,but thinking of strength.

  #16

I go with C

___________________
fight possessed

  #17

ans C bc question does not mentins STD and physicians himself not yetdiagnosed the disease so better option is to obtain permission from husband to discuss his case with his wife


















  #18

C......Agree with ashfaque

___________________
I can't change the direction of the wind, but I can adjust my sails to always reach my destination.

  #19

ITS NOT DIAGNOSED SO FAR. SEXUAL AFFAIR IS A DISTRACTOR. THE BEST OPTION IS C







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