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Prep4USMLE Forum » USMLE Step 2 CK Forum » Psychiatry & Ethics

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dr_jojo

03/10/07 - 12:08 PM

. A 57-year-old man is brought to the physician by his wife because his skin has appeared yellow for 3 weeks. Examination shows jaundice and scleral icterus. His total serum bilirubin level is 8 mg/dL with a direct component of 6.2 mg/dL. A CT scan of the abdomen shows a large lesion in the head of the pancreas. When the results are initially discussed, the patient says that he does not want to hear the report, and his wife agrees to abide by his wishes. Which of the following is the most appropriate course of action?

A
) Withhold the results as the patient wishes

B
) Contact the patient's children to discuss the results

C
) Consult with the hospital ethics committee

D
) Insist on telling the patient the results

E
) Refer him to another physician

robin082006
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03/10/07 - 01:43 PM

A

best choice is to ask the reason, but cannot find this option, so A is best

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dr_jojo

03/10/07 - 03:45 PM

thanx robin , that is exactly what i was looking for in the answers

dr in trouble
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03/11/07 - 11:23 AM

yes its A

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