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Kaplan Qbank USMLE



Author10 Posts
  #1

What's the answer ?

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  #2

ask the wife again and explain the importance of postmortem. if she says no i guess you cannot proceed with the autopsy.once the wife says no there is no point in asking the parents for permission. spouse has the final word.i doubt you can mandate a postmortem.
i guess ask wife and explain to he seems the best option here.
anybody else with more information on this??????

  #3

B

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The Key to Succeed is Patience.

  #4

B

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Don't live in a town where there are no doctors

  #5

B.
But I don't agre with dr_arc that if wife refuses hold the autopsy. It all depends on whether the autopsy is for medical reasons or the medicolegal reasons( he passed out at work, so if there is a suspicion of foul play). If its for medicolegal reasons, autopsy will still be performed with the court orders.

  #6

My answer is D. The others seem to be wrong. Although I am not sure what genetic testing will achieve, may be finding the genes for berry aneurysm?

There is no reason why the doctor should insist on an autopsy. The man has had subarachnoid haemorrhage. What's an autopsy going to tell us that we don't already know?? If wife says no, then it's no. No point insisting.rolling eyes

  #7

randoc, how do you rule out any foul play ? How are you so sure about the diagnosis being SAH ?

  #8

Gr8doc, I think there is not one hint of a foul play in the question scenario. The diagnosis of SAH is confirmed on finding xanthochromia on CSF; it is diagnostic. 100% certainty. Plus the likely history of sudden onset of headache followed by decreased consciousness.

In fact, my initial reaction to the question was - why would the doctor want to carry out an autopsy, since the diagnosis is already established??? Or may be I am not reading the question closely enouf??confused

  #9

might be genetic testing for ADULT POLYCYSTIC KIDNEY DISEASE

  #10

i wud go with B .... if spouse says no explain her wat all things can b found or watever caused his husbands death can b found .... if she says no dont do it .....







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