paheli
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will post the entire answer of this one later.
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| zap48120
Forum Junior
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ask him to wait outside,.,you cannot take it for granted that wife will be uncomfortable alone.
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| mikky
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e
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| yoga
usmlelogy professor
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f or g
but most probably g
that is very intersting q though
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| titly
Forum Elite
Topics: 18
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G
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| paheli
It'sAllAboutGoodKarma
Topics: 177
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give this a go, guys. i'll release the answer tomorrow.
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| SmokyWaters
Forum Elite
Topics: 6
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G..its obvious
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| SmokyWaters
Forum Elite
Topics: 6
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it cant be F as physician doesnt drop the patient unless there is some logic for that...
there is no obvious logic till this point... just by watching a woman with scarf doesnt mean she cant disrobe 
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| sfk
Forum Elite
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i've seen this question before, i guess the answer was B
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| new_n_lost
Politically InCorrect
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SmokyWaters wrote:it cant be F as physician doesnt drop the patient unless there is some logic for that... there is no obvious logic till this point... just by watching a woman with scarf doesnt mean she cant disrobe
thts point buddy a Muslim will not disrobe infront of another man and will or might even feel shy doing in it infront of her own husband in private even. Its a religious thing and cultural thing. Now F is a good choice unless the physician is a specialist and other options r not available. The words "wearing a head scraf " implicates that the woman is religious. Now in this situation imposing wht one feels right on the other doesnt make the entire situation ethical. G or f seem plausible but B is plain considering one's religious and cultural background. But B is also valid if the Doctor feels that there is a chance or hint of spousal abuse. In a best case secnario G shud be the right answer.
Edited by new_n_lost on 10/21/07 - 07:05 PM. Reason: found a few kinks to it.
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| hope4dabest
Forum Elite
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G
Relegious things are true and actually practically can be correcct but for exam it can never be F..that will show that the incompetency on the Doctors part
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| new_n_lost
Politically InCorrect
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hope4dabest wrote:
G
Relegious things are true and actually practically can be correcct but for exam it can never be F..that will show that the incompetency on the Doctors part
look i agree but i dont think that USMLE might want insinuate the fact that we go ahead with our examination even though the patient might feel very uncomfortable with us ( doctors whether male or female). It kills the end result. Referral doesnt implicate incompetency, though not doing so may implicate it.
My 2 cents.
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| me007
Forum Guru
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can't be F. They did read your name and suppose they did understand your gender and comfortable with it. It is front desk question, not doctor's.
G. Information should be obtained from the pt if it is possible.
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| unique1
InGodITrust
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I have seen this question before.
I chose G but as far as I remember, the correct answer was B.
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| paheli
It'sAllAboutGoodKarma
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The answer is B.
the husband must be asked to leave, and the Dr must be the one to ask the husband to leave, as the patient may be reluctant to do so.
re-taking the history in front of the husband will not help the patient reveal anything else she may want to share with you.
if you ask the patient whether she wants the husband around, in front of him, she'll obviously say Yes.
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| titly
Forum Elite
Topics: 18
Posts: 293
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we spend our days waiting for the ideal path to appear in front of us, but, what we forget is paths are made by walking, not by waiting. keep walking................................
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| me007
Forum Guru
Topics: 72
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confusing, bcs it sayes - ask him to wait outside while physician EXAMINES the woman in private.
While, she supposed to to be asked first abt her symptoms.
Also can make her husband suspicious - why would you need privacy for examination.
I don't know what would be the best in this situation
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| yoga
usmlelogy professor
Topics: 73
Posts: 645
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i agree with me007 the husband will b suspicious
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| paheli
It'sAllAboutGoodKarma
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me007 wrote:
Also can make her husband suspicious - why would you need privacy for examination.
of course you need privacy for examination!!! privacy and confidentiality is solely b/w physician and patient. no one else is involved unless the patient explicitly requests/allows. and, that includes husband, no matter how traditional she may be. if she wants, she can ask for him to stay.
and, also they have voluntarily come to the doctor. what could give rise to suspicion? unless he is paranoid, but that a whole other diagnosis!!
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| Doc750
transfer:step 3 prison
Topics: 52
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husband is not your pt, you don't care what the husband thinks. She is your pt, and she is entitled to a private exam, without him there. It is your job to make sure she gets a private exam, not hers, therefore you ask him to leave. If she still has problem then have a female present in the room if that option is given.
the whole head garb thing is just a distractor. Has nothing to do with the question. If any guy came in and started answering all your questions for your pt, wouldn't you ask him to leave?
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| unique1
InGodITrust
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Doc750 wrote:
the whole head garb thing is just a distractor. Has nothing to do with the question. If any guy came in and started answering all your questions for your pt, wouldn't you ask him to leave?
Agree. Muslim or non-Muslim, head scarf or no scarf , the point is that someone else is talking on behalf of the patient. This person should stay out of the room.
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