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NVM! i read the question again. The patient has visited already 4 times with cheif complains regarding sexual organs in a short period of time. According to FA page 262 (2018) at this point a chaperone should be added, if this doesnt help then the patient needs to be forwarded to another physician.
Can someone explain why " Tell the patient that it is common for patients to fantasize about their physicians" is wrong?
@groovygrinch I don't think it's normal for patients to have sexual fantasies about their physicians lol
Switching to a neutral subject doesn't "address the problem". Never refer, always address the problem.
a 35 year old with a chaperrone doesnt sound right to me. but nothing in NBME sounds right. I really hope step isnt this retarded
I was between chaperone and switching to neutral topic. With the chaperone I somehow felt it was against the patient's privacy and shi*. lol.
look at the chief complaint, it is pretty obvious why she is there when you add the rest of the information, you need a chaperone.
submitted by ∗wishmewell(59)
In my opinion this is kinda rude as an intial action. if the person continues to go back to the topic, I would say having a chaperone would help.... idk why Interrupting the patient with a more neurtal topic isnt the answer