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Retired NBME 19 Answers

nbme19/Block 1/Question#28 (reveal difficulty score)
13 yo girl with mother for routine visit; ...
Ask mother to leave the room before asking the patient any questions. ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by olddoc(6)
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The doctor can't have the patient's opinion here because her mother is in the room watching when the doctor asks the patient's preference. The patient may then feel awkward to agree with her mother leaving the room. She may even feel intimidated to do so if the mother abuses her at home (The mom may get back at her at home later when they're alone). So I believe in such cases the doctor has to have the upper hand requesting the parent to leave the room to make the patient feel more comfortable. I don't have a reference but think this is just common sense.

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submitted by โˆ—shieldmaiden(32)
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Although the doctor should encourage talk between parents and patients, they have to allow for alone time with the patient for a more honest exchange. The doctor should also ask the patient their preference.

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an_improved_me  Such a dumb question.. I thought doctors also encourage autonomy between younger patients. For sure you want patients to have privacy for questions regarding sexuality, but you should at least leave it up to the pt. +2



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