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NBME 22 Answers

nbme22/Block 1/Question#13

A 13-year-old girl is brought to the physician by ...

Ask the mother to leave the room before asking the patient any questions

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 +1  upvote downvote
submitted by dr.xx(35),

During this initial encounter, we establish what the parents' concerns are, obtain a family history, and ask about previous medical problems. This begins the transition from parent to teen as the medical historian. We next ask parents to wait in the waiting room so that we can speak privately with the adolescent. We interview the adolescent alone, perform a physical examination with a chaperone, and then invite the parents back into the room at the conclusion of the visit to discuss our findings.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1070800/





 -2  upvote downvote
submitted by organicmechanic(1),

Hereditary (or acquired) angioedema = C1 inhibitor deficiency. Patient has a 9-year Hx of soft tissue swelling, especially of the face. It's Autosomal Dominant if inherited, or can be acquired through multiple mechanisms.

https://www.ncbi.nlm.nih.gov/pubmed/11532278

dr.xx  wrong question? +