MudPhud20XX

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Nov 26, 2013
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A 42-year-old woman who is hospitalized because of pneumonia is evaluated because of acute onset of agitation, confusion, nausea, and hallucinations. She thinks that her brother, who is in the room, is her father, and she claims that she sees angels dancing around her bed. Physical examination shows flushed face. Medical record shows reduced urine output during the past 12 hours. Which of the following is the most appropriate next step in diagnosis?

A. Check muscle tone
B. measure temp
C. request psychologic consult
D. measure alertness
E. check for medical hx of schizophrenia
 

usmleswot

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Jan 11, 2012
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Your patient has just been diagnosed with Familial Adenomatous Polyposis (FAP). There is a genetic test to determine whether the children of parents with the disease will develop it. The test is very accurate. The patient is divorced and refuses to give you his consent to inform his ex-wife who now has custody of their three children. He threatens to sue you if you reveal elements of his medical care to his wife.

What should you do?

A. Respect the patient's right to confidentiality
B. Transfer the patient's care to another physician as long as the patient agrees.
C. Ask the health department to inform the patient's ex-wife about the disease risk.
D. Seek a court order to inform the patient's ex-wife.
E. Inform the patient's ex-wife of the risk to the children.
F. Inform the ex-wife's doctor.
G. Inform the children and allow them to make the choice as to whether to get tested.
 
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MudPhud20XX

MudPhud20XX

5+ Year Member
Nov 26, 2013
1,321
182
Status
Medical Student
Your patient has just been diagnosed with Familial Adenomatous Polyposis (FAP). There is a genetic test to determine whether the children of parents with the disease will develop it. The test is very accurate. The patient is divorced and refuses to give you his consent to inform his ex-wife who now has custody of their three children. He threatens to sue you if you reveal elements of his medical care to his wife.

What should you do?

A. Respect the patient's right to confidentiality
B. Transfer the patient's care to another physician as long as the patient agrees.
C. Ask the health department to inform the patient's ex-wife about the disease risk.
D. Seek a court order to inform the patient's ex-wife.
E. Inform the patient's ex-wife of the risk to the children.
F. Inform the ex-wife's doctor.
G. Inform the children and allow them to make the choice as to whether to get tested.
A right?
 

usmleswot

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7+ Year Member
Jan 11, 2012
50
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Medical Student
Apparently not. It's E. Inform the patient's ex-wife of the risk to the children.

This is based on the "do no harm" philosophy.

"In this case the children have a right to know whether their lives will be cut short. The right to one person's privacy is not as important as the right of another person to safety. This is the established standard and requires no court order. You are more liable if you do NOT inform the mother."
 
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MudPhud20XX

MudPhud20XX

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Nov 26, 2013
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A mother takes her son to the pediatrician to determine whether he is progressing in a developmentally appropriate manner. The child is able to sit alone, pull himself to a standing position, and hold his own bottle. The pediatrician reassures the mother that the child is "right on track." Which of the following is the most likely age of the child?
 

usmleswot

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7+ Year Member
Jan 11, 2012
50
13
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Medical Student
A mother takes her son to the pediatrician to determine whether he is progressing in a developmentally appropriate manner. The child is able to sit alone, pull himself to a standing position, and hold his own bottle. The pediatrician reassures the mother that the child is "right on track." Which of the following is the most likely age of the child?
~ 10 months
 
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MudPhud20XX

MudPhud20XX

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Nov 26, 2013
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excellent.

At the age of 10 months, a developmentally normal child should be able to sit alone, creep, point with an index finger, and pull himself to a standing position. The child should also be able to respond to social play, such as peek-a-boo games, and feed himself basic foods such as crackers and a bottle.
 
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MudPhud20XX

MudPhud20XX

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Nov 26, 2013
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A cohort study follows a group of patients with a history of myocardial infarction (MI) to determine whether daily physical activity reduces risk of recurrent MI independent of level of body mass index (BMI). Which of the following statistical tests is the best choice to determine this effect?

A. analysis of variance
B. Chi-square test
C. Logistic regression analysis
D. Power analysis
E. The t test
 

kagman

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Nov 8, 2013
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San Jose, California
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A cohort study follows a group of patients with a history of myocardial infarction (MI) to determine whether daily physical activity reduces risk of recurrent MI independent of level of body mass index (BMI). Which of the following statistical tests is the best choice to determine this effect?

A. analysis of variance
B. Chi-square test
C. Logistic regression analysis
D. Power analysis
E. The t test
Powr/?
 
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MudPhud20XX

MudPhud20XX

5+ Year Member
Nov 26, 2013
1,321
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Status
Medical Student
dang, I forgot the answer. I will check and get back to you.