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NBME 18 Answers

nbme18/Block 1/Question#33 (12.9 difficulty score)
35 yo woman with pain and swelling of ...
Have a chaperone join them for the remainder of the examination🔍
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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

wishmewell  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. +1  
groovygrinch  Can someone explain why " Tell the patient that it is common for patients to fantasize about their physicians" is wrong? +  
mumenrider4ever  @groovygrinch I don't think it's normal for patients to have sexual fantasies about their physicians lol +1  
abcdefbhiximab  @groovygrinch lmao +  



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submitted by dave_(1),

I just thought of the chaperone action as a CYA; if the patient tries to make a case, I'll have a witness. Plus, it'll probably make her come back with those complaints again. Switching to a more neutral topic likely won't work...the physician has probably tried that and she just comes back.