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NBME 22 Answers

nbme22/Block 1/Question#13 (18.1 difficulty score)
A 13-year-old girl is brought to the ...
Ask the mother to leave the room before asking the patient any questions🔍

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submitted by dr.xx(129),
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nrugiD tihs inliati ,oetnecurn ew essilathb wtha teh 'stparne srconcne aer, ntiboa a fmayil sht,royi nda aks buoat seuiprov cmdalei isTh egibns the iortinatns from partne to ente as eth dclemai on.iartihs We txne aks apsentr to aitw ni the iwgtina omor os thta ew can eskap yaplrvite tiwh teh tdelsocea.n eW rviiwnete hte eecnaoltds ,onlea rrofmpe a shlpiayc tnoainmeaix itwh a pn,ahreoec nad htne vtinie eht aretsnp ckab tino teh oorm ta hte csiuonncol fo hte siitv ot icdsssu uro .nnisfdgi


Just in case anyone is wondering why option: "tell the patient that some sensitive questions are next and only she can ask he mother to leave " is not correct------because we don't want to put the poor kiddoo in an odd position by simply asking her to request her mom to leave :)

The encounter should begin with the teen and parents discussing the teen's past medical history and parents' concerns

Parents should be asked to wait in the waiting room and be reassured that they will be invited back in to discuss any remaining issues

Once alone with the teen, establish ground rules for confidentiality

The teen's history yields far more information than the physical examination and results of diagnostic tests

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ietryerdaH or( iaudrqce) inaeedomag = 1C ntihborii yde.iifnecc titaePn sha a 9-yare xH fo tfos istues ,iwenlgsl alepcseyli fo eht cae.f stI' omAultoas Dmtanino fi hredieti,n or nca eb reaiqcud uroghht pltilmeu sm.hsamcine


dr.xx  wrong question? +2