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  #1  
Old 08-13-2011
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Psyche Parents are concerned about child behavior

Parents of a 5 year old girl ask their family physician for advice regarding their child. The mother had walked into the girl's bedroom without knocking and discovered the child stimulating her genitals. The parents are concerned but seem to be receptive. The best response the physician could give is which of the following?

A) Do you think someone's been molesting her?
B) Don't you think you should knock before going into her room?
C) She probably has a vaginal infection. Bring her in so I can examine her.
D) This is perfectly normal behavior for a child this age.
E) What disturbs you about this behavior?
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E - What disturbs you about this behavior?
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Old 08-13-2011
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What disturbs you about this behavior
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Old 08-13-2011
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Thumbs Up D) this is normal for this age

Masturbation is normal for this age, Reassure mother...
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Old 08-13-2011
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Quote:
Originally Posted by drgsarunprasath View Post
Masturbation is normal for this age,Reassure mother...
Dude seriously?

Puberty hits at 12, how can this be normal? Lol
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Old 08-13-2011
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Default Ans.

E) What disturbs you about this behavior?
Always address patients with open ended questions.
Actually, if this wasn't a choice, the correct answer would be to tell the mom that masturbation is normal at that age, it is not something they do consciously (as in puberty.... ) but it is actually normal in little kids.
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Old 08-13-2011
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Default Dude !!! too funny :) aren't you

Quote:
Originally Posted by patelMD View Post
Dude seriously?

Puberty hits at 12, how can this be normal? Lol


Masturbtion is normal from infancy to old age...

one article says's like this "children are always eager to know whats inside their nappies they try to take it to there at every opportunity they get and its jus like they touch their eyes,ears,nose"


I want yo to check out Kaplan Review, Behavioural sciences Pg no : 63 first

line under the topic masturbation , or drop ur mail id i can send pdf !!!!

Of course i cant read that aloud for u !!!
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Old 08-13-2011
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Default So Open ended Question for everything?

Quote:
Originally Posted by NGaleas View Post
E) What disturbs you about this behavior?
Always address patients with open ended questions.
Actually, if this wasn't a choice, the correct answer would be to tell the mom that masturbation is normal at that age, it is not something they do consciously (as in puberty.... ) but it is actually normal in little kids.

It's normal for mother being concerned about a five year kid masturbating,does

what's u concern about that,a open ended question fit in here?

I would choose D) rather than E)
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Old 08-13-2011
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D.nl for a child this age
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Old 08-13-2011
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E) What disturbs you about this behavior
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Old 08-14-2011
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Quote:
Originally Posted by drgsarunprasath View Post
It's normal for mother being concerned about a five year kid masturbating,does

what's u concern about that,a open ended question fit in here?

I would choose D) rather than E)
When starting an interview, it is best to start with open ended questions, when you ask the mom "what`s your concern about that?" you give her the opportunity to elaborate, for example, she can give you more information about the child's background, who knows, even someone can be molesting her. As I stated before, it is correct to tell the mom that it is perfectly normal at that age, but in usmle you cannot be so straightforward to patients, which would also be correct to do in the real world, to let patients talk and describe their concerns.
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D...exactly normal for this age.
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Old 08-14-2011
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i would go wid D). its normal for this age...
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I agree E) What disturbs you about this behavior?

The correct answer is - E) What disturbs you about this behavior?

Explanation -

Before the physician can provide guidance for the parents, the parents' concerns need to be understood. While the described behavior is perfectly normal for a 5-year-old (choice D), and it is appropriate for parents to knock on the door of their child's room before entering (choice B) to teach children respect for privacy through modeling, the parents' concerns must first be understood.

To immediately assume there is something physically wrong with the child (choice C) or that the child has been sexually abused (choice A) suggests that the physician may have some personal issues with children's normal
sexuality.
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