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  #1  
Old 03-27-2012
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Medicolegal and Ethics 16-yr-old pregnant doesnt want to tell her parents!

A 16 yr old female is in your office because she has just found out that she is pregnant. She discuses her options and asks you to refer for abortion. She states that her parents don't know and she doesn't want them to know

what do you do?

A. refer her for abortion without parent consultation
B. make a reasonable effort to contact the parents but still refer her for abortion if you cannot contact her parents
C. do not refer her for abortion without parental consent
D. seek a court order declaring her emancipated
E. strongly encourage her to discuss the issue with her parents
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  #2  
Old 03-27-2012
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either A or E

i'll go with A.
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  #3  
Old 03-27-2012
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i go with E
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  #4  
Old 03-27-2012
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i also marked A but got it wrong
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  #5  
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but she is an emancipated minor and emancipated minor(partial) have special rules for 1.substance abuse
2.prenatal care
3.STD treatment
4.Birth control
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Old 03-27-2012
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E should say 'urge her to talk to her parents and refer her to abortion clinic'

just saying urge her to talk to parents is stupid.
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Old 03-27-2012
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Even though she is an emancipated minor, when given in the options u shd always choose the one which says "encourage discussion blah blah"
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Old 03-27-2012
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in most states abortion is illegal, so on step1 never choose the option of abortion. since she is emancipated, she can make the decision of not aborting, but not of aborting
crazy ethics
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  #9  
Old 03-27-2012
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Well in FA it says many states require a consent for minors for an abortion. Unless she is at a medical risk, u shouldn't advise the patient to have an abortion regardless of her age or condition of the fetus. So my guess would be that u should try and encourage her to discuss.. E?!
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all the options except for E are pro-abortion. E just states that you should encourage her to talk to her parents ... i think in the real exam they would add more to that option. But yeah I would go with E.
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Default Answer given was E

Ethics,ethics ethics so damn confusing
my head is spinning
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Old 03-27-2012
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I think you should give a read to ethics by conrad fisher, if you got time on your hands for sure.
In his book for abortion of a minor it says, rules on parental notification are less clear because some states require notification and some don't. So if a girl of 16 years comes to see you for abortion there is no clear answer whether the physician should notify the parents. The most likely answer is encourage the child to notify the parents herself. Correct answer will say "encourage discussion", "Counsel her to tell her parents herself", or "Suggest family meeting". On ethics questions for USMLE, if there is a choice that says to discuss, confer, meet, or have voluntary notification, this will be the right thing to do first.

--hope this helped
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The answer is E.
Although the girl is an emancipated minor and can abort the baby. It is your duty to try to get the girl to talk to her parents about it. However, if she doesn't want to discuss it with her parents then you do have to abort it without the parents consult.

Read Conrad's 100 cases... I was bad at these first too.. But after reading his book I am better at it than I was... It really helps.. You can read it in a day or two max.
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Old 03-28-2012
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i have read that book and these questions i was doubtful about that is why posted here
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