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  #1  
Old 03-29-2012
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Medicolegal and Ethics Don't tell my parents I need OCP

A 16-year-old girl comes to see her physician for a standard physical examination prior to attending summer camp. The examination is unremarkable. The girl falls within the normal range for height and weight. The physician notes that she has had menses for the past 4 years. As the girl is getting dressed, the physician sits and completes the required forms for the camp. When handed the completed forms, the girl thanks the physician and says, “Just one more thing. Could you also give me a prescription for birth control pills? I’m going to camp with my boyfriend and want to be prepared. And please, please, don’t tell my parents!” The physician’s most appropriate reply would be which of the following?

A. “Before I write you that type of prescription, I’d like to examine your boyfriend first.”
B. “How long have you been having sexual relations with your boyfriend?”
C. “I can only give you a prescription like that if I have your parents’ permission. Let’s set up a time to talk with them.”
D. “I wish you would reconsider. Sex before marriage can be very complicated.”
E. “I’ll be glad to give you the prescription, but I want you to discuss things with your parents first.”
F. “I’ll be happy to give you a prescription, but let’s talk about some important issues first.”
G. “I’ll make a decision about the prescription after I have a discussion with you and your boyfriend. When should we schedule that?”
H. “I’m pleased that you are responsible enough to be prepared. I’ll be happy to give you the prescription and see no reason to tell your parents.”
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  #2  
Old 03-29-2012
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Give her pills and don't tell parents. (H)

=========================

I would really love to look at the folks who are choosing D
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  #3  
Old 03-29-2012
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Default F

Rather Keeping pts request under consideration would make her listen to his advice(later she can think over it again) than turning it down or writing it of without proper advice.. Not sure, these ethics Qs are tricky/subjective
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Old 03-29-2012
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this one is from kaplan qbank
I think its f
Atleast he must tell her any side effects or that these pills cant prevent stds so she must use more protective things..
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Old 03-29-2012
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H...........
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Matched!!!
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Old 03-29-2012
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The correct answer here is F. “I’ll be happy to give you a prescription, but let’s talk about some important issues first.”

You are allowed to give the patient OCP's since you are preventing STD's etc. Also you have to inform the patient of risk of STD's and OCPs and talk to them and educate them!
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Old 03-29-2012
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I go for F!!
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Old 03-30-2012
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Yep, F it is... This was emphasized in the kaplan videos.
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