16 yr old girl asking for birth control pills - USMLE Forums
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  #1  
Old 05-29-2010
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Medicolegal and Ethics 16 yr old girl asking for birth control pills

A 16-year-old girl is brought to the physician by her mother for a physical examination required for attendance at summer camp. The mother leaves the room before the examination, and the patient says, “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!" Physical examination shows no abnormalities and the patient has reached appropriate developmental milestones. Which of the following is the most appropriate response for the physician?

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 give you a prescription like that only if I have your parents' permission. Let's set up a time to talk with them."
D) "I'll be glad to give you the prescription, but I want you to discuss things with your parents first"
E) "I'll be happy to give you a prescription, but let's talk about some important issues first."
F) "I'll make a decision about the prescription after I have a discussion with you and your boyfriend. When should we schedule that?"
G) "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."
H) "I wish you would reconsider. Sex before marriage can be very complicated."
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  #2  
Old 05-29-2010
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G- give the pills.

I'd think - E might be a possiblity too, but I'd say that that still the first thing we do is give the pills and then talk about "issues". Besides - she's being fairly reasonable herself - she wants to be prepared.

So yeah, G.
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  #3  
Old 05-29-2010
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i think G is the correct ans cos the doctor does not ve to ve a discussion with the parent or get parent's consent before giving the 16yr old patient a contraceptive pills.
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  #4  
Old 05-29-2010
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Yup i will go with g too because doctor can prescribe the oco to pt without the parents concern
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  #5  
Old 05-30-2010
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Default E is correct..

sorry guys its E-"I'll be happy to give you a prescription, but let's talk about some important issues first."
here is explanation from kaplan...core to this Q is contrast between wt the low allows & wt the good practice of medicine demand. simply doing wt the low allows is not enough...under partial emancipation rules any minor between 15 to 17 can make medical decisions for him/her self in four areas without parental involvement or notification...1) STD Rx 2) substance abuse Rx 3) birth control 4) prenatal care...under this rule low allows the physician to write this girl the prescription of BC pills without parental notification,however the best answer requires more from physician. This girl is so certain she will become sexually active that she asks for BC pills,before a prescription can be written an informed consent must be obtained...consent requires a review of the benefits and risks of the requested option as well as all other available alternatives,including barrier methods...prescription should not be given without discussion of this issue first..note that the physician's job is not to lecture here but to find out wt the girl already knows & to give her wtever information she is lacking...
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  #6  
Old 05-30-2010
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Send a message via Yahoo to silakan_isi
Smile Yup,

Back in my country , E is the best Answer afrter All
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  #7  
Old 05-30-2010
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Perfect... I learnt something today... This is a good day! Thanks Khushboo!
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  #8  
Old 05-30-2010
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YES!! i tot it was E too. the child needs to understand the side effects like putting on weight, nausea and the need to stick to schedule.
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