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Old 10-22-2012
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Arrow Gyrus Daily Questions; Ethics #6

A pregnant woman and her husband ask their physician to do genetic testing to determine if the fetus she is carrying is at risk for cystic fibrosis. The test shows that the husband is not the child's biological father. With respect to this paternity finding the physician should
A) tell only the mother
B)tell only the husband
(C) tell both the mother and the husband
D write it in the chart but do not tell the couple
(E) neither write it in the chart nor tell the couple
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Quote:
Originally Posted by cingulate.gyrus View Post
A pregnant woman and her husband ask their physician to do genetic testing to determine if the fetus she is carrying is at risk for cystic fibrosis. The test shows that the husband is not the child's biological father. With respect to this paternity finding the physician should
A) tell only the mother
B)tell only the husband
(C) tell both the mother and the husband
D write it in the chart but do not tell the couple
(E) neither write it in the chart nor tell the couple
Tough question

I will take A as the answer. I think since the fetus is in mother's body, she should be notified first about it. Also, I think it is common sense that this would lead to a conflict between the husband and the wife. So the role of physician should be to encourage discussion between the partners and not to disclose the findings by himself.
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Old 10-22-2012
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Never came across such weirdo stuff

i would choose E
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Old 10-22-2012
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(E) neither write it in the chart nor tell the couple ??
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Old 10-22-2012
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I faced this kind of situation when i was doing my internship.

He did a medical procedure or diagnostic test, therefore HE HAS to document it so E is ruled out.

Second the test was done only to know if the kid had cystic fibrosis but not exactly to know who was the biological father so... this leaves either choice A; tell the mother and then encourage her to tell her husband that she was a lying slut OR D, write in the chart without telling them(which is not ok because one must inform the patient of the findings of any given medical procedure, doesnt matter if it is diagnostic or therapeutic).

Ill go for Option A ...=)
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Old 10-22-2012
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The answer is E neither write it in the chart nor tell the couple

With respect to the paternity finding the physician should neither write it in the chart nor tell the couple. According to the American Medical Association Code of Medical Ethics, it is not appropriate for physicians to divulge information obtained serendipitously in the course of genetic testing and unrelated to the purpose of the testing.
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Old 10-23-2012
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Hey thanks for the clarification..I've a doubt. Does it apply only to questions involving paternity or even in the course of treatment. If the doctor finds a completely unrelated but grave illness in the course of present illness serendipitously, should he reveal it to the patient or let it go? I'm guessing he should..but wanted to ask in terms of right answer for this question..what will be right.

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Old 10-23-2012
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Quote:
Originally Posted by drlimerence View Post
Hey thanks for the clarification..I've a doubt. Does it apply only to questions involving paternity or even in the course of treatment. If the doctor finds a completely unrelated but grave illness in the course of present illness serendipitously, should he reveal it to the patient or let it go? I'm guessing he should..but wanted to ask in terms of right answer for this question..what will be right.

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Its only regarding paternity....In case of other finding regarding illness obviously should be discussed with patient..
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Old 10-27-2012
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Quote:
Originally Posted by cingulate.gyrus View Post
The answer is E neither write it in the chart nor tell the couple

With respect to the paternity finding the physician should neither write it in the chart nor tell the couple. According to the American Medical Association Code of Medical Ethics, it is not appropriate for physicians to divulge information obtained serendipitously in the course of genetic testing and unrelated to the purpose of the testing.
If genetic testing reveals information unrelated to the presence or absence of genetic disorder (example of paternity testing is added here by BRS), it is not necessary for the physician to divulge such information to anyone.

SOURCE: BRS

Just thought I should spread the good words and reinforce OP's point.
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