confusing
That is confusing - because you would certainly do A, B and D! I guess the question is which you would do first, and so I would go with A as well: involving the patient in his own medical treatment is always a good idea, whether the patient is 4 years old or 40. It increases compliance with treatment and I would think probably allows us to get a better history from them.
We can exclude C because his mother has already tried many non-prescription medications, and "severe blemishes" could mean a cystic acne that will leave both physical and psychological scars if left untreated.
We can exclude E because we have not reached the limits of any generalist's scope of practice, and because of the "never refer on the USMLE" rule of thumb.
That is confusing - because you would certainly do A, B and D! I guess the question is which you would do first, and so I would go with A as well: involving the patient in his own medical treatment is always a good idea, whether the patient is 4 years old or 40. It increases compliance with treatment and I would think probably allows us to get a better history from them.
We can exclude C because his mother has already tried many non-prescription medications, and "severe blemishes" could mean a cystic acne that will leave both physical and psychological scars if left untreated.
We can exclude E because we have not reached the limits of any generalist's scope of practice, and because of the "never refer on the USMLE" rule of thumb.
