A 28-year-old woman comes to the physician for genetic counseling prior to conception. For the past year, she has had intermittent episodes of headache, nausea, abdominal pain, and tingling of her fingers. She also complains of dark urine during the episodes. Her mother and maternal uncle have similar symptoms and her father is healthy. Her husband is healthy and there is no history of serious illness in his family. Serum studies show elevated concentrations of porphobilinogen and δ-aminolevulinic acid. What is the probability of this patient having a child with the same disease as her?
A25%
B67%
C50%
D100%
A 45-year-old man is brought to the emergency department by his friends because of a 1-hour history of shortness of breath and squeezing chest pain. They were at a party where cocaine was consumed. A diagnosis of acute myocardial infarction is made. The physician stabilizes the patient and transfers him to the inpatient unit. Six hours later, his wife arrives at the emergency department and requests information about her husband's condition. Which of the following is the most appropriate action by the physician?
AAsk the wife for a marriage certificate
BInform the wife about her husband's condition
CConsult the hospital ethics committee
DObtain authorization from the patient to release information
ERequest the patient's durable power of attorney document
A 15-year-old female presents to her family physician for an annual school physical exam and check-up. She is accompanied by her mother to the visit and is present in the exam room. The patient has no complaints, and she does not have any past medical problems. She takes no medications. The patient reports that she remains active, exercising 5 times a week, and eats a healthy and varied diet. Which of the following would be the best way for the physician to obtain a more in-depth social history, including sexual history and use of alcohol, tobacco, or recreational drugs?
ADisallow the mother to be present in the examination room throughout the entirety of the visit
BGive the patient a social history questionnaire to fill out in the exam room
CAsk the mother to step outside into the hall for a portion of the visit
DAsk the patient the questions directly, with her mother still in the exam room
ESpeak softly to the patient so that the mother does not hear and the patient is not embarrassed
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