A 16-year-old teenager presents to his pediatrician complaining of burning with urination and purulent urethral discharge. He states that he has had unprotected sex with his girlfriend several times and recently she told him that she has gonorrhea. His blood pressure is 119/78 mm Hg, pulse is 85/min, respiratory rate is 14/min, and temperature is 36.8°C (98.2°F). The urethral meatus appears mildly erythematous, but no pus can be expressed. A testicular examination is normal. An in-office urine test reveals elevated leukocyte esterase levels. An additional swab was taken for further analysis. The patient wants to get treated right away but is afraid because he does not want his parents to know he is sexually active. What is the most appropriate next step for the pediatrician?
AInform the patient that his parents will not be informed, but he cannot receive medical care without their consent.
BContact child protective services.
CBreak confidentiality and inform the patient that his parents must consent to this treatment.
DMaintain confidentiality and treat the patient.
ETreat the patient and then break confidentiality and inform the parents of the care he received.
A 16-year-old girl is brought to the physician because she has not attained menarche. There is no personal or family history of serious illness. She is 165 cm (5 ft 5 in) tall and weighs 60 kg (132 lb); BMI is 22 kg/m2. Breast development is Tanner stage 4, and pubic hair development is Tanner stage 1. Pelvic examination shows a blind vaginal pouch. This patient is most likely to have which of the following karyotypes?
A47,XYY
B46,XY
C47,XXY
D46,XX
E45,XO
A 46-year-old woman presents to the clinic complaining that she “wets herself.” She states that over the past year she has noticed increased urinary leakage. At first it occurred only during her job, which involves restocking shelves with heavy appliances. Now she reports that she has to wear pads daily because leakage of urine will occur with simply coughing or sneezing. She denies fever, chills, dysuria, hematuria, or flank pain. She has no significant medical or surgical history, and takes no medications. Her last menstrual period was 8 months ago. She has 3 healthy daughters that were born by vaginal delivery. Which of the following tests, if performed, would most likely identify the patient’s diagnosis?
AMethylene blue dye
BPost-void residual volume
CUrodynamic testing
DEstrogen level
EQ-tip test
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