07-24-2006, 07:30 AM
A 15-year-old boy presents to his family physician with a history of dysuria, fever, and urethral discharge of 3 days' duration. He confesses to having sex with an older girl a few days earlier. Physical examination reveals a well-nourished boy with no pallor. His blood pressure is 110/76 mm Hg, his pulse 79/minute regular, his respirations 18 breaths per minute, and he has an oral temperature of 100ºF (37.7ºC). A yellowish white discharge is noted through the urethra, and he has bilateral tender inguinal lymphadenopathy. Prior to treating this patient, the physician should:
A: Obtain parental consent
B: Counsel him on safe sexual practices
C: Notify state health authorities
D: Notify his sexual partner
E: Notify his parents after treating him
A: Obtain parental consent
B: Counsel him on safe sexual practices
C: Notify state health authorities
D: Notify his sexual partner
E: Notify his parents after treating him