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nbme2 b1 - staystrong - Printable Version

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nbme2 b1 - staystrong - ArchivalUser - 07-16-2009

2. A 15-year-old girl is brought to the emergency
department by her
20-year-old sister because of a 1-week history of
fatigue, nausea, and
abdominal pain. Menarche was at the age of 12 years,
and her last
menstrual period was 3 weeks ago. She has not had
vaginal discharge. She
is sexually active, and she and her partner use
condoms inconsistently.
Her temperature is 37 C (98.6 F), blood pressure is
110/60 mm Hg, and
pulse is 95/min. Abdominal examination shows mild
bilateral lower
quadrant tenderness. Before a pelvic examination and
a pregnancy test can
be performed in this patient, consent must be obtained
from which of the
following?

A
) The court

B
) The patient

C
) The patient's parent

D
) The patient's sister

E
) No consent is necessary



0 - ArchivalUser - 07-16-2009

why B not C?


0 - ArchivalUser - 07-16-2009

B) The patient ( the same thing for sexually transmitted disease , OCP etc ).


0 - ArchivalUser - 07-16-2009

this pt is not confirmed pregnant or pregnancy related. i don't get why it is B.


0 - ArchivalUser - 07-16-2009

in sexually related diseases pt can consent regardless of age


0 - ArchivalUser - 07-16-2009

C. Parent... the patient did not specificly come in for a pregnancy test or std related illness...she is not emancipated from her parents and attempts to contact them have not been made.


0 - ArchivalUser - 07-16-2009

i think it is bb.


0 - ArchivalUser - 07-16-2009

Pregnancy Help Centers/Clinics have traditionally provided pregnancy-related services to minors without being required to first contact the parents of the minors. Since the issuance of Roe v. Wade and subsequent Supreme Court decisions that allow minors to obtain abortions without parental consent, states have allowed pregnancy-related services to be provided to minors without requiring consent or notification of the minor's parents.

According to a December 1, 2006, study by the Guttmacher Institute,1 most states currently have laws that allow minors to obtain confidential prenatal care, including pregnancy testing and ultrasound services, without obtaining parental consent or notification.


0 - ArchivalUser - 07-16-2009

Minors can consent for themselves in case of STDs, Pregnancy Testing, Abortion and rehab for drug abuse. So the answer is B