08-14-2007, 10:32 AM
A 16-year-old girl is brought to the office by her mother for a periodic health maintenance examination.
She has no complaints. She is preparing to go to Spain for 4 months as part of a foreign exchange
program. She tells you that she earns As and Bs in school, participates on the tennis and badminton
teams, and is the assistant editor of the school newspaper. Her mother joins in by saying that she is so
proud that her daughter is president of Student Athletes Against Drugs. Before you begin the physical
examination you want to ask her if she is sexually active and so you ask the mother to leave the room.
She tells you that the daughter shares "everything" with her and so she can stay. At this time you should
A. ask the patient if she engages in sexual activity with girls, guys, or both
B. ask the patient if she has ever had sexual intercourse or if she has ever been sexually active
C. ask the patient if she wants her mother to stay in the room during the sexual history
D. tell the mother that the annual checkup of every adolescent includes a private
interview
E. tell the mother that you doubt that her daughter shares "everything" and since it is important
for your management to know "the whole truth," the interview should be done in private
She has no complaints. She is preparing to go to Spain for 4 months as part of a foreign exchange
program. She tells you that she earns As and Bs in school, participates on the tennis and badminton
teams, and is the assistant editor of the school newspaper. Her mother joins in by saying that she is so
proud that her daughter is president of Student Athletes Against Drugs. Before you begin the physical
examination you want to ask her if she is sexually active and so you ask the mother to leave the room.
She tells you that the daughter shares "everything" with her and so she can stay. At this time you should
A. ask the patient if she engages in sexual activity with girls, guys, or both
B. ask the patient if she has ever had sexual intercourse or if she has ever been sexually active
C. ask the patient if she wants her mother to stay in the room during the sexual history
D. tell the mother that the annual checkup of every adolescent includes a private
interview
E. tell the mother that you doubt that her daughter shares "everything" and since it is important
for your management to know "the whole truth," the interview should be done in private