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nbme q - sivastraba
#1
12 y/o haitian boy brought to health center for 1st time by mother and grandmother. The mother states "There was a voodoo curse place on my family and now my son his having problems b/c of that." Sge reports that for the past 6 mos he has been talking back to his teachers, has been suspended from school for skipping class, and has been defiant w/ all adults. He is failing 2 subjects in school and will need to attend summer classes. His med hx is significan for an allergy to sulfa drugs, a + PPD skin test for which was tx proph @ age of 10 years, and encopresis that resolved. He takes no meds. Pt is 5ft 4 in and weight 108 lbs. V?S are teno if 37 C, P: 80/min, and RR 18/min abd BP 90/50. Which of following is opening statment to mother?

1)Do u think ur son is taking drugs
2)I suggest u consult a vodoo priest for help with this problem
3)Tell me more about voodoo and its effect on ur sons behavior
4)There is no such thing as vodoo
5) Vodoo does not cause children to have bad behavior
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#2
tell me more# 3
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#3
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#4
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