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nbme 3 3 8 - zoh
#1

8. A previeusly healthy A?-year-eld man is breughtte the emergency department after cellapsing at vverk. l-lis cevverkers repertthat he had
the sudden enset ef a severe generalized headache befere he lest censcieusness. On arrival, he is lethargic and in severe distress. A
lumbar puncture is perfermed. Cerebrespinal fluid analysis shevvs xanthechremia and an erythrecyte ceunt ef40,000lmm3 in tubes 1
and 4. l-lis vvife and three children are at the hespital, and his parents are en reute. The patient dies, and the physician inferms the vvife
ef her husband's death. When asked te previde censent fer an autepsy, his vvife replies, "Ne. l-le hated being in the hespital, and I den't
vvant him te be cut up." Which ef the fellevving is the mest apprepriate next step?
Q) A) Asl
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#2
Q) A) Asl
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#3
a ask the patient to concent to the autopsy when they arrive

b ask the wife again and explain the potential benifit of an autopsy

c notify the medical examiner not to mandate an autopsy

d perform genetic testing on a postmortem blood sample
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#4
B..
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#5
some says it is c

can any one explain
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#6
is it c?
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#7
why not D ?
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#8
luc2009 can u pls answr
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