nbme2 , q - pth

[ArchivalUser]

18- A 59 year old man comes to the physicina because he has had malaise,
fatique and anorexia since losing his job 3 month ago. serum Y glutamyltrans
ferase GGT activity is increased . which of the following Question is most
appropriate to inticiate a discussion about this use of alcohol?
A- Do you think you are a problem drinker?
B- How much do you drink in a typical week?
C- is there something you have not told me so far?
D- So , do you like to hit the bottle sometime?
E- What is you favourite drink?
F- You are not a drinker , are you?

[ArchivalUser]

c..

[ArchivalUser]

b...

[ArchivalUser]

B..
QUANTITY DEPEND >>>>SEVERITY OF DISEASE

[ArchivalUser]

b/

[ArchivalUser]

can some1 explain?? wudnt "b" will be like confronting.y not c or e?

[ArchivalUser]

b is an open ended Q ...u want him to be open with u ...u want him to speak up right?
he can lie to u abt option c n e very easily .u dont want to hear a lie.u want to get truth out of him.
read 20 rules in kaplan B sci n learn it by heart.

[ArchivalUser]

i think c wud be polite and inviting discussiona nd also giev a the patient some comfort
i go for c