WBR0411

Author	[[PageAuthor::Yazan Daaboul, M.D. (Reviewed by Yazan Daaboul, M.D.)]]
Exam Type	ExamType::USMLE Step 1
Main Category	MainCategory::Behavioral Science/Psychiatry
Sub Category	SubCategory::Genitourinary
Prompt	[[Prompt::A 16-year-old girl presents to the physician's office with fever and pelvic pain. Upon further questioning, she admits to a sexual history with multiple partners in the past 4 months. Following history-taking and physical examination, the patient is diagnosed with pelvic inflammatory disease (PID). The physician informs her that her condition is caused by her sexual activity and she requires antimicrobial therapy. She agrees to be treated, but she asks the physician that he does not tell her parents about her condition. What is the most appropriate reply ?]]
Answer A	AnswerA::“I cannot treat you and I have to tell your parents”
Answer A Explanation	[[AnswerAExp::Parental consent is not required for treatment for STI among minors. Treatment should be given for minors presenting with a STI.]]
Answer B	AnswerB::“I will treat you, but I have to tell your parents”
Answer B Explanation	AnswerBExp::Parental consent is not required for treatment for STI among minors. Physician should not tell her parents if the patient does not wish to.
Answer C	AnswerC::“I cannot treat you, but I will not tell your parents”
Answer C Explanation	AnswerCExp::Treatment of STI is necessary even without parental consent.
Answer D	AnswerD::“I will treat you, and I will not tell your parents”
Answer D Explanation	AnswerDExp::In the case of a minor presenting with STI, parental consent is not required and treatment is necessary.
Answer E	AnswerE::“I have to call the police”
Answer E Explanation	AnswerEExp::Police should be called when suspecting abuse. In this case, the patient’s presentation is not suspicious for abuse. Calling that police is not necessary.
Right Answer	RightAnswer::D
Explanation	[[Explanation::A minor is considered any person less than 18 years of age. Generally, parental consent is needed to treat minors. However, there are some exceptions where the physician can treat minors without parental consent. Sexually transmitted infections (STI) are one example where a physician can treat a minor without parental consent. Educational Objective: Minors are people who are less than 18 years of age. Parental consent is generally required for medical care of minors. In the case of a minor presenting with STI, parental consent is not required and treatment is necessary. References: First Aid 2014 page 59]]
Approved	Approved::No
Keyword	WBRKeyword::Sexually transmitted infections, WBRKeyword::parental consent
Linked Question	Linked::
Order in Linked Questions	LinkedOrder::