WBR0411

Author	[[PageAuthor::Rim Halaby, M.D. [1]]]
Exam Type	ExamType::USMLE Step 1
Main Category	MainCategory::Behavioral Science/Psychiatry
Sub Category	SubCategory::Genitourinary
Prompt	[[Prompt::A 16 year old female patient presents to your office with fever and pelvic pain. Upon further questioning, she admits to having a positive sexual history with multiple partners. Work-up reveals pelvic inflammatory disease (PID). You tell her that her condition is caused by her sexual activity. She asks that you do not tell her parents and requests further treatment for her condition. Among the list of possible replies, what should your reply be?]]
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 an 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. Educational Objective: References: ]]
Approved	Approved::No
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