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  1. #1
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    What will you answer to this patient?

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    You are in a party and your one of the guess comes to you and say Hey Doc I have a question, during the past year I have been suffering from peptic ulcer, but when I go to the Doc, he treats me and I get better then I get them back again, Iím frustrated with this, I started to smoke again because the past year they gave me that big promo, but it has a lot of responsibilities that I was not aware of.

    What will you answer to this patient?
    1-Stop Smoking
    2-Give 3 therapy
    3-Tell him to go back to his Doc
    4-Tell him that he has esophagus cancer
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  2. #2
    rose.82 is offline Junior Member 510 points
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    Hi,

    I think the answer is 1-Stop Smoking.

  3. #3
    Dr. X's Avatar
    Dr. X is offline Member
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    i would probably say "im a doctor, im not your doctor".. lol.. sorry.. saw it on a tshirt and had to share. what is give 3 therapy? even though you cant be just prescribing like that.

    stress plays a bigger role in relapse of peptic ulcer than smoking. Also, while the heavy smokers relapse sooner, non-smokers may relapse later. The reason im saying this is because stopping smoking (a risk factor) does not necessarily mean that his peptic ulcer will not relapse. I would advice him on any details he wishes to know (even about H.pylori and Nsaids) yet ultimately suggest that he pays a visit to his physician for a thorough examination and start therapy accordingly.

    ya whenever we see the answer choice "send him to another doctor", the reflex kicks in reminding us that we MUST not refer to another doctor without a real need. I have also read in UW explanation, if you ever see "send him to another doctor", chances are very high that wont be the answer. In this case however, this is not your patient and is only a guest.
    Last edited by Dr. X; 06-21-2007 at 12:29 AM.
    SJSM.

  4. #4
    Ella is offline Member 510 points
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    I agree ... normally never refer a patient to another doc...but in this case i think the answer is 3 - Tell him to go back to his Doc.

  5. #5
    nafees ahmad is offline Newbie 510 points
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    in medical ethics tell him to go to his doc

  6. #6
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    shisha is offline Junior Member 510 points
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    whats the correct one img survivor

  7. #7
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    MDXRS22 is offline Ultimate Member 515 points
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    Go to your Doc and stay there for a while. THis is the right and best answer.
    I need to think about something...maybe you know what...

  8. #8
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    student-2 is offline Senior Member 510 points
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    USMLE is big on advising against smoking. I don't think you can ever go wrong with that

  9. #9
    nicolasita is offline Junior Member 510 points
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    Hi,
    I think that after all those arguments the best choice is "go and see your doc".

  10. #10
    rose.82 is offline Junior Member 510 points
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    Hi ,
    The answer is 1-stop smoking.

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