Title: Usmle Step 1 MCQ’s # 47
Subject: Behavioral Science
Q NO 47: The parents of a 5-year-old girl ask their family physician for advice regarding their child. The mother had walked into the girl’s bedroom without knocking and discovered the child stimulating her genitals. The parents are concerned, but seem to be receptive. The best response the physician could give is which of the following?
A. Do you think that someone’s been molesting her?
B. Don’t you think you should knock before going into her room?
C. She probably has a vaginal infection. Bring her in so I can examine her.
D. This is perfectly normal behavior for a child this age.
E. What disturbs you about this behavior?
Explanation:
The correct answer is E. Before the physician can provide guidance for the parents, the parents’ concerns need to be understood. While the described behavior is perfectly normal for a 5-year-old (choice D) , and it is appropriate for parents to knock on the door of their child’s room before entering (choice B) to teach children respect for privacy through modeling1the parents’ concerns must first be understood.
To immediately assume there is something physically wrong with the child (choice C) or that the child has been sexually abused (choice A) suggests that the physician may have some personal issues with children’s normal sexuality.
Source: http://www.usmleworldwide.com/blog/?p=1222
Subject: Behavioral Science
Q NO 47: The parents of a 5-year-old girl ask their family physician for advice regarding their child. The mother had walked into the girl’s bedroom without knocking and discovered the child stimulating her genitals. The parents are concerned, but seem to be receptive. The best response the physician could give is which of the following?
A. Do you think that someone’s been molesting her?
B. Don’t you think you should knock before going into her room?
C. She probably has a vaginal infection. Bring her in so I can examine her.
D. This is perfectly normal behavior for a child this age.
E. What disturbs you about this behavior?
Explanation:
The correct answer is E. Before the physician can provide guidance for the parents, the parents’ concerns need to be understood. While the described behavior is perfectly normal for a 5-year-old (choice D) , and it is appropriate for parents to knock on the door of their child’s room before entering (choice B) to teach children respect for privacy through modeling1the parents’ concerns must first be understood.
To immediately assume there is something physically wrong with the child (choice C) or that the child has been sexually abused (choice A) suggests that the physician may have some personal issues with children’s normal sexuality.
Source: http://www.usmleworldwide.com/blog/?p=1222
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