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MMLU / A 2-year-old boy is brought to the office by his mother for follow-up of a…

Problem

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question

A 2-year-old boy is brought to the office by his mother for follow-up of a chromosome analysis done 1 month ago. The child has minor dysmorphic features, and growth and developmental delay. Chromosome analysis showed a small unbalanced chromosome translocation, with extra chromosomal material at the tip of chromosome 3. The cytogenetics laboratory requested blood samples from both parents for follow-up studies. The parents are divorced, and the mother has custody of the child. The relationship between the parents is hostile. The mother has been tested and has normal chromosomes without evidence of translocation. At today's visit, she reacts angrily when the issue of contacting the child's father for testing is raised. She states that he abandoned them and that he has no interest in his child. She refuses to cooperate in contacting the father, who could be a translocation carrier. You do not know the father, but an office worker told you that he lives in a nearby town. The mother says that he is living with a new girlfriend. Which of the following is the most appropriate next step?

choices

  1. Attempt to identify the father's physician and work with that physician to obtain chromosome studies on the father
  2. Contact the father by telephone and arrange for him to give a blood sample at a local hospital
  3. Document your attempts to work with the mother but proceed no further, since you have no physician-patient relationship with the father
  4. Help the mother deal with her anger and educate her regarding the potential benefit to her son and others if the father's chromosome studies are done

subject

professional_medicine

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Source and history

task_id
2e1e9bcb-9233-5e4a-8444-e5bb9a4b0576
task_key
all--test--2e1e9bcb-9233-5e4a-8444-e5bb9a4b0576
task_revision_id
1
config / split
all / test

Official source

initial import