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MMLU / A 35-year-old woman comes to the office because of a 3-day history of severe…

Problem

Answer published by the source. Consult the official source to check your work against its answer.

question

A 35-year-old woman comes to the office because of a 3-day history of severe right back pain. She has not had any fever, chills, or weight loss. She has no history of major medical illness. Musculoskeletal and neurologic examinations show no abnormalities. When told that her examination is normal, the patient becomes tearful and demands an MRI of her back because her mother just died from breast cancer metastatic to bone and she fears that she may also have cancer. The patient already contacted her insurance company, who told her that if she has neurologic abnormalities an MRI may be covered by her plan. The patient asks the physician to order the MRI indicating that she has neurologic findings. Which of the following is the most appropriate initial action by the physician?

choices

  1. Advise the patient to change insurance companies as soon as she is able so that she can receive more comprehensive medical care
  2. Explain that the patient does not need the MRI and that it is not appropriate to misrepresent her examination findings
  3. Immediately inform the patient's insurance company about what the patient has asked the physician to do
  4. Order the MRI as the patient requests

subject

professional_medicine

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Source and history

task_id
cd6e30b1-fe1a-5f41-b7b5-704bd6cedc5e
task_key
all--test--cd6e30b1-fe1a-5f41-b7b5-704bd6cedc5e
task_revision_id
1
config / split
all / test

Official source

initial import