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A 34-year-old man with trisomy 21 is brought to the Emergency Department because of a...

Medical Council of Canada MCCQE Full Course Access
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A 34-year-old man with trisomy 21 is brought to the Emergency Department because of a painful, red great toe. He is accompanied by an older woman who begins giving you the history as you enter the room. The patient is sitting on the examination table with the foot exposed, but he does not speak. Which one of the following is the best next step?

A.

Allow the woman to continue with the history to expedite the patient encounter.

B.

Establish the relationship between the woman and the patient and direct questions to the patient.

C.

Ask the woman to provide legal documentation of her responsibility for the patient.

D.

Have a nurse attend with you in case the patient needs restraint.

E.

Examine the uncovered foot immediately to provide comfort to the patient sooner.

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