08-11-2007, 10:36 PM
A 27-year-old office manager with a history of generalized anxiety has had multiple recent
visits to the physician for a several month history of fatigue. Evaluation thus far has revealed a
normal physical examination as well as screening laboratories that are within normal limits.
The serum thyroid- stimulating hormone level is 2.3 uU/mL. Inquiring about specific symptoms
of depression on the last visit yielded the diagnosis of depression, and treatment options were
discussed with her. On this visit she expresses frustration that a medical etiology of her fatigue
has not been identified and she demands to see the clinic notes from her last several visits.
Which of the following would be the most appropriate response the physician could make?
A.Agree to show her the records only after she undergoes treatment for her depression
B.Attempt to arrange to review her clinic records with her as soon as possible
C.Discuss her case with a lawyer prior to showing her the records
D.Explain to her that physician-patient confidentiality prohibits her from seeing her medical
record
E. Immediately make copies of her medical record for her to review at her convenience
visits to the physician for a several month history of fatigue. Evaluation thus far has revealed a
normal physical examination as well as screening laboratories that are within normal limits.
The serum thyroid- stimulating hormone level is 2.3 uU/mL. Inquiring about specific symptoms
of depression on the last visit yielded the diagnosis of depression, and treatment options were
discussed with her. On this visit she expresses frustration that a medical etiology of her fatigue
has not been identified and she demands to see the clinic notes from her last several visits.
Which of the following would be the most appropriate response the physician could make?
A.Agree to show her the records only after she undergoes treatment for her depression
B.Attempt to arrange to review her clinic records with her as soon as possible
C.Discuss her case with a lawyer prior to showing her the records
D.Explain to her that physician-patient confidentiality prohibits her from seeing her medical
record
E. Immediately make copies of her medical record for her to review at her convenience