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Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 58 Topic 6 Discussion

Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 58 Topic 6 Discussion

MCCQE Exam Topic 6 Question 58 Discussion:
Question #: 58
Topic #: 6

You are providing medical care to a 78-year-old man and notice a skin lesion which you suspect is malignant melanoma. He has been living in a long-term care facility for 2 years because of incontinence, mobility and vision problems. He is well-liked by facility staff and residents, manages his own affairs and communicates clearly. He has designated his daughter to be his substitute decision-maker and has signed a Do Not Resuscitate (DNR) order. Which one of the following is the best next step in providing care to this patient for his skin lesion?


A.

Ask him whether you can discuss your diagnosis and care with his daughter.


B.

Discuss your tentative diagnosis with him and ask about his preferences regarding investigations.


C.

Contact the daughter to inform her of your findings and discuss possible investigations.


D.

Perform a biopsy to ensure an accurate diagnosis before discussing diagnosis and treatment.


E.

Respect his DNR wishes, and do nothing about the skin lesion.


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