#june2020mccqe1
A 46-year-old man with advanced pancreatic cancer is hospitalized following a pancreatic duct stent placement. He has recently been told that he is not a candidate for a Whipple procedure. His previously marked jaundice has improved, but he is experiencing ongoing 8 of 10 abdominal pain. The patient was divorced 6 years ago, and his parents are his only family. Since his procedure, the patient has asked several members of the medical team to help him end his life. Which of the following is the most appropriate next step?
(A) Admit this patient to hospice care
(B) Call patient’s family and inform them of patient’s request
(C) Consult the psychiatry service about patient’s ability to make medical decisions
(D) Evaluate pain management
(E) Increase opioid dosage with the intent of causing respiratory depression
A 46-year-old man with advanced pancreatic cancer is hospitalized following a pancreatic duct stent placement. He has recently been told that he is not a candidate for a Whipple procedure. His previously marked jaundice has improved, but he is experiencing ongoing 8 of 10 abdominal pain. The patient was divorced 6 years ago, and his parents are his only family. Since his procedure, the patient has asked several members of the medical team to help him end his life. Which of the following is the most appropriate next step?
(A) Admit this patient to hospice care
(B) Call patient’s family and inform them of patient’s request
(C) Consult the psychiatry service about patient’s ability to make medical decisions
(D) Evaluate pain management
(E) Increase opioid dosage with the intent of causing respiratory depression
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