•A 17-year-old girl comes to the office for a complete physical examination before going off to college. You have been the physician for her and her brother since birth, and for both her parents for the past 20 years. The patient has been very healthy and has had all of her immunizations. Her mother is always in the waiting room as you obtain the history and perform the physical examination. The patient admits to you that she has had her first sexual experience after the prom a few weeks ago. After she tells you this she becomes very worried that you will tell her mother. At this time you should •
A. advise her to tell her mother herself so you will not have to tell her •
B. explain that you will not bring up the issue but that you cannot lie if the mother specifically asks if her daughter is sexually active •
C. perform a pelvic examination and obtain a Pap smear specimen •
D. tell the patient that your conversations with her will remain confidential •
E. try to convince her to talk about these issues with her mother •
