QuestionSBA
QuestionChoice
This may be well-meaning but it does not involve the patient being treated and would be breaking confidentiality for an inappropriate reason.
10034980
d
Refuse and contact his wife to alert her of the presentation in the public interest
QuestionChoice
Whilst this may be well-meaning, it does not address his concerns and will be perceived as inflammatory. His treating doctor should advise him to disclose his history to sexual partners but should not threaten the patient.
10034978
b
Refuse and remind him that he legally must tell his wife or face criminal charges
QuestionChoice
If treatment is prescribed in a GP practice, it must be documented on the records and not doing so is a probity issue.
10034981
e
Accept and advise the patient that he must tell his wife
QuestionChoice
This is correct. If treatment is prescribed in a GP practice, it must be documented on the records and not doing so is a probity issue. The patient can seek help from a sexual health clinic that is not connected to the GP practice if he is concerned. The patient should be reminded of the duty of confidentiality that all doctors must abide by.
10034977
a
Refuse and offer an appointment at a sexual health clinic
QuestionChoice
If treatment is prescribed in a GP practice, it must be documented on the records and not doing so is a probity issue.
10034979
c
Accept and prescribe the antibiotics without documentation
QuestionComment
would this be different if it was HIV rather than a different STI?
43814
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Fungal Epidermis
QuestionComment
hiv is still a non-communicable disease
44537
QuestionComment
"Communicable diseases, including HIV/AIDS, tuberculosis (TB), malaria, viral hepatitis, sexually transmitted infections and neglected tropical diseases (NTDs), are among the leading causes of death and disability in low-income countries and marginalized populations." -WHO -- they are both communicable diseases....
61958
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Defibrillator Dominant
QuestionComment
i think you mean notifiable disease - https://studentnotes.themdu.com/issue-archive/autumn-2020/confidentiality-responsibilities-to-hiv-positive-patients#:~:text=Informing%20partners,their%20justifications%20for%20doing%20so. 
61959
User
subscriber
Defibrillator Dominant
User
subscriber
BeethovenVirus-ed
Concept
Chapter
2693
6113
Confidentiality
Topic
184
Ethics and Law
19399
Doctors must document information in patient records to ensure accurate, consistent care, maintain legal and ethical standards, protect patient confidentiality, and prevent potential conflicts of interest
During a primary care rotation, a 35-year-old man comes to the GP with burning pain during urination and urethral discharge and is diagnosed with a sexually transmitted infection. He asks if it is possible to prescribe him antibiotics without putting it on the records as his wife is friends with one of the GPs at the practice and he does not want his wife to know about his presentation.

What is the most appropriate next step?
a