I am going to answer the sample USMLE Step 1 Questions with Explanation. These questions are available at USMLE.org
Q- In informing a couple that their newborn has Down syndrome, there is a specific, relatively limited amount of information that the consulting physician should give immediately. The rest can be discussed at a later time. Which of the following best explains the purpose of using this approach to disclosure?
(A) Allowing the couple’s primary care physician to discuss most of the information with them
(B) Allowing the parents time to tell other family members
(C) Delaying parental distress until the information is completely disclosed
(D) Disclosing the most important information so that it can be understood as fully as possible
(E) Influencing the parents’ course of action about what is medically most appropriate
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Answer
When informing parents about a significant diagnosis like Down syndrome in a newborn, it’s essential to prioritize clarity and comprehension. Giving only the most critical information initially allows parents to process and understand the basics without feeling overwhelmed. This approach is respectful and supportive, enabling parents to absorb the news, ask questions, and come back for more detailed discussions later.
The correct answer is D