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Confidentiality in adolescent care — MCCQE Part 1 MCQ

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HardEthics & ProfessionalismConfidentiality in adolescent careMCCQE Part 1

A 15-year-old asks for contraception and STI testing and does not want her parents informed. She appears capable, there is no coercion disclosed and no immediate safety concern. Which of the following is the most appropriate response?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Provide confidential care within provincial law while encouraging supportive adult involvement if safe

Capable adolescents may receive confidential sexual health care in many Canadian jurisdictions, with attention to capacity, safety and exploitation. Encouraging trusted support is appropriate but forced disclosure may deter care. Mandatory reporting applies if abuse, coercion or safety concerns are identified.

Reference: CMPA adolescent consent/confidentiality guidance; provincial legislation