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Informed refusal — USMLE Step 3 MCQ

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EasyEthics, Patient Safety, Quality Improvement, Systems-Based PracticeInformed refusalUSMLE Step 3

A 79-year-old man with metastatic cancer has decision-making capacity and refuses further chemotherapy after discussing risks and benefits. His adult daughter asks you to give chemotherapy anyway because she cannot accept his decision. Which of the following is the most appropriate next step in management?

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Correct answer: C — Respect the patient's informed refusal and continue supportive care planning

A capacitated patient has the right to refuse treatment, even life-prolonging treatment; care should focus on informed decisions and support.

Reference: AMA Code of Medical Ethics; USMLE Step 3 social sciences