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Interpreter — USMLE Step 3 MCQ

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HardEthics, Patient Safety, Quality Improvement, Systems-Based PracticeInterpreterUSMLE Step 3

A 50-year-old with limited English proficiency needs consent for elective colonoscopy. Her adult son offers to interpret, and a qualified video interpreter is available within minutes. Which action is best?

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

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Correct answer: B — Use a qualified medical interpreter and obtain consent directly from the patient

For important clinical communication, qualified language assistance protects accurate communication, confidentiality, and informed consent. Family members and untrained staff should not replace an available qualified interpreter.

Reference: HHS Office of Minority Health, National CLAS Standards: https://thinkculturalhealth.hhs.gov/clas/standards