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Intimate partner violence — USMLE Step 2 CK MCQ

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ModerateEthics, patient safety, quality improvementIntimate partner violenceUSMLE Step 2 CK

A 35-year-old Middle Eastern man comes to the hospital because of a care-planning concern. History and focused examination are notable for injuries inconsistent with history and partner answering questions for the patient. Temperature is 98.6°F (37.0°C), blood pressure is 126/78 mmHg, pulse is 84/min, respirations are 16/min, and oxygen saturation is 98% on room air. Physical examination confirms the key finding and shows no unrelated abnormality that would better explain the presentation. The clinical team is stable enough to pause, clarify roles, and choose an ethically and procedurally appropriate response. Which of the following is the most appropriate next step in management?

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Correct answer: B — Interview the patient alone and provide resources

The vignette describes Intimate partner violence, supported by injuries inconsistent with history and partner answering questions for the patient. Interview the patient alone and provide resources is the single best answer because it matches the diagnostic or management priority in this clinical setting. The other choices are plausible alternatives in related presentations, but they do not best fit the timing, findings, and guideline-directed approach described here.

Reference: USPSTF 2018 Intimate Partner Violence Screening Recommendation