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Confidentiality and reportable STI — MCCQE Part 1 MCQ

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HardEthics & ProfessionalismConfidentiality and reportable STIMCCQE Part 1

A 24-year-old man tests positive for gonorrhoea and asks you not to tell anyone, including public health. He has had two recent partners and is worried about stigma. What is the most appropriate ethical/legal action?

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Correct answer: E — Explain mandatory public health reporting and support confidential partner notification

Gonorrhoea is reportable to public health; reporting is done with confidentiality safeguards and partner notification support. Absolute confidentiality cannot be promised when public health law requires reporting. Employer notification is not indicated based on this information.

Reference: Canadian Guidelines on Sexually Transmitted Infections; provincial public health law