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Adolescent confidentiality — MCCQE Part 1 MCQ

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ModerateEthics & ProfessionalismAdolescent confidentialityMCCQE Part 1

A 16-year-old girl requests contraception and STI testing, and asks that her parents not be told. She is not being exploited, understands the risks and benefits, and has capacity. What should you tell this patient?

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

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Correct answer: E — Provide confidential care while assessing safety and capacity

Capable adolescents can often consent to sexual health care confidentially, while clinicians assess coercion, exploitation, and safety. Parental notification is not required solely because a mature minor seeks contraception. Child protection reporting depends on abuse or exploitation concerns, not consensual activity alone. STI prevention and testing should be addressed alongside contraception.

Reference: CMPA adolescent consent and confidentiality guidance; Canadian STI guidelines