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A second-year medical student is interviewing a patient as part of her physical diagnosis course. The patient is a 45-year-old man with cirrhosis of unknown cause. During the interview, the patient admits that he has been a heavy drinker of alcohol for the past 15 years and physician. Which of the following is the most appropriate action for the student?

  • A) Call the patient's wife and discuss his alcoholism with her
  • B) Keep this information to herself because it was told in confidence
  • C) Put an anonymous note in the medical record because she is not taking care of the patient
  • D) Put a note in the patient's medical record about his alcoholism, and identify herself by signing it
  • E Tell the patient that she would like his permission to inform his attending physician
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