A 29-year-old concert pianist with severe chronic kidney disease presents with a 6-month history of...

Vendor: Medical Council of Canada
Product: MCCQE
Update on: Jul 22, 2025
Questions: 230

Medical Council of Canada MCCQE Question Answer

A 29-year-old concert pianist with severe chronic kidney disease presents with a 6-month history of loss of appetite and pruritus. Although the issue of initiating dialysis has been discussed with him and his questions answered, he has declined dialysis thus far. You understand his concerns that it will interfere with his concert tour and recording schedule. Which one of the following is the best next step?

Offer to arrange for him to meet patients in the peritoneal dialysis clinic.

Warn him of the consequences of refusing dialysis.

Explain to him you will see him again when he decides to start dialysis.

Provide him access to his medical records and full chart.

Explore employment alternatives that would better accommodate the dialysis schedule.