Your New Patient Is a 40-Year-Old Middle Eastern Man with a Complaint

Your new patient is a 40-year-old Middle Eastern man with a complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to

A) do the examination because it is a necessary part of the physical examination.
B) ask a colleague from the same geographic area if this examination is acceptable.
C) inform the patient of the reason for the examination and ask if it is acceptable to him.
D) refer the patient to a provider more knowledgeable about cultural differences.
E) forego the examination for fear of violating cultural norms.