Psychiatry Quiz #5: Child Abuse

1. A 7-year-old girl presents to the emergency department with a fractured arm. The X-ray reveals multiple fractures at different stages of healing. The child appears withdrawn and avoids eye contact. When questioned, the parents provide inconsistent explanations for the injuries. Which of the following is the most appropriate next step in management? 

Question 1 of 5

2. A 4-year-old boy is brought to the pediatrician for a routine check-up. During the examination, the physician notices cigarette burns on the child's back. The parents quickly state that the child accidentally fell against a lit barbecue grill. Which of the following findings is most indicative of physical abuse rather than an accidental injury? 

Question 2 of 5

3. During a well-child visit, a pediatrician notices that a 10-year-old boy is markedly underweight and has poor hygiene. The child is sullen and does not make eye contact. On questioning, he mentions that he often goes to bed hungry because there's "never enough food at home." Which of the following types of child abuse is this scenario most suggestive of? 

Question 3 of 5

4. A 6-year-old girl presents to the pediatric clinic with frequent urinary tract infections and genital irritation. On examination, genital bruising and lacerations are noted. The child appears anxious and is reluctant to speak about her symptoms. What is the most likely form of abuse this child is experiencing? 

Question 4 of 5

5. A 3-year-old boy is brought to the emergency department with severe abdominal pain. CT scan reveals a ruptured spleen. The parents explain that the child fell from his bed. However, the height of the bed and the severity of the injury seem inconsistent. The child also has multiple bruises of varying colors. Which of the following is the most concerning sign that suggests non-accidental trauma? 

Question 5 of 5


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