Child Maltreatment Flashcards
Which of the following is the greatest risk factor for child maltreatment in Canada?
- Caregiver diagnosed with a mental health condition
- Family lives in public housing
- Caregiver is a victim of intimate partner violence
- Child has history of developmental delay
- Caregiver history of alcohol abuse
- Caregiver is a victim of intimate partner violence
Adults who have been exposed to abuse as children are at increased risk for which of the following conditions?
- Depression
- Bipolar
- Suicidal ideation
- Eating disorders
- All of the above
- All of the above
A 7-year-old girl has disclosed long-standing sexual abuse with genital to genital contact by her 17-year-old cousin. She has been interviewed by child protection and police. What will you ask the child during your history taking?
- How old she was when the abuse started
- If any of the abuse involved vaginal penetration
- If she is currently experiencing any symptoms
- If she ever tried to stop her cousin
- If she ever reported the abuse to anyone else before now
- If she is currently experiencing any symptoms
A 7-year-old girl has disclosed long-standing sexual abuse with genital to genital contact by her 17-year-old cousin. There is a cleft going about halfway through the hymen at the 6 o’clock position. What is your opinion of her genital examination?
- Normal variant
- Finding commonly caused by another medical condition
- Finding with no expert consensus
- Finding indicative of acute or healed trauma
- Finding diagnostic of sexual contact
- Normal variant
A 4 year old girl is referred to you for parental concern about her behaviours. Recently she has begun asking to see her playmates’ genitals and attempting to show her genitals to her playmates. For the last 1-2 years her parents have been concerned that she rubs her own genitals for pleasure. How would you characterize these behaviours?
- Concerning for sexual abuse
- Unusual behaviours for her age that should be explored further
- Common, age-appropriate behaviours
- Rare behaviours for her age
- Sexualized behaviours that should prompt referral to CAS
- Common, age-appropriate behaviours
Which of the following bruises is most suspicious for inflicted injury?
- Unexplained shin bruising on a 6 year old
- Extensive thigh bruising on a 4 year old after a fall off a bike
- Right ear bruising in an 18 month old after falling on corner of coffee table
- Unexplained forehead bruising in a 2-year-old
- Unexplained knee bruising in a 1-month-old
- Unexplained knee bruising in a 1-month-old
Which of the following would be the LEAST appropriate first- line investigation for bleeding disorders in the one-month-old with unexplained knee bruising? A. INR/PTT B. vWF screen C. CBC D. Platelet function assay E. Factor VIII
D. Platelet function assay
A 6 week old presents with a tibia fracture. Which of the following would be LEAST appropriate to consider on your differential diagnosis?
- Accidental trauma
- Hypervitaminosis A
- Inflicted trauma
- Aicardi-Goutiere’s Syndrome
- Birth trauma
- Aicardi-Goutiere’s Syndrome
An infant presents with suspected maltreatment. After performing your history and physical, you should order all of the following except:
- Bleeding workup (CBC, coags, vWF screen)
- Cranial and abdominal ultrasound
- Skeletal survey
- Ophthalmology consult
- AST, ALT, lipase
- Cranial and abdominal ultrasound
In reviewing the medical records of an infant admitted with suspected inflicted head injury, you see several health care visits for problems that are suspicious for sentinel injuries. What is the most common sentinel injury in cases of child abuse?
- Bruising
- Ligamentous injury
- Intra-oral injury
- Seizures
- Fractures
- Bruising
8 month old baby. Healthy and developmentally normal. No symptoms. Gradually increasing head circumference since birth - was 50th percentile now >97th percentile. MRI done for macrocephaly showed thin frontal subdural hemorrhages. Physical exam, ophtho exam, and skeletal survey all normal/negative. What is the most likely diagnosis?
A) Coagulopathy
B) Birth trauma
C) Inflicted head injury
D) Glutaric Aciduria Type I
E) Benign enlargement of the subarachnoid space
E) Benign enlargement of the subarachnoid space
