Child Protection Flashcards
WHICH ONE of the following is NOT a recognised risk factor for Child Abuse and Neglect?
Question 11Select one:
a.
Missed appointments
b.
Maternal depression
c.
Child has a disability
d.
Inter-partner violence
Missed appointments
While on duty as the emergency department house surgeon you are called at 7 p.m. to evaluate a 2-year old girl brought in by ambulance for evaluation of a scalding injury to her right hand. Her mother explains that the girl pulled a kettle of recently boiled water onto herself.
On examination, the girl has partial-thickness burns on her right hand that extend confluently from wrist to fingertips.
There are blisters and painful erythema involving about 3% of the body surface area. Minimal splash marks are noted on the right forearm. You have contacted the duty plastic surgical team for acute management.
Besides the severity of the burn, what else is concerning about this presentation?
Question 10Select one:
a.
The distribution of injury
b.
The age of the child
c.
The timing of the injury
d.
Burns due to hot water
The distribution of injury
A 16 month old child, Amelia, presents to the general practitioner because of bruising to the forehead, which was raised as a concern by her preschool the previous day. The parents are not concerned because they state that Amelia has only just started walking and falls over all the time, and bumps her head on doors and sometimes on the floor.
On examination, Amelia has a 1x1.5cm light yellow-brown bruise in the midline of the forehead, just above the eyebrows. She has two bruises on the left shin and one on the right. There are no other bruises, and Amelia looks well-grown and otherwise well. She is able to walk with a broad-based gait and keeps her hands held up at shoulder height while walking.
What is the likely cause of this bruising?
Question 9Select one:
a.
Non-accidental injury
b.
Henoch-Schonlein Purpura
c.
Idiopathic ataxia of infancy
d.
Typical toddler injuries
Typical toddler injuries
A 2 month old baby is brought to the Emergency Department because she cannot move her left leg. Examination and x-ray confirm the presence of a spiral fracture of the tibia. What is the appropriate next step in management?
Question 8Select one:
a.
Give parents advice about child safety in the home
b.
Admit the baby for multi disciplinary consultation
c.
Discharge the baby home after setting the fracture
d.
Arrange for a whole body MRI stir under GA
Admit the baby for multi disciplinary consultation
A 10-month-old girl is seen in the Emergency Department with a sore elbow that has been present for three days as noted by the day care centre on Monday. A consultant radiologist reports the x-ray as showing a corner fracture of the distal humerus. The parents said that on Friday afternoon, three days ago, she had fallen off a couch, and they found her crying on the floor. They thought she had just bruised herself but she seemed fine until today when she was at day care.
Apart from fracture management, what is the appropriate next course of action in the Emergency Department?
Question 7Select one:
a.
Discharge home with GP follow-up after setting fracture
b.
Refer to Paediatrics for an injury assessment
c.
Ask Occupational Safety & Health to inspect the home
d.
Arrange a CT scan of the whole upper limb
Refer to Paediatrics for an injury assessment
A 10-month-old girl is admitted with a sore elbow for three days noted by the child’s day care centre on Monday. A consultant radiologist reports the x-ray as showing a corner fracture of the distal humerus. The parents said that on Friday afternoon, three days ago, she fell off a couch onto the floor. They thought she had just bruised herself but she seemed fine until today when she was at day care. Which one of the following is the MOST LIKELY explanation for the injury?
Question 6Select one:
a.
Hypermobility of elbow
b.
Accidental injury
c.
Non-accidental injury
d.
Increased bone fragility
Non-accidental injury
A 6 week old infant is rushed to ED. He suddenly stopped breathing at home and his mother’s partner attempted to revive him. On admission he is unrousable but has a good heart rate. His breathing pattern is irregular. Other than nappy rash and a torn frenulum of the tongue, examination is unremarkable. What is the most likely cause for this presentation?
Question 5Select one:
a.
Non-accidental injury
b.
Acute dehydration
c.
Status epilepticus
d.
Bacterial meningitis
Non-accidental injury
A 3-month-old baby is seen in the acute assessment area after falling off the changing table. There are raised tender areas over each parietal temporal area and a few small bruises over bony surfaces only and the baby appears well cared for and smiling. WHICH ONE of the following medical conditions is most likely?
Question 4Select one:
a.
Ataxia telangiectasia
b.
Osteogenesis imperfecta
c.
Infantile convulsion
d.
Non-accidental injury
Non-accidental injury
Bilateral? temporal tender areas
A 2-year-old child is acutely referred having fallen from a bed half hour earlier. He has repeatedly vomited coffee grounds and some bile. His father tells you that the boy was previously healthy. Examination reveals a sick looking child with a very doughy feel to the abdomen, a red non-blanching mark about 2 cm x 1 cm just above the umbilicus and some bruises over the back. He proceeds to laparotomy which shows an acute perforation of the duodenum. What is the most likely cause?
Question 3Select one:
a.
Acute perforated appendicitis
b.
Henoch-Schonlein purpura
c.
Perforated duodenal volvulus
d.
Non-accidental blunt injury
Non-accidental blunt injury
You are asked to see a 18 month old child with a history of a fall from a high chair. He has sustained bruising to his right temple and a CT scan reveals a linear skull fracture. What additional CT finding would be most suspicious for child abuse?
Question 2Select one:
a.
Fusion of cranial sutures
b.
Calcified choroidal plexus
c.
Subdural haematoma
d.
Swelling of scalp tissues
Subdural haematoma
A 12-year old Chinese boy is referred by the family doctor after noting a “pine tree” pattern of bruising on the back,
What is the likely cause of bruising?
a.
Non accidental injury
b.
Severe allergy to bedlinen
c.
Type of dermatographism
d.
Traditional “coining” therapy
Traditional “coining” therapy
