PREP 2014 Review

Question 1

True or False. There is no evidence that home apnea monitors are effective in decreasing mortality or preventing sudden infant death syndrome

Answer 1

True

increases parental anxiety, mood disturbance and social isolation immediately after discharge from hospital

Question 2

What are the 4 characteristics of Munchausen by proxy (pediatric disease falsification or factitious disorder imposed on another)?

Answer 2

1. caregiver fabricates the illness
2. child seen frequently and recurrently for medical evaluation
3. caregiver denies knowledge of the cause of child’s symptoms
4. signs/ symptoms resolve when child is removed from perpetrator’s care

Question 3

What is the next best step in management of a kid suspected of Munchausen by proxy (pediatric disease falsification or factitious disorder imposed on another)?

Answer 3

do a thorough review of all medical records with a multidisciplinary team (including a child abuse specialist if available)