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Exam (elaborations)

Abuse and Sexual Assault Exam Questions With Correct Answers

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Abuse and Sexual Assault Exam Questions With Correct Answers Red flags suspicious of child maltreatment - answer-any serious injury in a child <5 years old, especially un-witnessed -if child states: Another child hurt them Injury was self inflicted Hurt by unknown assailant Child with ge...

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  • September 8, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Sexual Assault
  • Sexual Assault
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Abuse and Sexual Assault Exam Questions
With Correct Answers

Red flags suspicious of child maltreatment - answer✔✔-any serious injury in a child <5 years
old, especially un-witnessed
-if child states:
Another child hurt them
Injury was self inflicted
Hurt by unknown assailant
Child with genital complaints
Infants (non walking) with bruises, burns, fractures
Burns with unusual patterns
Long bone fractures
Young child with head injury
Young child with abdominal injury

Signs of child neglect - answer✔✔-dirty
-improperly clothed
-unimmunized
-medical problems unattended to in timely manner
-injury from inadequate supervision
-failure to thrive

Signs of Failure to Thrive - answer✔✔-skin rashes, severe diaper rash, acute gastroenteritis


Infants - Physical presentation:
-little subcutaneous tissue

, ©THEBRIGHTSTARS 2024
-ribs protrude
-loose skin on buttocks
-increased muscle tone, lower extremities
-low BMI


Behavioral:
-avoidant
-avoid eye contact
-difficult to console
-hand in mouth
-prefer inanimate to animate objects


History:
-low birth weight
-maternal use of cigarettes, alcohol, drugs
**Hallmark of environmental failure to thrive:
If infant is admitted to hospital and gains weight while inpatient**


Psycho-social Dwarf:
Children older than 2 years old with environmental neglect; *classic triad: short stature, bizarre
voracious appetite (eat from trash cans), disturbed home situation*

Munchausen by Proxy - answer✔✔-medical child abuse
-parent induces or fabricates an illness in a child to secure for himself or herself prolonged
contact with health care providers
-common symptoms reported: bleeding, seizures, altered mental status, apnea, diarrhea,
vomiting, fever, rash
-the parent (98% the mother) generally wants medical testing, labs, etc and is uncharacteristically
unhappy if a test is positive

Eval of child with head trauma/injury in ED - answer✔✔-may present with no visible injury

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