Child Neglect and Abuse

Question 1

Most prevalent form of child abuse

Answer 1

child neglect

Question 2

“failure to provide for a child’s basic physical, emotional, educational, or medical needs”

Answer 2

child neglect

Question 3

Most commonly injured area of child abuse

Answer 3

orofacial

Question 4

Most common type of injury of abused children

Answer 4

bruises (especially central bruising)

Question 5

Diagnostic clue in history of abused child

Answer 5

History is inconsistent w/ injury of the child

Question 6

Red flag during history taking that may indicate abuse

Answer 6

If the child is older than 3YO and parents won’t allow you to talk to the child alone

Question 7

Ideal for PE of a possibly abused child

Answer 7

all clothing removed and child in gown

Question 8

performed for any child < 2YO w/ concerning fracture, intraabdominal or intrathoracic injury or concern for abusive head trauma; also children 2-5 w/ impaired consciousness

Answer 8

skeletal survey

Question 9

T/F Perpetrators of sexual abuse are usually male and often trusted adult

Answer 9

true

Question 10

Clinical features include: anxiety/depression, agitation, fearfulness, running away from home, drug/ETOH problems, eating disorders

Answer 10

emotionally abused child

Question 11

Labs that should be done for suspected child abuse

Answer 11

CBC w/platelets, PT/PTT, CMP, UA-for hematuria, toxicology