Title: Usmle Step 1 MCQ’s # 40
Subject: Behavioral Science
Q NO 40: A 5-year-old girl is brought by her parents to the emergency room because she is complaining of stomach pain. Physical examination reveals multiple bruises on the child’s body in different stages of healing. X-ray examination of the chest demonstrates two cracked ribs and the child says. “Mommy hit me.” The parents deny any abuse of their children. The physician’s most appropriate response would be which of the following?
A. Call the police immediately
B. Hospitalize the child for further studies
C. Notify Child Protective Services
D. Tape her ribs and make the parents promise me that they will not strike the child again
E. Tape her ribs and tell the parents to bring the child to the outpatient clinic in the morning
Explanation:
The correct answer is C. All signs, including the child’s report, suggest child abuse; however, there can be mitigating circumstances that are present. All states have laws requiring everyone to protect children by reporting the suspicion of child abuse to Child Protective Services. It is the responsibility of this agency to prove or disprove the suspicion, and to establish supervision of the child if abuse is verified.
“I am going to call the police right now” (choice A), is only appropriate if the Child Protective Services is not available immediately.
Choices B, D, and E do nothing to address the issue of the mandatory report of the suspicion of child abuse to the appropriate authorities.
Source: http://www.usmleworldwide.com/blog/?p=857
Subject: Behavioral Science
Q NO 40: A 5-year-old girl is brought by her parents to the emergency room because she is complaining of stomach pain. Physical examination reveals multiple bruises on the child’s body in different stages of healing. X-ray examination of the chest demonstrates two cracked ribs and the child says. “Mommy hit me.” The parents deny any abuse of their children. The physician’s most appropriate response would be which of the following?
A. Call the police immediately
B. Hospitalize the child for further studies
C. Notify Child Protective Services
D. Tape her ribs and make the parents promise me that they will not strike the child again
E. Tape her ribs and tell the parents to bring the child to the outpatient clinic in the morning
Explanation:
The correct answer is C. All signs, including the child’s report, suggest child abuse; however, there can be mitigating circumstances that are present. All states have laws requiring everyone to protect children by reporting the suspicion of child abuse to Child Protective Services. It is the responsibility of this agency to prove or disprove the suspicion, and to establish supervision of the child if abuse is verified.
“I am going to call the police right now” (choice A), is only appropriate if the Child Protective Services is not available immediately.
Choices B, D, and E do nothing to address the issue of the mandatory report of the suspicion of child abuse to the appropriate authorities.
Source: http://www.usmleworldwide.com/blog/?p=857
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