CHAPTER 2. Child Abuse and Neglect

1. The battered child syndrome is described as the:

A. Child abuse and neglect including physical or mental injury.

B. Clinical picture of physical trauma or failure to thrive in which the explanation of injury is

not consistent with severity and type of injury observed.

C. Sexual abuse or sexual misuse of a child under 1years of age.

D. Emotional abuse and neglect.

2. Which statements are true?

3. Physical abuse tends to be episodic. 4. Neglect tends to be episodic.

A. 1 and 2

B. 2 and 3

C. 3 and 4

D. 1 and 4

3. which is a malignant disorder of parenting in which the perpetrator relates a factitious

history, produces false signs or symptoms, and fabricates illnesses in the child that result in

extensive medical evaluations, testing, and often prolonged hospitalizations?

A. Physical abuse

B. Sexual abuse

C. Emotional abuse

D. Munchausens syndrome by proxy

4. Approximately . Of child maltreatment encompasses neglect and physical

abuse.

A. 20% to 30%, 25%

B. 45% to65%, 35%

C. 45%, 25%

D. 50% to 65%, 25%

5. All of the following are true regarding abused child EXCEPT?

A. The average age of identification of maltreatment victims is 7.4 years.

B. The youngest children tend to be neglected most often and sexually or emotionally abused

least often.

C. Older children (12 to 17 years) are the most sexually and emotionally abused.

D. Older children are physically abused less than average.

6. All of the following should be considered as physical indicators of possible child abuse

EXCEPT?

A. A bruise in the shape of a handprint on the cheek.

B. Any significant injury that is reportedly "unwitnessed".

C. Bruises in the small of the back or torso.

D. Shin bruises and forehead bumps.

7. All of the following are indicators of neglect and/or abuse EXCEPT?

A. A lack of spontaneous smiling.

B. Avoidance of eye contact.

C. The child that presents with a long-sleeve shirt.

D. Being overly watchful and vigilant.

8. Bleeding under the tongue may indicate which of the following?

A. A fracture of the mandibular symphysis.

B. A fracture of the body of the mandible.

C. A malignancy

D. All of the above.

9. All of the following are sexually transmitted diseases EXCEPT?

A. Gonorrhea

B. Syphilis

C. Tuberculosis

D. Venereal warts

10. All of the following are basic steps for clinical and medicolegal management of suspected

child abuse and neglect EXCEPT?

A. Medical and dental management

B. Securing parental consent

C. Documentation (including photographs)

D. Reporting

11. All of the following are true regarding abused children EXCEPT?

A. Alopecia without any underlying medical cause may be an indicator of maltreatment or

hair pulling.

B. A deviated nasal septum may be an indicator of previous trauma.

C. Bruising or petechia of the soft and hard palate may indicate a bleeding disorder.

D. The presence of adult bite marks may be a sign of physical abuse, sexual abuse, or neglect.

Key Answers

1. B 2. B 3. D 4. D 5. D 6. D

7. C 8. B 9. C 10. B 11. C