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Questions and Answers
Which type of abuse involves intentionally inflicting medical signs or false reporting of symptoms in a child?
What is a common characteristic of perpetrators of child abuse?
Which behavior is indicative of a child that may be experiencing abuse?
What is one of the most important medical history features that indicates potential child abuse?
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What is a typical factor that might be found in a caretaker who abuses a child?
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Which symptom is NOT typically associated with Munchausen Syndrome by proxy?
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What indicates an inappropriate reaction from a caretaker regarding a child's injury?
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Which feature of physical examination is most indicative of child abuse?
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Which demographic is most likely to be a perpetrator of child abuse?
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Which of the following is NOT a relevant factor in assessing an abused child?
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Study Notes
Child Abuse
- Child abuse can manifest in various forms, including physical, sexual, emotional, and neglect.
- Non-accidental injury, maltreatment syndrome, battered baby or battered child syndrome, and shaken baby syndrome are all terms associated with physical abuse.
- Caretakers, such as parents or close relatives, are often the perpetrators of abuse.
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Munchausen Syndrome by proxy is a specific form of child abuse where the caretaker falsely reports symptoms or inflicts medical signs on the child.
- The caretaker's motive is a subconscious desire for attention.
- The caretaker is typically the mother (98% of cases).
- This condition is difficult to cure, and mortality is around 9%, with a history of unusual sibling deaths often present.
Factors Related to Child Abusers
- Teenage parents due to emotional immaturity
- Single parents (divorced or separated)
- Low socioeconomic status
- Drug or alcohol abusers
- Individuals with a history of violence in the family or who have been arrested for violent acts
- Crowded households
- Low self-esteem
- Personal history of being abused as a child.
- Recent job or family member loss
- Depression, poor impulse control, or unrealistic expectations
- Unstable and insecure families
Factors Related to Abused Children
- Females
- Low weight and short stature
- Withdrawn, passive, and quiet children
Features of Medical History Indicative of Child Abuse
- Delayed presentation: A significant delay between the time of injury and the child being brought to the hospital.
- Inconsistent history: Discrepancy between the reported history and clinical findings, including a vague or changing history.
- Multiple or recurrent injuries: This is the most important indicator.
- Varying accounts: Different accounts of the injury from different caretakers, or a changing story when asked again.
- Inappropriate reactions: Caretakers may react inappropriately to the situation, either under-reacting or over-reacting.
- Unfamiliarity with the cause of injury: Caretakers may be unable to explain how the injury occurred.
- Child's fear of the caretaker: The child may exhibit fear or apprehension towards the caretaker.
Physical Examination Findings Indicative of Child Abuse
- Multiple injuries of various ages: This is the most important sign, including bruises in different stages of healing in areas that are not over bony prominences.
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Description
This quiz covers various forms of child abuse, including physical, sexual, emotional, and neglect, with a focus on specific syndromes like Munchausen Syndrome by proxy. It also explores risk factors related to child abusers, such as socioeconomic status and history of violence. Test your knowledge on this critical topic.
