I am sorry, you did not pass, you scored [[QuizScore]]

The correct answers and explanations are as follows:

A 1 - IMAGING OF SUSPECTED ABUSE - Jeannette M. Pérez-Rosselló

Question:
A 3-month old presents with facial bruising and vomiting, you suspect child abuse and order a:

Answer: C

Explanation:

The American Academy of Pediatrics recommends a skeletal survey in children less than 2 years of age when there is suspicion of abuse.

A 2 - APPLYING CLUSTER ANALYSIS TO EXPLORE PHYSICIANS' DIAGNOSTIC REASONING REGARDING AHT - Stephen Boos

Question:
What is cluster analysis?

Correct Answer: C. a mathematical method to identify latent groups and associations.

C 1 - READING THE MEDICAL LITERATURE: CHILD ABUSE AND EBM - Christopher Greeley
Question:
The framework for Evidence-Based Medicine (EBM) was developed in the mid 1990’s to help clinicians make better clinical decisions based upon published literature. Which of the following is not a component of EBM?

Correct Answer: C

Explanation:
Dr. David Sackett promoted the primary tenants of Evidence-Based Medicine in 1995. These 5 tenants are: Convert our information needs into answerable questions; Track down, with maximum efficiency, the best evidence with which to answer these questions; Appraise the evidence critically, assess its validity and usefulness (clinical applicability); To implement the results of this appraisal into our clinical practice; To evaluate our performance. In essence these 5 principles can be summarized as: Ask good questions, Search for good supporting evidence, Analyze the evidence, Act upon the new evidence, See if it worked. The premise of Evidence-Based Medicine is not to find the evidence to support a particular treatment strategy.

C 2 - CHILD ABUSE: HIGH SPECIFICITY FRACTURES - Jeannette M. Pérez-Rosselló

Question:
The following are high specificity fractures for infant abuse except:

Correct Answer: C

Explanation:

Skull fractures have moderate or low specificity for abuse as the can also be seen with accidental trauma.

D 1 - BEHAVIOR AND CHILD SEXUAL ABUSE - Shalon Nienow

Question:
It is normal for preschoolers to show their genitals to other people?

True or False

Correct Answer: True

Explanation: Preschoolers are particularly curious about their bodies, and the bodies of others, this includes the genitalia. This behavior is an expected part of development and constitutes normal information gathering and exploration

D 2 - OUTSTANDING CHILD ABUSE RESEARCH SELECTIONS (O.S.C.A.R.S.) – Stephen Boos

Question:
Studies comparing a panel of experts' clinical opinions about abuse to clear evidence of abuse unavailable to them show that.

Correct Answer: D - Experts agree with each other and the opinion of an expert panel is highly accurate when evaluating cases that have definitive evidence about abuse.
_____________________________________________________________________________________________________________________________________________________________________
E 1 - PEDIATRIC HOT LIQUID BURNS: ABUSE OR ACCIDENT? - Neha Mehta
Question:

At what temperature does it take 10 minutes to cause a second degree burn to a child?
(Choose one)

Correct Answer: B - 120 degrees Fahrenheit

E 2 - ABUSIVE HEAD TRAUMA: OVERVIEW AND EVIDENCE BASE - Wouter Karst

Question:
Neurologic symptoms in a young victim of abusive head trauma are caused by subdural hematoma.

True or false

Correct Answer is false

Explanation:

Subdural hematoma is often a thin layer of blood outside the brain and can be used as a potential marker of abusive head trauma. Damage of the brain (encephalopathy) is usually the reason of neurologic symptoms)

G 1 - TOP 10 THINGS EVERY PEDIATRICIAN SHOULD KNOW ABOUT CHILDREN IN FOSTER CARE - Moira Szilagyi

Question:

Childhood trauma and toxic stress make a minimal contribution to the high prevalence of mental health and developmental problems in this population.

True or False

Correct Answer: False

G 2 - RESPONDING TO CORPORAL PUNISHMENT- WHAT THE MEDICAL PROVIDER NEEDS TO KNOW - Neha Mehta

Question:
Mild forms of corporal punishment such as swatting child on the clothed bottom with an open hand is an ineffective yet harmless form of child discipline.

True or False

Correct Answer: False

H 1 - PUTTING THE FACTS IN FACTITIOUS DISORDERS; OR, WHY I HATE MUNCHAUSEN BY PROXY

Question:
Munchausen by Proxy Syndrome is no longer a preferred diagnostic term because:
(Choose one)

Answer: D

H 2 - TALKING TRAUMA IF YOU’RE NOT THE THERAPIST: TIPS, TOOLS AND TECHNIQUES FOR THE REST OF US - Heather Forkey, Moira Szilagyi

Question:
Mrs. Jones brings 8 year-old Brady in for a visit regarding his behavior 3 months after he was placed in foster care in her home. Mrs. Jones believes Brady has witnessed domestic violence and his parents are struggling with opiate addiction, and his mother has just entered drug rehabilitation. Brady is a bright child but Mrs. Jones reports that he is having a great deal of trouble with anger and fighting. Brady gets angry quickly, and this is a problem both at home and at school. The school reports that Brady often seems to pick fights with other children. At home Mrs. Jones is frustrated as simple requests limit setting sends Brady into tantrums which can be violent and destructive. You thank Mrs. Jones and Brady for sharing this information, and then ask Brady what about the last time he had a problem with other kids at school. Brady responds that yesterday he was sent to the principal’s office, but explains that the other child was picking on him, and then he (Brady) was the one who got in trouble. You ask Brady to explain, and he reports that the other child asked told Brady he didn’t want to sit near him. Brady reports that the other child was being mean, and so Brady had to fight him. Why do you think this behavior may be related to the trauma that Brady experienced?

Correct Answer: C

Explanation:

Studies show that children who experience trauma may not be able to recognize emotions of others – particularly the difference between anger and fear. Unable to recognize or express emotions accurately, they often act out in ways which seem out of context or “off”. A is wrong because children who are exposed to DV can have issues with increased aggression, but that is not always true. B is wrong because it is the amygdala that enlarges in children exposed to trauma, not the prefrontal cortex. The prefrontal cortex is responsible for executive function. D is wrong because children who experience trauma can have developmental and behavioral impacts from that trauma, but it is not true that children in foster care always have problems in school. E is wrong because although Brady’s parents may not have been able to regulate him through attachment due to their challenges, he can gain those attachments and skills through other relationships including that with his foster caregiver.

J 1 - SEXUALLY TRANSMITTED INFECTIONS

Question:
When a child has a sexually transmitted infection identified in the oral/pharyngeal, anal, or genital locations, but has not disclosed penetration of that orifice

Correct answer: D

Explanation:

Sexually transmitted infections in children are due to a wide range of organisms, some of which are strongly associated with sexual contact; others may result from sexual and non-sexual transmission. The specific organism detected, the age of the child, and the historical factors are important in determining likelihood of modes of transmission. From the simplest perspective, because the “generic” term sexually transmitted infection is used, and no age or historical data is provided, the best answer is the mode of transmission cannot be determined. We rely on the child’s disclosure to identify the sexually abused child, but the literature on adult and child sexual abuse/assault contains cases of non-disclosure or incomplete disclosures in the face of evidence to the contrary. For example, if the above situation refers to a prepubertal child who has made no disclosure of sexual abuse who has gonorrhea or chlamydia infection in any site, C would be the correct answer. If the same child makes a disclosure of vaginal penetration only but the organism is detected from both vaginal and oral samples, it is difficult to exclude either an incomplete disclosure of sexual contact or autoinoculation as the cause of the positive oral sample. If the above situation refers to a 3 year old with genital warts, all types of transmission are likely alternatives, i.e. non-sexual transmission from an infected care provider, autoinoculation from a wart on the child’s own finger, or sexual transmission.

J 2 - LOOKS LIKE ABUSE – BUT IS IT? - Lauren Burge, Reena Isaac

Question: Children with rare diseases can be victims of child abuse?

True or False

Correct Answer: True

Explanation:

While there are many diseases that may mimic an abusive injury- child abuse remains very common. Full consideration should be taken to thoroughly evaluate and potentially exclude child abuse as a cause of a child's medical findings. Professional teams should also consider that children with rare medical diseases may also themselves be victims of child abuse.

L 1 - FAILURE TO THRIVE AND NEGLECT: THE BREAD AND BUTTER OF CHILD MALTREATMENT - Lauren Burge, Reena Isaac

Question:
The most common type of child maltreatment that also has the most associated fatalities is:

Correct Answer: C

Explanation:

According to the 2017 Child Maltreatment Report, neglect represents over 75% of all child maltreatment types of child fatalities and is the most common overall form of child maltreatment.

L 2 - DEALING WITH PRENATAL DRUG EXPOSURE: THE DELAWARE EXPERIENCE - Alan DeJong, Jennifer Donahue, Trenee Parker

Question:
All states are required by Federal Law to prepare Plans of Safe Care for infants with prenatal substance exposure and their families.

True or False

Correct Answer: True

Explanation:

The Child Abuse Prevention and Treatment Act and the Comprehensive Addiction and Recovery Act require a Plan of Safe Care for infants born with and affected by substance abuse, withdrawal symptoms and Fetal Alcohol Spectrum Disorders.

M 1 - MEDICAL EXAMINATIONS IN ACUTE CHILD SEXUAL ABUSE - Wouter Karst

Question:
A good medical evaluation of child sexual abuse in prepubertal girls includes a gentle inspection using a virgin speculum.

True or False

Correct Answer is false

Explanation:

The hymen in prepubertal girls is very sensitive. Using a speculum will be painful and has no additional value to the examination. Even in adolescents, the use of a speculum is often not necessary.)

M 2 - THE ETHICS OF PARENTING: A DIMENSION OF CHILD ABUSE EVALUATION - Mary Devereaux, Marilyn Kaufhold

Question:

Patient confidentiality is a key principle of medical ethics. However, it is not absolute. Under what circumstances may it be breached?

Correct Answer: C. Both

Explanation:
Code of Medical Ethics 3.2.1

Patients need to be able to trust that physicians will protect information shared in confidence. They should feel free to fully disclose sensitive personal information to enable their physician to most effectively provide needed services. Physicians in turn have an ethical obligation to preserve the confidentiality of information gathered in association with the care of the patient.

Physicians may disclose personal health information without the specific consent of the patient (or authorized surrogate when the patient lacks decision-making capacity) to other health care personnel for purposes of providing care, to appropriate authorities when disclosure is required by law. Confidentiality may also be breached to mitigate the threat when in the physician’s judgment there is a reasonable probability that the patient will seriously harm him/herself or the patient will inflict serious physical harm on an identifiable individual or individuals.

For any other disclosures, physicians should obtain the consent of the patient (or authorized surrogate) before disclosing personal health information.

35th Maltreatment Conference Moc 2 Questions