A 9-month-old who cannot walk has a spiral femur fracture and the parent's story is inconsistent. What is the right course?
Answer and explanation
Correct answer: A. Admit, do a skeletal survey and report to child protection services
- Step 1: A fracture in a non-mobile infant that does not match the history is suspicious. Step 2. Injuries may be hidden elsewhere, and a duty to report suspected abuse applies in every province. Answer: admit, survey and report. Why not the others: discharge or waiting leaves the child at risk.
Practise more Obstetrics, Paediatrics and Psychiatry.
Free questions with an explanation for every one, and full timed MCCQE Part 1 mock tests.
More Obstetrics, Paediatrics and Psychiatry questions
- A pregnant woman at 34 weeks has a blood pressure of 170/112, headache and hyperreflexia. Which drug prevents seizures?
- A woman has lower abdominal pain, a positive pregnancy test and an empty uterus on ultrasound at a hCG of 3000. What is the most likely diag…
- After delivery, a woman has heavy bleeding and a soft, boggy uterus. What is the first action?
- An Rh-negative mother with an Rh-positive baby has a negative antibody screen. Which prevents sensitization?
- Which test is usually offered for gestational diabetes at 24 to 28 weeks?
- A 33-week pregnant woman has painless bright red vaginal bleeding. What should be avoided before ultrasound?