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Pediatrics · Child safeguarding
Sample itemWhat should a clinician do when physical findings and history raise concern for child maltreatment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Document objectively and follow safeguarding procedures
When maltreatment is suspected, clinicians should prioritize the child's safety, document objective findings, seek senior safeguarding support, and follow local reporting pathways without making unsupported accusations.
Option by option
A. Document objectively and follow safeguarding procedures (correct)
Correct: objective documentation and safeguarding escalation are appropriate.
B. Confront the family publicly
Public confrontation can endanger the child and disrupt investigation.
C. Promise secrecy regardless of risk
Confidentiality has limits when a child may be at risk.
D. Ignore the discrepancy
Discrepancies require careful assessment, not dismissal.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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