Sexual offences: child sexual abuse accommodation: practice question

A Forensic Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Forensic Medicine · Sexual offences: child sexual abuse accommodation

Sample item

A 12-year-old girl abused by a relative for months discloses it only after a long delay, gives inconsistent details and later retracts. Which model best explains this behaviour?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Child sexual abuse accommodation syndrome

Summit's child sexual abuse accommodation syndrome describes secrecy, helplessness, entrapment and accommodation, delayed and unconvincing disclosure, and retraction. Recognising it prevents a delayed or inconsistent account from being read as evidence of fabrication.

Option by option

  • A. Stockholm syndrome

    Stockholm syndrome describes bonding of a hostage with captors.

  • B. Child sexual abuse accommodation syndrome (correct)

    Secrecy, delayed disclosure and retraction form this syndrome.

  • C. Battered woman syndrome

    Battered woman syndrome describes learned helplessness in adult victims of domestic violence.

  • D. Munchausen syndrome by proxy

    Munchausen syndrome by proxy is the fabrication of illness in a child by a caregiver.

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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Questions about this Forensic Medicine question

What is the answer to this Forensic Medicine question?

The best answer is B, Child sexual abuse accommodation syndrome. Summit's child sexual abuse accommodation syndrome describes secrecy, helplessness, entrapment and accommodation, delayed and unconvincing disclosure, and retraction.

Why is "Stockholm syndrome" not the answer?

Stockholm syndrome describes bonding of a hostage with captors.

Why is "Battered woman syndrome" not the answer?

Battered woman syndrome describes learned helplessness in adult victims of domestic violence.

Why is "Munchausen syndrome by proxy" not the answer?

Munchausen syndrome by proxy is the fabrication of illness in a child by a caregiver.

What concept does this question test?

It tests Sexual offences: child sexual abuse accommodation in Forensic Medicine. Recognising it prevents a delayed or inconsistent account from being read as evidence of fabrication.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Sexual offences: child sexual abuse accommodation?

Learn postmortem changes with their timelines, and toxicology as poison, sign, test and antidote. Then use the flashcards and the other Forensic Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.