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Mandatory reporting – suspected NAI — RACP Paediatrics MCQ

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ModerateEmergencyMandatory reporting – suspected NAIRACP Paediatrics

A 6-month-old presents with a healing posterior rib fracture found incidentally on CXR performed for bronchiolitis. The parents provide no explanation for the fracture. What is the mandatory action in Australia?

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Correct answer: C — Mandatory report to child protection

Under Australian state and territory legislation, all mandated reporters (including doctors) MUST report suspected child abuse or neglect to the relevant child protection authority. A healing posterior rib fracture in a non-mobile infant without adequate explanation is highly specific for non-accidental injury. Mandatory reporting is a legal obligation – it does not require certainty of abuse, only reasonable suspicion.

Reference: RCH Melbourne – 2023 – Child Abuse CPG; RACP Paediatric Curriculum – Child Protection