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Mandatory child abuse reporting — MCCQE Part 1 MCQ

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EasyEthics & ProfessionalismMandatory child abuse reportingMCCQE Part 1

6-year-old child presents with bruising inconsistent with the history. The caregiver becomes angry and asks you not to involve authorities. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Report suspected child abuse to child protection as required by law

Report suspected child abuse to child protection as required by law is best because reasonable suspicion is enough to trigger mandatory reporting. Breach confidentiality broadly without legal basis is suboptimal because disclosure must be limited to what is legally authorised or clinically necessary; Let family preference override a capable patient is suboptimal because capable patients direct their own care; Refuse to discuss the issue and document nothing is suboptimal because professional practice requires communication and clear documentation; Delay a mandatory report until certainty is absolute is suboptimal because statutory reporting thresholds are often suspicion or reasonable belief, not proof. Reporting is not an accusation; it activates protection assessment.

Reference: CMPA duty to report; provincial child protection law