skip to main content

Pediatric nonaccidental trauma — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

HardTraumaPediatric nonaccidental traumaABEM Board

A 7-month-old infant is brought for decreased responsiveness after reportedly rolling off a couch. Triage acuity is ESI 2; BP 92/54 mm Hg, HR 158/min. Exam shows bruises of different ages on the trunk and a bulging fontanelle. CT shows subdural hemorrhage. Which of the following is the most likely diagnosis?

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

Reveal the answer and explanation

Correct answer: B — Abusive head trauma

Inconsistent low-mechanism history, multisite bruising, and subdural hemorrhage in an infant are highly concerning for abusive head trauma.

Reference: AAP child abuse guidance; ATLS pediatric trauma guidance