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Child abuse — ABFM Board MCQ

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ModeratePediatrics and adolescent medicineChild abuseABFM Board

A 9-month-old infant is brought for a swollen arm. Radiographs show a spiral humeral fracture. The caregiver gives changing explanations and the child is not yet cruising. 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: D — Report suspected child abuse to protective services

Unexplained fracture inconsistent with developmental ability and changing history requires mandated reporting and safety evaluation.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html