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Suspected child physical abuse — RCPSC EM MCQ

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ModerateTraumaSuspected child physical abuseRCPSC EM

A 4-year-old boy has a spiral femur fracture after a reported fall from a sofa. He has bruises of different ages on the trunk, is withdrawn, and the caregiver gives inconsistent histories. Vitals are stable. What is the most appropriate next step?

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Correct answer: E — Report suspected child maltreatment and admit for multidisciplinary assessment

The injury pattern and inconsistent history are concerning for child maltreatment. Emergency physicians have a duty to report suspected abuse and ensure child safety while injuries are assessed.

Reference: Canadian Paediatric Society child maltreatment guidance; provincial child welfare law