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Adolescent safeguarding — DFSRH MCQ

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

HardContraception in special circumstancesAdolescent safeguardingDFSRH

A 15-year-old attends requesting contraception and reports a 28-year-old partner who buys her gifts and asks her to keep the relationship secret. She appears anxious and declines examination. What is the most appropriate management?

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

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Correct answer: E — Address safeguarding concerns urgently while providing appropriate sexual health care

The age difference, secrecy, gifts and anxiety raise safeguarding concerns that require urgent assessment and appropriate escalation while still considering her immediate sexual health needs. Confidentiality is not absolute where exploitation or harm is suspected. Being under 16 does not automatically preclude contraception, and contacting the partner could increase risk. The pearl is that safeguarding cues are often embedded in the relationship history.

Reference: FSRH Service Standards; NICE Child Maltreatment guidance