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Non-accidental injury — MCCQE Part 1 MCQ

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HardChild MaltreatmentNon-accidental injuryMCCQE Part 1

A 7-month-old infant is brought with a femoral fracture after the caregiver reports that the baby rolled off a low couch. There are bruises of different ages on the trunk, and the infant is not yet cruising. The caregiver wants to leave before x-rays are reviewed. What is the most appropriate ethical/legal action?

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Correct answer: A — Ensure the child's safety and report suspected maltreatment to child protection authorities

Canadian physicians have a duty to report suspected child maltreatment when there are reasonable grounds, and the injury pattern is highly concerning. The threshold is suspicion, not proof. Preserving rapport does not override the child's immediate safety and statutory reporting obligations.

Reference: Provincial child protection legislation; CPS child maltreatment guidance