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Mandatory reporting of child abuse — MCCQE Part 1 MCQ

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EasyEthics & ProfessionalismMandatory reporting of child abuseMCCQE Part 1

A family physician notices patterned bruises on a 4-year-old's back and thighs. The caregiver gives inconsistent explanations and the child becomes silent when asked about home. What is the most appropriate ethical/legal action?

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Correct answer: C — Report suspected child maltreatment to the child protection authority

Physicians have a mandatory duty to report suspected child maltreatment based on reasonable grounds, not proof. Permission from the caregiver is not required and may increase risk to the child. Documentation is necessary but insufficient. Delayed follow-up without reporting misses a legal and safeguarding obligation.

Reference: CMPA child maltreatment guidance; provincial child protection legislation