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Child sexual abuse disclosure — MRCPCH FOP MCQ

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HardSafeguardingChild sexual abuse disclosureMRCPCH FOP

A 12-year-old girl tells you in clinic that her mother's partner touched her genitals. She asks you not to tell anyone; she is tearful but medically stable. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: B — Explain confidentiality limits and make an urgent safeguarding referral

A disclosure of sexual abuse requires a safeguarding response because confidentiality cannot be maintained when a child is at risk of significant harm. Leading questions should be avoided to preserve the integrity of any investigation. The child should not be advised to confront the alleged perpetrator. The pearl is to listen, record the child's words carefully and escalate according to local safeguarding procedures.

Reference: RCPCH Child Protection Companion; NICE CG89 Child maltreatment