'Pediatric Abusive Head Trauma for Physicians'

QUIZ QUESTIONS
1.) 'Abusive Head Trauma' is the preferred terminology for medical documentation of the injuries associated with 'shaken baby syndrome'.
True
False

2.) Abusive head trauma is the SECOND most common cause of death from brain injury in children less than one year of age.
True
False

3.) It is unusual for a child with abusive head trauma to have had inflicted injury in the past.
True
False

4.) Which one of the following is NOT an anatomical difference in the infant head that makes it more vulnerable to injury from abusive head trauma?
A.) More space between the outside of the brain and the inside of the skull
B.) Less scalp tissue to cushion the head against impact
C.) Higher water content of the infant brain
D.) Larger head-to-body ratio compared to an adult
E.) Relatively weak neck muscles compared to an adult

5.) The act of shaking leading to Shaken Baby Syndrome is so violent that individuals observing it would recognize it as dangerous and likely to kill the child.
True
False

6.) Which one of the following is the mechanism for posterior rib fractures in maltreated infants?
A.) A direct impact to the back
B.) Violent squeezing of the rib cage
C.) Normal vaginal delivery
D.) All of the above

7.) Most children who present with abusive head trauma will have obvious external evidence of trauma to the head.
True
False
8.) Presence of bruising to the torso, ears, or neck in a child 4 years of age or younger is DEFINITIVE evidence of child abuse.
True
False

9.) Toddlers who have begun to cruise and take independent steps commonly have bruising to the forehead, knees or shins.
True
False

10.) Toilet training accidents are the most common trigger for abusive head trauma in children less than 2 years of age.
True
False

11.) Unrealistic expectations of young children are a common characteristic among perpetrators of child physical abuse.
True
False

12.) Which one of the following is NOT a risk factor for abuse among children?
A.) Colic
B.) Developmental delay
C.) Special medical needs
D.) First born
E.) Physical disability

13.) Men are the most common perpetrators of child physical abuse.
True
False

14.) Caregivers should never leave a baby to cry unattended in his or her crib, even for a few minutes.
True
False

This activity met these objectives:
1. Perform the proper medical evaluation and follow-up of a child with Pediatric Abusive Head Trauma.
Strongly DisagreeStrongly Agree
         
2.Discuss risk factors for abusive head trauma.
Strongly DisagreeStrongly Agree
         
3. Discuss prevention of abusive head trauma.
Strongly DisagreeStrongly Agree
         
4. Consult pediatric forensiv specialits/DCBS on child abuse cases.
Strongly DisagreeStrongly Agree
         

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