USMLE (United States Medical Licensing Examination) Practice Questions

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Social Sciences: Communication and Interpersonal Skills

A 38-year-old woman comes to the emergency department with her 6-year-old son, who has a spiral fracture of the humerus. She states he “fell down the stairs,” but her story changes when asked for details. The child is quiet and avoids eye contact. The mother asks the physician not to “get anyone involved” because it could affect her job. Which of the following is the most appropriate physician action?

Choose one answer, check it, then continue.

Answer choices

Discharge the child after splinting because the mother is the legal guardian

Document concerns and schedule close outpatient follow-up in 48 hours

Obtain the mother’s written consent before contacting child protective services

Report suspected abuse to child protective services as required by law

Wait for radiologic confirmation of additional fractures before taking further steps

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USMLE (United States Medical Licensing Examination) practice questions

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