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Review Question - QID 3556

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QID 3556 (Type "3556" in App Search)
A 12-year-old basketball player is seen for a routine physical. During the physical, he is reluctant to partake in the full physical exam. Upon further questioning, he states that a member of the coaching staff has touched him inappropriately on repeated occasions. Which of the following best outlines your legal responsibility as a physician?

Inform the parents

3%

114/3553

Inform the school board

0%

7/3553

Inform the athletic director

1%

22/3553

Inform the child health and protective services

89%

3170/3553

Inform the school counselor

6%

222/3553

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The scenario described strongly suggests child abuse. Any suspicion of child (<18 yrs) abuse should be reported to Child Protective Services (CPS) as this is typically required by law. Laws regarding reporting and age of consent between minors varies from state to state and physicians must be aware of their state requirements.

Kellog’s clinical report in 1999 updated the “Guidelines for the Evaluation of Sexual Abuse of Children” from 1991. He defined sexual abuse as a “child engaging in sexual activities that he or she cannot comprehend, is developmentally unprepared for and cannot give consent." Over 19% of adolescents who use the internet are solicited for sex by strangers.

McDonald reported 4.3% of children under 18 years are victims of child abuse. When any of the four types of abuse (neglect and emotional, physical or sexual abuse) are suspected, they must be reported to the CPS.

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