Deck 5: Physical Child Abuse

Question 1

Doctor John Caffey studied children with subdural hematomas who also had other injuries. He came to the conclusion that in the absence of a skeletal disease, children who have both subdural hematomas and long bone fractures are victims of trauma. This condition became known as

A) the Battered Child Syndrome.
B) Caffey's Syndrome.
C) Kempe's Syndrome.
D) Kempe and Caffey's Syndrome

Answer 1

B

Question 2

The battered child syndrome is

A) no longer a valid medical-legal diagnosis because of our advances in medical science.
B) is a medical-legal term used to describe children who are suffering from long bone fractures and subdural hematomas.
C) is a term that describes the characteristics of children who are abused as a result of the cycle of violence.
D) is a medicolegal term that describes the diagnosis of a medical expert based upon scientific studies that indicate when a child suffers certain types of continuing injuries that those injuries were not caused by accidental means.

Answer 2

D

Question 3

Physical child abuse is defined as

A) any act which results in nonaccidental physical injury by a person who has care, custody or control of a child.
B) includes sexual, emotional and neglectful acts against a child.
C) any act which causes a physical injury to the child.
D) both a and c.

Answer 3

A

Question 4

The Psychopathological Model of family violence

A) stresses the characteristics of the abuser as the primary cause of abuse.
B) is no longer considered a valid theory to explain child abuse.
C) discounts the abuser's personality as a factor in child abuse.
D) both b and c.

Question 5

The psychopathological model of family violence includes the following approaches to child abuse

A) the cycle of violence model, the mental illness model, and the character-trait model.
B) the character-trait model, the mental illness model, and the psychodynamic model.
C) the social learning model, the mental illness model and the psychiatric model.
D) the mental illness model, the social learning model and the character-trait model.

Question 6

The interactional model of child abuse views it as the result of dysfunctional system. This model focuses on the following factors in child abuse

A) the role of the child, planned events and the background of the parent.
B) the perceptions of the parent, the role of the child and chance events.
C) the family structure, the role of the child and the background of the parents.
D) the family structure, chance events, and the role of the child.

Question 7

The environmental-sociological-cultural model of child abuse views it a result of stresses in society that are the primary causes of abuse. This model includes the following causes of child abuse

A) the environmental stress model, the psychosocial model, the social-learning model and the social-psychological model
B) the social learning model, the psychological model, the environmental stress model and the social-psychological model.
C) the psychological model, the family structure model and cultural model.
D) the environmental model, the cultural model and the sociological model.

Question 8

Which of the following physical indicators should alert a professional to the possibility of physical child abuse

A) unexplained bruises or welts and/or unexplained burns
B) unexplained lacerations to the mouth, lips, arms and/or legs.
C) appearance of injuries after a weekend or vacation
D) all of the above

Question 9

When interviewing caretakers regarding their explanation of injuries to a child,

A) care must be taken not to plant ideas in the minds of the caretakers.
B) the caretakers should be interviewed separately.
C) consistent explanations by the caretakers may indicate child abuse
D) all of the above

Question 10

Bruises that are yellow in color typically indicate that the injury occurred

A) 0-5 days ago
B) 5-7 days ago
C) 7-10 days ago
D) 10-14 days ago

Question 11

Which of the following does not indicate the possibility of physical child abuse

A) allergic shiners
B) grab marks on the upper arms
C) pressure marks on the inner thighs
D) runaway or delinquent behavior

Question 12

Pattern burns are a form of child abuse

A) where the abuser engages in a pattern of conduct which results in the child being repeatedly burned by a hot object.
B) which are caused by holding or pressing a portion of the child's body against a hot object.
C) which are very difficult to prove.
D) both a and b.

Question 13

Munchausen syndrome by proxy is also known as

A) The false disease disorder.
B) The wrong disease diagnosis syndrome.
C) Fictitious disorder by proxy
D) both a and c.

Question 14

Spiral fractures are

A) a very strong indication of physical child abuse.
B) usually a break in the humerus or femur that is the result of a twisting motion.
C) can occur if a child under three years old catches his or her foot and falls down causing the injury.
D) both a and b.

Question 15

The whiplash shaken baby syndrome

A) was a term coined by Kempe in 1961 when he was trying to attract attention to child abuse.
B) is not an accepted medical diagnosis.
C) is neurological damage caused by shaking the child violently back and forth.
D) both a and b.

Question 16

Subdural hematomas (SDH)

A) is a very strong indication of physical child abuse.
B) may result if the child falls off a couch and injuries his or her head.
C) occur over the surface of the brain and are caused by the tearing of the bridging veins between the brain and the dura.
D) all of the above

Question 17

A concussion is

A) a mild form of diffuse brain injury associated with the acceleration-deceleration or shaking of the child's head.
B) the same as a subdural hematoma.
C) is a very strong indication of physical child abuse.
D) all of the above.

Question 18

Kempe and his associates invented the term battered child syndrome to call attention to child abuse.

Question 19

Caffey's syndrome is the same as the whiplash shaken baby syndrome.

Question 20

Munchausen syndrome by proxy is easy to diagnose.

Question 21

A cerebral contusion is the bruising of the brain without the puncture of tearing of the
pia membrane.

Question 22

A spiral fracture in a child under the age of three is nearly always accidental.

Question 23

The membrane next to the brain is the pia matter.

Question 24

Numerous fractures are a strong indicator of physical abuse.

Question 25

Mary Ellen was probably the first reported case on child abuse in the United States.

Question 26

Compare and contrast the various theories of abuse established by Crosson Tower.

Question 27

List the various indicators of abuse.

Question 28

In your opinion, which is the most serious form of child abuse: bruises, burns, fractures, or head and internal injuries?

Question 29

Describe the causes of shaken baby syndrome (SBS) and the effects it has on the child.

Question 30

List the various bruise colors and estimate the time progression which these may demonstrate.