A 4-year-old boy is brought to clinic with multiple bruises on the shins and arms in various stages of healing. His mother’s explanation is vague and ...

Question

A 4-year-old boy is brought to clinic with multiple bruises on the shins and arms in various stages of healing. His mother’s explanation is vague and inconsistent, and the child appears withdrawn. What is the most appropriate next step?

Accepted Answer

Follow local safeguarding procedures and discuss urgently with the child protection team

Answer

Reassure the mother that bruising is normal in active children

Answer

Order a full coagulation screen only

Answer

Prescribe topical Arnica cream

Answer

Ask the mother to keep a diary of bruises for 3 months

uk-plab-1 MCQ (SBA): Non-accidental injury – safeguarding

A 4-year-old boy is brought to clinic with multiple bruises on the shins and arms in various stages of healing. His mother’s explanation is vague and inconsistent, and the child appears withdrawn. What is the most appropriate next step?