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Which documentation practice is most appropriate when child abuse is suspected?

A 9-year-old falls from monkey bars and presents with wrist pain and swelling. Plain radiographs are interpreted as normal. On exam, there is point tenderness directly over the distal radial physis with pain on axial loading. Neurovascular status is intact. Which of the following is the most appropriate next step?

A non-ambulatory 8-month-old is found to have posterior rib fractures on imaging. What is the most likely mechanism?  

A 3-year-old ingests iron tablets. Initial labs show metabolic acidosis and elevated serum iron level. Which finding suggests progression to the most severe phase?

A 16-year-old presents after intentional ingestion of multiple medications. ECG shows QRS widening to 140 ms, hypotension, and ventricular arrhythmias. Which ingestion is most likely responsible?

A 10-year-old with chronic respiratory failure is being transferred by air transport to a rehabilitation facility. Which physiologic change during flight is most concerning for this patient?  

A child presents with hypotension, bradycardia, and warm extremities following a MCV accident. He does not present with any evidence of bleeding on exam. What best explains this presentation?

A 9-year-old presents after a fall with neck pain and refusal to move the head. Neurologic exam is normal. Which factor supports maintaining cervical spine immobilization despite normal neurologic findings?

A child presents with suspected abusive head trauma. Which physiologic factor most contributes to poor neurologic outcome?  

AB(A)(B)(C)(D)(E)TTFFTFFTFTFTFTFTTFFTFFFTTFTTWhich of the following columns is the correct truth table for  ¬A v ¬B ?