Non-accidental trauma and neglect (pediatrics) Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 13-year-old girl presents to her primary care physician with her mother for a well-child visit. The patient’s parent reports that the patient has been experiencing abdominal pain. The patient states that the symptoms have been ongoing for months and have worsened over the past few weeks. The parent states the patient was recently evaluated by pediatric gastroenterology and had normal laboratory evaluation and other studies. The patient reports generalized anxiety. She used to be a straight A student, but over the past year, she has started failing two of her classes. The patient is otherwise healthy and does not take any medication. Her parents are in an acrimonious divorce. The patient spends most of her time at her mother’s house but spends occasional weekends with her father. The abdominal pain is worse after she has stayed at her father’s home. Vital signs are within normal limits. On physical examination, the patient appears anxious and is clutching a stuffed teddy bear. Cardiopulmonary and abdominal examinations are within normal limits. Skin examination does not reveal any suspicious bruising or injury. External genital examination is within normal limits without evidence of injury. Which of the following is the most likely explanation for this patient’s presentation? 

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