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Retired NBME 23 Answers

nbme23/Block 1/Question#27 (reveal difficulty score)
An 11-year-old boy is brought to the ...
Sexual abuse ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: developmental

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 +8  upvote downvote
submitted by โˆ—yb_26(315)
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  • children often exhibit sexual knowledge or behavior incongruent with their age.

  • abuser is known to victim, usually male

  • peak incidence 9-12 years

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yesa  Yes, and to clarify the 11yo is the patient and he is exhibiting behavior incongruence that likely stems from personal sexual abuse. +1



 +7  upvote downvote
submitted by โˆ—yotsubato(1208)
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"Children exhibit behavior incongruent with their age and development" in sexual abuse.

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tyrionwill  mostly the age difference exceeds 4 years trigger so called "incongruent with their age". age incongruence plus signs of being forced, like this case which the 4-year-old boy was found crying, lead to suspicious more on sex abuse than sex play. +2



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