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You are a third year medical student completing an elective in the child and adolescent protection centre. A three year old male named Johnny is referred to you by his family doctor for a sexual abuse examination. The family doctor was completing a routine physical exam when he discovered peri-anal warts.

Before the child arrives you think about what you have learned in medical school. The family doctor seems to think this might be child abuse. What do you think? Is this child abuse?

Responses: choose the best one answer