Peri-anal warts in a 3 year old male

Question 1 of 7

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

	Most definitely, how else would a three year old boy contract warts around the peri-anal area?
	Most likely, although there are some other causes you will consider on your differential
	It’s hard to say at this point because you have not yet obtained a history or examined the child.
	Probably not, you have heard that HPV can be vertically transmitted