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Wound Assessment and Injury Documentation Flashcards

7 cards from real CFN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Which bruising pattern is considered HIGH SPECIFICITY for non-accidental trauma in young children under the TEN-4 rule?

    Answer: Bruising on the torso, ears, or neck in children under 4

    The TEN-4 rule identifies bruising on the Torso, Ears, and Neck in children under 4 years (and any bruising in infants under 4 months) as high-specificity indicators of abuse.

  2. When re-photographing injuries after the initial forensic exam, what is the RECOMMENDED timing?

    Answer: 24–72 hours after initial exam

    Re-photography at 24–72 hours captures peak bruise visibility as subcutaneous hemorrhage tracks to the skin surface, revealing injuries not apparent at initial examination.

  3. In forensic wound assessment, 'tissue bridging' within a wound cavity is pathognomonic of which injury type?

    Answer: Laceration

    Tissue bridging — intact strands of connective tissue crossing the wound — is characteristic of lacerations caused by blunt force, distinguishing them from sharp-force incised wounds.

  4. Which standardized scale is recommended by the American Board of Forensic Odontology for bite mark documentation?

    Answer: ABFO No. 2 scale

    The ABFO No. 2 scale is the accepted standard for bite mark photography, providing accurate dimensional scale and circular reference markers for distortion correction.

  5. A 'sentinel injury' in the context of child maltreatment BEST refers to:

    Answer: A minor injury that precedes and signals a pattern of abuse

    A sentinel injury is a seemingly minor injury (such as a small bruise in a pre-mobile infant) that serves as an early warning sign of an abusive pattern requiring investigation.

  6. Which body region would be LEAST expected to show bruising from accidental causes in a non-mobile infant?

    Answer: Buttocks and lower back

    Accidental bruising is extremely rare in non-mobile infants; any bruising on the buttocks, lower back, or other protected areas strongly suggests inflicted injury.

  7. When using the clock face method for anatomical wound orientation, '12 o'clock' is consistently positioned toward which direction?

    Answer: The patient's head (superior)

    In the clock face wound documentation method, 12 o'clock is always oriented toward the patient's head (superior direction), providing a standardized anatomical reference.