Fabricated or Induced Illness – Post Test

Regarding the term Fabricated or Induced Illness (FII) which of the following statements are correct?

Which of the following might be a result of FII?

Which of the following scenarios is most concerning for FII?

Regarding the perpetrators of FII which of the following statements is correct?

Regarding the victims of FII which of the following statements are correct?

A 3-year-old boy comes into the department feeling unwell. A serum [Na+] of 170 mmol/L is discovered. Salt poisoning is suspected but which of the following is the most likely differential diagnosis?

A 6-year-old boy comes into the ED following a seizure in the home. The episode was witnessed by his mother who accompanies him. She describes a generalised tonic clonic seizure lasting 15 minutes. On arrival he is alert and keen to play with the toys in the waiting area. This is his 5th such presentation. He had an electroencephalogram (EEG) done as an out-patient which showed no abnormality. He is developmentally normal. His maternal uncle suffered fits as a child.

Which of the following statements are true?

In this instance, which of the following will be most useful in making the diagnosis of FII?

An 8-year-old boy is seen with reported syncopal episodes for the past year. He has had a normal CT scan and blood tests. A diagnosis of Fabricated Illness is eventually made. His mother admits to being ‘over-anxious’ as her sister had died of a brain tumour.

Which of the following statements regarding the outcome for the child is correct?

A 4-month-old baby boy presents with a 3rd episode of reported apnoea. He is well and breathing normally on arrival to the ED. Previous investigations (bloods, chest x-ray, ECG, EEG, lumbar puncture, CT head) have been normal. Although the baby is smiling and cooing, his mother is crying inconsolably saying that her son is ‘clearly dying’.

Which one of the following is the most appropriate next step?