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Review Question - QID 105814

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QID 105814 (Type "105814" in App Search)
A 4-year-old boy presents to general pediatrics clinic for a well-child visit. His mother reports that he has been growing and developing normally but because of new behaviors she has noticed with her child, she is concerned of possible abuse by the child's stepfather. Vital signs are stable, and the physical examination is within normal limits. The child has no visual signs of abuse. Which of the following, if reported by the mother would signify potential sexual abuse in the child?