1. |
Sexual assault does not include |
A. | rape |
B. | forced sexual activity that does not result in penetration |
C. | oral or anal intercourse |
D. | flashing ones genetalia at the victim |
E. | attempted rape |
Answer» D. flashing ones genetalia at the victim |
2. |
Which statistics are incorrect with regard to sexual assault? |
A. | 90% of victims of sexual assault are women |
B. | 98% of offenders are men |
C. | 1.5% of the adult women are sexually assaulted each year |
D. | 25% of sexual assault victims report the incidence to police |
E. | less than 5% of sexual assault victims need admission to hospital |
Answer» D. 25% of sexual assault victims report the incidence to police |
3. |
The definition of rape is? |
A. | penile penetration of the labum majus |
B. | penile penetration of the labum minora |
C. | penile penetration of the distal most walls of the vagina |
D. | deep penile penetration of the vagina |
E. | does not require any of the above |
Answer» A. penile penetration of the labum majus |
4. |
Most non genital injuries of sexual assault are found on the |
A. | head |
B. | arms |
C. | chest |
D. | back |
E. | legs |
Answer» A. head |
5. |
Which is true with regard to specimen collection of a sexual assault? |
A. | vaginal and cervical swabs are taken with a wet swab stick and plated onto slides. Both slide and swab are included for evidence |
B. | semen on the skin is collected by using a wet swab stick then a dry swab stick, both are plated onto slides and all swabs and slides are included for evidence |
C. | a dry swab stick rubbed in the buccal mucosal is insufficient to gain pt DNA for comparison |
D. | pt blood collected for drug analysis put into normal hospital collection tubes bit these tubes go with the police for forensic assessment |
E. | finger nails scrapings must be rubbed on a glass slide at the time of collection |
Answer» B. semen on the skin is collected by using a wet swab stick then a dry swab stick, both are plated onto slides and all swabs and slides are included for evidence |
6. |
The risk of becoming pregnant from a rape is |
A. | 15% |
B. | 10% |
C. | 7.5% |
D. | 5% |
E. | 2.5% |
Answer» D. 5% |
7. |
Which is false? |
A. | the likelihood of getting sperm from the vagina at 72 hours is very low |
B. | acid phosphatase is normally found in both seminal fluid and vaginal fluid |
C. | acid phophatase can be detected in the vagina for up to 14 hours |
D. | PSA can be detected in the vagina for up to 48 hours |
E. | A police officer, usually female, must be present at the examination to ensure the ‘chain of evidence’ is continued |
Answer» E. A police officer, usually female, must be present at the examination to ensure the ‘chain of evidence’ is continued |
8. |
How should the morning after pill be taken? |
A. | two OCP each containing ethinyl oestradiol 50micrograms within 12 hours of sexual intercourse and two more taken at 72 hours post sexual intercourse |
B. | two such pills taken as a single dose within 72 hours of sexual intercourse |
C. | two such pills taken within 72 hours of sexual intercourse and two more taken twelve hours later |
D. | two pills taken at twelve hours post sexual intercourse and two more taken 72 hours later |
E. | two pills taken with 12 hours of sexual intercourse does not require a second dose |
Answer» C. two such pills taken within 72 hours of sexual intercourse and two more taken twelve hours later |
9. |
With regards to the forensic medical examination of a sexual assault which is false? |
A. | Photography of genitalia is not allowed routinely |
B. | Each item of clothing that a person is wearing must be placed in a separate bag, they cannot be put in the same bag |
C. | All clothes and specimens should be handed directly to the attending police officer |
D. | The results of the forensic tests are available for the victim if they approach the VIFM |
E. | Informed consent for specifically for specimen collection is required |
Answer» D. The results of the forensic tests are available for the victim if they approach the VIFM |
10. |
Which is incorrect with regards to death in the ED? |
A. | rarely should any information about death be given over the telephone |
B. | one a pt is dead organ donation is no longer possible |
C. | generally sedatives should not be given to a grieving relative as it only lengthens the grieving process |
D. | brain death is the time that brain death is established not when life support is ceased |
E. | a relative at the bedside during a resuscitation has been shown to be beneficial when coping with the pts death |
Answer» B. one a pt is dead organ donation is no longer possible |
11. |
With regards to domestic violence which is false? |
A. | 95% of the time the women is the victim |
B. | 30 – 50% of reported cases of spousal abuse also report child abuse |
C. | one of the lowest risk times for domestic violence is during pregnancy |
D. | injuries especially include head and neck |
E. | it is more common in women of colour and poverty |
Answer» C. one of the lowest risk times for domestic violence is during pregnancy |
12. |
Which of the below is not very suggestive of domestic violence? |
A. | forearm fracture |
B. | substantial delay between injury and seeking medical attention |
C. | facial trauma |
D. | multiple injuries in different stages of healing |
E. | fractured first metatarsal |
Answer» E. fractured first metatarsal |
13. |
Regarding SIDS which is a false statement? |
A. | the peak incidence is between the ages of 2-3 months |
B. | the incidence is 0.5:1000 live births |
C. | it is the leading cause of death between 1 month and one year |
D. | 80% of cases occur prior to 8 months of age |
E. | the incidence in the aboriginal population is twice that of Caucasian Australians |
Answer» E. the incidence in the aboriginal population is twice that of Caucasian Australians |
14. |
Which subgroup of infants are NOT at an increased risk of SIDS? |
A. | term infants who have had an ALTE |
B. | Premerature, low birth weight babies |
C. | Siblings of an infant that died of SIDS |
D. | Infants whose mothers smoke (but did not smoke during the pregnancy) |
E. | Babies who sleep in a prone position |
Answer» D. Infants whose mothers smoke (but did not smoke during the pregnancy) |
15. |
Which is not true with regard to SIDS? |
A. | up to 10% of multiple SIDS deaths are due to child abuse |
B. | botulinum toxin may be implicated in a small percentage of SIDS deaths |
C. | There is no relationship between infantile apnoea and SIDS |
D. | Death is a respiratory arrest not a cardiac arrest |
E. | Vaccinations are not associated with an increased risk of SIDS |
Answer» C. There is no relationship between infantile apnoea and SIDS |
16. |
Which is not currently considered a likely aetiology for SIDS? |
A. | airway obstruction |
B. | central apnoea |
C. | rebreathing of expired gases |
D. | arousal deficit |
E. | thermal stress |
Answer» B. central apnoea |
17. |
Which statement is correct with regards to an ALTE? |
A. | there is no relationship between these babies and those that die of SIDS |
B. | zanthine derivatives have been proven to be useful in both preterm babies who experience apnoea and term babies who have an ALTE |
C. | home apnoea monitors are proven to decrease the risk of SIDS in babies who experience a true ALTE |
D. | the definition of an ALTE includes infection with RSV |
E. | the degree of resuscitation required at home is of no help in distinguishing between an ALTE and other causes of apnoea |
Answer» C. home apnoea monitors are proven to decrease the risk of SIDS in babies who experience a true ALTE |
18. |
With regards to ecchymoses which is a false statement? |
A. | day 1-5 they are reddish/blue in colour |
B. | day 6 they are brown |
C. | day 7- 10 they are yellow |
D. | they usually have resolved by day 14 |
E. | a bruise usually develops within 1 hour of an injury |
Answer» B. day 6 they are brown |
19. |
Which site of bruising would make you suspicious of child abuse? |
A. | anterior shins |
B. | knees |
C. | upper arms |
D. | elbows |
E. | forehead |
Answer» C. upper arms |
20. |
Which fracture would not make you concerned re NAI in a 2 year old? |
A. | Metaphyseal chip fracture of humerus |
B. | Spiral fracture of a femur |
C. | Fractured ribs |
D. | Multiple fractures |
E. | Transverse fracture midshaft of radius an ulnar |
Answer» E. Transverse fracture midshaft of radius an ulnar |
21. |
Which is not an injury you would associate with NAI in a 2 year old? |
A. | Lacerated frenulum of the tongue |
B. | Trauma to pinna of ear |
C. | Hyphema |
D. | Laceration through eyebrow |
E. | Liver contusion |
Answer» D. Laceration through eyebrow |
22. |
If you suspected a child of a NAI what investigation would not usually be appropriate? |
A. | FBE |
B. | Clotting |
C. | Bone scan if child less than three years |
D. | Platelet count |
E. | CUE |
Answer» E. CUE |
23. |
In Shaken Baby Syndrome you would NOT find? |
A. | a comatose baby with no signs of trauma |
B. | acute subdural haematoma |
C. | retinal hemorrhages |
D. | upper arm bruising |
E. | fractured long bones of lower limbs |
Answer» E. fractured long bones of lower limbs |
24. |
What Xray is not routinely included in a skeletal survey? |
A. | long bones |
B. | thoracolumbar vertebrae |
C. | ribs and clavicles |
D. | fingers and toes |
E. | skull |
Answer» B. thoracolumbar vertebrae |
25. |
Examining a girl who is victim of sexual assault, which is false? |
A. | they are usually examined in the frog leg position |
B. | the use of a small speculum is usually advocated |
C. | general anaesthetic should only be used if internal injuries requiring surgical repair are suspected |
D. | the hymen can be best seen without instrumentation and the girl supine with her knees drawn to her chest |
E. | semen fluoresces with a Woods Lamp |
Answer» B. the use of a small speculum is usually advocated |
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