| 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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