1 Female and Male Sexual Assault Flashcards

1
Q

Emergency contraception is most effective when started within

A

72 hours of assault

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2
Q

remarks on extraction of pubic hair samples

A

Begin the genital exam with combing of the pubic hair and **extraction of hair samples.
Patient can pluck their own hair, but make sure that the hair root is included

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3
Q

used to highlight microtrauma

A

toluidine blue dye
- a dye with affinity for DNA and RNA

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4
Q

drugs that are typically though of as “date rape” drugs

A

ketamine
flunitrazepam (Rohypnol)
y-hydroxybutyric acid

Roypnol can be detected in the urine for up to 72 hours, and y-hydroxybutyric acid can be detected for 12 hours

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5
Q

test for these in sexual assault victims

A

syphilis, hepatitis B and C, and HIV
Testing for gonorrhea, chlamydia, and bacterial vaginosis is not necessary, because treatment is provided at the ED encounter

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6
Q

Follow baseline HIV testing with repeat testing when?

A

at 6 weeks and 3 and 6 months

obtain serum chemistry, liver function studies, and CBC for patietns who will receive HIV postexposure prophylaxis.

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7
Q

CDC recommended regimens for infection prophylaxis in sexual assault

A

Ceftriaxone 250mg IM, single dose
PLUS
Azithromycin, 1 g PO, single dose
PLUS
Metronidazole, 2g PO , single dose
OR
Tinidazole 2 g PO single dose

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8
Q

Emergency contraception regimens

A
  1. Levenorgestrel (Plan B®)
  2. Combined estrogen-progestin (Yuzpe®)
  3. Mifepristone
  4. Ulipristal acetate (Ella®/Fibristal®)
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9
Q

Dose of Levenorgestrel

A

(Plan B®)
1.5 mg once
or
0.75 at 1 and 12 hours

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10
Q

Dose of Combined estrogen-progestin

A

(Yuzpe®)
100 mcg ethinyl estradiol
plus
0.50 mg levenorgestrel
at 1 and 12 h

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11
Q

Dose of Mifepristone

A

25-50 mg pO as a single dose

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12
Q

Dose of Ulipristal acetate

A

(Ella® / Fibristal®)
30 mg PO as a single dose

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13
Q

Emergency contraception with lowest estimated pregnancy risk

A

Mifepristone
(1-10 / 1000 estimated pregnancy risk)

menstrual dealy most common side effect

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14
Q

most significant factor predicting failure of emergency contraception

A

cycle day of intercourse

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15
Q

most significant factor determining HIV infectivity

A

viral load in the assailant

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16
Q

antiretroviral with sulfa moiety

A

tenofovir (Truvada®)