finals

Question 1

normal or non specific findings in a patient do not necessarily imply that no abuse occured

Answer 1

true

Question 2

annular or concentric hymen

Answer 2

class 1 (normal findings)

Question 3

crescentic hymen

Answer 3

class 1 (normal findings)

Question 4

fimbriated hymen

Answer 4

class 1 (normal findings)

Question 4

hymenal mound

Answer 4

class 1 (normal findings)

Question 5

the absence of hymenal lacerations does not dispute or disprove claims of sexual assault

Answer 5

true

Question 6

the mere introduction of the male organ into the labia major of the complainant’s vagina consummate the crime

Answer 6

true

Question 7

imperforate hymen

Answer 7

class 2 (non specific)

Question 8

micro perforate hymen

Answer 8

class 2 (non specific)

Question 9

hymenal septum

Answer 9

class 2 (non specific)

Question 10

septate hymen

Answer 10

class 2 (non specific)

Question 11

perihymenal erythema

Answer 11

class 2 (non specific)

Question 12

findings that have been noted in victims with documented abuse and may be suggestive of abuse bur for which insufficient data exists to indicate that abuse is the only cause

consistent, unlikely to be seen in nonabuse cases

Answer 12

class 3 (suggestive or indicative of abuse or penetration)

Question 13

posterior cleft

Answer 13

class 3 (suggestive or indicative of abuse or penetration)

Question 14

attenuated hymen

Answer 14

class 3 (suggestive or indicative of abuse or penetration)

Question 15

chlamydia

Answer 15

class 3 (suggestive or indicative of abuse or penetration)

Question 16

herpetic lesion

Answer 16

class 3 (suggestive or indicative of abuse or penetration)

Question 17

bv

Answer 17

class 3 (suggestive or indicative of abuse or penetration)

Question 18

anterior cleft/notch

Answer 18

class 2 (nonspecific)

Question 19

findings that have no explanation other than the trauma to the hymen or perianal tissues

Answer 19

class iv (definitive evidence of abuse or penetration)

Question 19

condylomata/warts

Answer 19

class 3 (suggestive or indicative of abuse or penetration)

Question 20

laceration of the hymen

Answer 20

class iv (definitive evidence of abuse or penetration)

Question 21

ecchymosis(bruising) on the hymen

Answer 21

class iv (definitive evidence of abuse or penetration)

Question 22

peri-anal lacerations

Answer 22

class iv (definitive evidence of abuse or penetration)

Question 23

hymenal transection, healed

Answer 23

class iv (definitive evidence of abuse or penetration)

Question 24

absence of hymenal tissue

Answer 24

class iv (definitive evidence of abuse or penetration)

Question 25

hiv aids

Answer 25

class iv (definitive evidence of abuse or penetration)

Question 26

hymenal petechiae

Answer 26

class iv (definitive evidence of abuse or penetration)

Question 27

rosary bead appearance

Answer 27

class iv (definitive evidence of abuse or penetration)

Question 28

consider a digital recta; examination only if medically indicated as the invasive examination may mimic the abuse

Answer 28

true

Question 29

speculums or anoscopes and digital or bimanual examinations of the vagina or rectum do not need to be used in a sexual abuse examination of a pre-pubertal child unless medically indicated. if a speculum examination is needed, sedation or anaesthesia should be considered.

Answer 29

true

Question 30

to minimize the trauma and distress of an unnecessary investigations and forensic evidence collection which cab be lengthy, the collection of forensic evidence should be based on the account of the sexual abuse and on what evidence can be collected, stores, analysed, and used and with the informed consent or assent of the survivor.

Answer 30

true

Question 31

sexually abused adolescents are at higher risks of STIs and should be screened for all STIs as would any sexually active adolescent presenting for routine care

Answer 31

true

Question 32

gonorrhea, syphilis, hiv, chlamydia

Answer 32

diagnostic (evidence for sexual abuse)

Question 33

trichomonas vaginalis

Answer 33

highly suspicious (evidence for sexual abuse)

Question 34

condyloma/warts

Answer 34

suspicious (evidence for sexual abuse)

Question 35

bacterial vaginosis

Answer 35

inconclusive, for medical follow up

Question 36

ECPs: progestin-only pills (postinor-2 gedeon richter)

Answer 36

2 doses of plan b (1.5mg levonorgestrel) 1st dose: within 72 hours after intercourse 2nd: 12 hours later more effective than combined ecp less nausea and vomiting

Question 37

ecps: combined oral contraceptive pills ovral or alesse

Answer 37

ordinary birth control both estrogen and progestin 2 doses of 2 or 4 pills depending on the brand 1st done: 72 hours after coitus 2nd: 12 hrs later side effects: nausea(50%), vomiting (20%)

Question 38

significantly reduces the risks of nausea associated with yuzpe regimen but significantly increases the risk of drowsiness no placebo effect

Answer 38

meclizine

Question 39

items collected from the rape suspect

Answer 39

all clothing penile swab blood sample or buccal swab pubic hair combings

Question 40

right against self incrimination is simply against the legal process of extracting from the lips of the accused an admission of guilt it does not apply to DNA analysis

Answer 40

true

Question 41

forensic evidence is found less often among sexually abused children compared to adult rape victims

Answer 41

true

Question 42

normal does not mean nothing happened only 2 of the 36 pregnant teens had definitive findings of penetration the hymen is normal in half of the 153 cases of abused pregnant adolescent seen at the PGH CPU

Answer 42

true

Question 43

in a 2022 stuyd of heger et al 96% had a normal findings abnormal findings is only 5.5% from victims of sever abuse

Answer 43

true