Week 3 pt 3 highlights

Question 1

True or false: IPV (intimate partner violence) is common

Answer 1

True

Question 2

True or false: Health care providers in women’s health are in a unique position to identify crimes of intimate partner violence and sexual abuse

Answer 2

True

Question 3

List some signs of IPV (intimate partner violence)

Answer 3

Question 4

The estimated ~2mil cases/year of IPV are likely understated because victims are __________ of disclosing abuse

Answer 4

fearful

Question 5

Are social services adequate?

Answer 5

Inadequate

Question 6

Addressing IPV:
1) What is it important to ask women when you’re alone w them?
2) What should you do if they answer no to this q?

Answer 6

1) If they feel safe at home
2) Carefully document physical findings
-Reassure victim that help is available and partner’s behavior is unacceptable

Question 7

What is a key factor in your responsibility in addressing IPV?

Answer 7

Obtain consent first

Question 8

List the RADAR checklist

Answer 8

Remember to ask about IPV
Ask directly and clearly in a private setting
Document all information
Assess patient’s safety
Review possible options

Question 9

Any sexual act performed on a person without consent is called what?

Answer 9

Sexual assault

Question 10

_______ of sexual assaults are perpetrated by someone known to the victim

Answer 10

3/4

Question 11

Medical consultation for sexual assault should begin with establishing what?

Answer 11

a supportive caring relationship

Question 12

Medical care for SA:
1) Who should be present during the interview and exam?
2) What should Sexual Assault Response Teams (SARTs) do first?
3) What are 2 key parts of SARTs job?

Answer 12

1) A chaperone and/or patient advocate
2) 1st Obtain consent
3) Physical examination + testing

Question 13

Medical care for SA:
1) What is suggested?
2) What vaccine should you give to unvaccinated victims?
3) When should you refer to HIV specialist?

Answer 13

1) Antibiotics
2) Hep B vaccine
3) If any suspicion/risk for HIV

Question 14

Medical care for SA:
1) Do they need a tetanus shot?
2) Should you offer emergency contraception?

Answer 14

1) Yes
2) Yes

Question 15

“Rape trauma syndrome” has two phases; what are they?

Answer 15

1) Acute/disorganization phase (days to weeks)
2) Integration/adjustment phase

Question 16

Psychological Sequelae of Sexual Assault: Aftercare planning:
1) What should you arrange for? When?
2) What should be performed at 72 hrs (latest), 6w, 3m, and 6m weeks regardless of prophylaxis measures?
3) What should you ensure before the pt leaves?
4) What should you provide in writing?

Answer 16

1) Careful follow-up: in 1 week
2) HIV testing
3) Pt has a safe place to go to and means of transportation
4) Referral information