1. Sexual assault does not include
rape
forced sexual activity that does not result in penetration
oral or anal intercourse
flashing ones genetalia at the victim

2. Which statistics are incorrect with regard to sexual assault?
90% of victims of sexual assault are women
98% of offenders are men
1.5% of the adult women are sexually assaulted each year
25% of sexual assault victims report the incidence to police

3. The definition of rape is?
A. penile penetration of the labum majus
penile penetration of the labum minora
penile penetration of the distal most walls of the vagina
deep penile penetration of the vagina

4. Most non genital injuries of sexual assault are found on the
head
arms
chest
back

5. Which is true with regard to specimen collection of a sexual assault?
vaginal and cervical swabs are taken with a wet swab stick and plated onto slides. Both slide and swab are included for evidence
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
a dry swab stick rubbed in the buccal mucosal is insufficient to gain pt DNA for comparison
pt blood collected for drug analysis put into normal hospital collection tubes bit these tubes go with the police for forensic assessment

6. The risk of becoming pregnant from a rape is
15%
10%
7.5%
5%

7. How should the morning after pill be taken?
two OCP each containing ethinyl oestradiol 50micrograms within 12 hours of sexual intercourse and two more taken at 72 hours post sexual intercourse
two such pills taken as a single dose within 72 hours of sexual intercourse
two such pills taken within 72 hours of sexual intercourse and two more taken twelve hours later
two pills taken at twelve hours post sexual intercourse and two more taken 72 hours later

8. With regards to the forensic medical examination of a sexual assault which is false?
Photography of genitalia is not allowed routinely
Each item of clothing that a person is wearing must be placed in a separate bag, they cannot be put in the same bag
All clothes and specimens should be handed directly to the attending police officer
The results of the forensic tests are available for the victim if they approach the VIFM

9. Which is incorrect with regards to death in the ED?
rarely should any information about death be given over the telephone
one a pt is dead organ donation is no longer possible
generally sedatives should not be given to a grieving relative as it only lengthens the grieving process
brain death is the time that brain death is established not when life support is ceased

10. With regards to domestic violence which is false?
95% of the time the women is the victim
30 – 50% of reported cases of spousal abuse also report child abuse
one of the lowest risk times for domestic violence is during pregnancy D. injuries especially include head and neck
it is more common in women of colour and poverty

11. Which of the below is not very suggestive of domestic violence?
forearm fracture
substantial delay between injury and seeking medical attention
multiple injuries in different stages of healing
fractured first metatarsal

12. Regarding SIDS which is a false statement?
the peak incidence is between the ages of 2-3 months
the incidence is 0.5:1000 live births
80% of cases occur prior to 8 months of age
the incidence in the aboriginal population is twice that of Caucasian Australians

13. Which subgroup of infants are NOT at an increased risk of SIDS?
term infants who have had an ALTE
Premerature, low birth weight babies
Siblings of an infant that died of SIDS D.
Infants whose mothers smoke (but did not smoke during the pregnancy)

14. Which is not true with regard to SIDS?
up to 10% of multiple SIDS deaths are due to child abuse
botulinum toxin may be implicated in a small percentage of SIDS deaths
There is no relationship between infantile apnoea and SIDS
Death is a respiratory arrest not a cardiac arrest

15. Which is not currently considered a likely aetiology for SIDS?
airway obstruction
central apnoea
rebreathing of expired gases
arousal deficit

16. Which statement is correct with regards to an ALTE?
there is no relationship between these babies and those that die of SIDS
zanthine derivatives have been proven to be useful in both preterm babies who experience apnoea and term babies who have an ALTE
home apnoea monitors are proven to decrease the risk of SIDS in babies who experience a true ALTE
the definition of an ALTE includes infection with RSV

17. With regards to ecchymoses which is a false statement?
A. day 1-5 they are reddish/blue in colour
day 6 they are brown C. day 7- 10 they are yellow
they usually have resolved by day 14
a bruise usually develops within 1 hour of an injury

18. Which site of bruising would make you suspicious of child abuse?
anterior shins
knees
upper arms
elbows

19. Which fracture would not make you concerned re NAI in a 2 year old?
Metaphyseal chip fracture of humerus
Spiral fracture of a femur
Fractured ribs
Transverse fracture midshaft of radius an ulnar

20. Which is not an injury you would associate with NAI in a 2 year old?
Lacerated frenulum of the tongue
Trauma to pinna of ear
Hyphema
Laceration through eyebrow

21. If you suspected a child of a NAI what investigation would not usually be appropriate?
Bone scan if child less than three years
Clotting
Platelet count
CUE

22. In Shaken Baby Syndrome you would NOT find?
a comatose baby with no signs of trauma
acute subdural haematoma
retinal hemorrhages
fractured long bones of lower limbs

23. What Xray is not routinely included in a skeletal survey?
long bones
thoracolumbar vertebrae
ribs and clavicles
fingers and toes

24. Examining a girl who is victim of sexual assault, which is false?
they are usually examined in the frog leg position
the use of a small speculum is usually advocated
general anaesthetic should only be used if internal injuries requiring surgical repair are suspected
the hymen can be best seen without instrumentation and the girl supine with her knees drawn to her chest