Discuss management of rape victims

Discuss management of rape victims
171. Child sex abuse:
A. Cannot take place in children under 3 years of age.
B. Includes exposure.
C. Can be managed solely by the gynaecologist who diagnoses the problem.
D. Can be diagnosed confidently after discovering that a 13-year-old is not virgo intacta.
See Chapter 63.3, Child sex abuse.
172. The following may be adult sequelae of child sex abuse:
A. Persistent vaginal discharge.
B. Anxiety disorders.
C. Promiscuity.
D. Alcohol abuse.
See Chapter 63.3, Child sex abuse.
173. With regard to the management of rape victims:
A. The timing of the examination is not relevant.
B. Forensic sampling is the priority of the examination.
C. Informed consent should be obtained prior to the forensic medical examination.
D. Clothing should not be sent for forensic examination.
E. Screening for sexually transmitted diseases should be offered to the victim.
See Chapter 63.4, Rape and rape counselling.
174. With regard to rape:
A. It is defined as ‘unlawful sexual intercourse by a woman with a man, by force, fear or
fraud’.
B. Rape victims should be examined by specialist forensic medical examiners.
C. Fifty per cent of rape victims have major non-genital injuries.
D. Genital photographs should be taken by a photographer of a different gender.
E. Post-exposure HIV prophylaxis should be continued for 3 months.
See Chapter 63.4, Rape and rape counselling.
175. With regard to vulval lichen sclerosus:
A. Histological diagnosis is mandatory.
B. Emollient creams are ineffective.
C. Eighty per cent of cases will respond to 1% hydrocortisone cream.
D. Testosterone cream is useful for maintaining response.
E. The condition is usually self-limiting.
See Chapter 64, Benign vulval problems.
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