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Category: Obstetrics & Gynecology--->Sexual Abuse and Intimate Partner Violence
Page: 1

Question 1# Print Question

A 20-year-old woman presents to your office with a chief complaint of abdominal pain. Upon further questioning, the woman reveals that she was sexually assaulted at a party 3 weeks ago by a male friend whom she recently started dating. She tells you that she has not revealed this to anyone else, and has not informed the police because she was drinking. Her abdominal and pelvic examinations are normal.

Which of the following is the best management to offer this patient?

A. Counsel patient to sue the male friend
B. Provide an antidepressant
C. Provide emergency contraception
D. Test for and treat sexually transmitted infections
E. Order CT of the abdomen and pelvis


Question 2# Print Question

An 18-year-old undergraduate student presents to the emergency department at 5 am on a Saturday morning reporting that she was the victim of sexual assault while attending a fraternity party the evening before. When you first encounter this patient to take a detailed history, she remains very calm, but has trouble remembering the details of the experience. She reports that she has not used any alcohol or illicit drugs.

The victim’s inability to think clearly and remember things is best explained by which of the following?

A. Alcohol use
B. Head injury
C. Illicit drug use
D. Rape trauma syndrome
E. Secondary gain


Question 3# Print Question

An 18-year-old undergraduate student presents to the emergency department at 5 am on a Saturday morning reporting that she was the victim of sexual assault while attending a fraternity party the evening before. When you first encounter this patient to take a detailed history, she remains very calm, but has trouble remembering the details of the experience. She reports that she has not used any alcohol or illicit drugs.

Which of the following is most likely a component of the acute phase of the rape trauma syndrome?

A. No physical complaints
B. Duration for up to 6 months after the event
C. Always in control of emotions
D. The reaction of the victim may be influenced by victim’s relationship to the attacker
E. The victim’s coping mechanisms usually remain intact


Question 4# Print Question

You are called to the emergency department to evaluate an 18-yearold woman for a vulvar laceration. She is accompanied by her mother and father. The father explains that the injury was caused by a fall onto the support bar on her bicycle. You interview the woman alone and find out that her father has been sexually assaulting her.

Which of the following statements best describes injuries related to sexual assault? 

A. Most injuries are considered major and require surgical correction
B. Most injuries require hospitalization
C. More than 50% of victims will have an injury
D. Most injuries occur after the assault has taken place
E. Vaginal and vulvar lacerations are common in virginal victims


Question 5# Print Question

You are evaluating a 19-year-old victim of sexual assault in the emergency department. As a physician, your legal requirement includes which of the following?

A. Identification of the attacker
B. Detailed notation of injuries
C. Delivery of evidence to a law enforcement facility
D. Treating patient even if she refuses
E. Writing the diagnosis of rape in the patient’s chart




Category: Obstetrics & Gynecology--->Sexual Abuse and Intimate Partner Violence
Page: 1 of 4