Sexual assault victims in the ED

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Question 1 of 3

1. Question
Which of the following statements are true?
- A patient can only be seen at a SARC if they consent to police involvement
- ED physicians are expected to conduct pelvic examination in order to obtain early evidence
- Patient should be encouraged to avoid washing, showering, brushing teeth and advised to retain all clothing until formal forensic examination can be carried out
- Circumstances in which information shoulder be shared police regardless of patient consent include those involving a child, those where the perpetrator holds a position of power (e.g. an employer) or those where guns or knives have been used
- The ED should provide the appropriate post-exposure prophylaxis (PEP) where indicated
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Question 2 of 3

2. Question
Which of the following statements are true?
- DNA from vaginal penetration can only be obtained within 24 hours post assault
- Once a patient has showered or bathed no persisting DNA can be obtained
- In cases of suspected drug-facilitated sexual assault, blood samples should be obtained with 72hrs and urine samples within four days
- Early evidence kits contain a urine sample pot, mouth swab and mouth rinse. ‘Chain of evidence’ should be demonstrated
- Vaginal rape carries a pregnancy risk of less than 1%
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Question 3 of 3

3. Question
Which of the following statements are true?
- Ceftriaxone (500mg IM), azithromycin (1g PO) and metronidazole (2g PO) is the recommend regime for prophylaxis of sexually transmitted diseases in a patient following rape
- There is strong evidence for the efficacy and safety of HIV post-exposure prophylaxis
- Receptive anal sex is the most significant risk factor for HIV transmission from a known HIV positive assailant
- The risk of HIV transmission from a known HIV-positive source in receptive anal intercourse is five times greater than from a needlestick injury
- Pregnant patients are never offered STI prophylaxis following sexual assault as the risk of the antibiotics is always higher than the risk of infection
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Sexual assault victims in the ED

Sexual assault victims in the ED

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