2.5

Question 1

Define sexual assault

Answer 1

attempted sexual touching of another person without his/ her consent and includes sexual intercourse (rape), sodomy (oral-genital or anal-genital contact), and fondling.

Question 2

What is sexual abuse?

Answer 2

when a child engages in sexual activity, for which he/she cannot give consent, is unprepared for developmentally, cannot comprehend, and/or violates the law so social taboos of society

Question 3

How many boys and girls are sexually abused during sometime in their childhood?

Answer 3

Worldwide 25% of girls and 9% of boys experience some form of sexual abuse during their childhood

Question 4

What puts kids at risk for sexual abuse?

Answer 4

Increased risk is associated with poor parent-child relationships, poor relationships between parents, absence of a protective parent, and the presence of non-biologically related males in the house

Question 5

Generally, what are the indicators of sexual abuse?

Answer 5

Most of the indicators of sexual abuse are nonspecific; the more specific ones include rectal/genital bleeding and STI’s that are not contracted perinatally

Question 6

When taking a history for a child of sexual abuse, what should you include?

Answer 6

History should be comprehensive and include the child’s current and past medical problems, as well as social and family histories.

Question 7

How can you gain more accuracy and information when taking a childs history for abuse?

Answer 7

Ask open ended questions, allow the pt to draw or use a doll, and speak in words that the child understands.

Question 8

Which parts of the body must you examine for a rape victim?

Answer 8

mouth, breast, genitals, inner thighs, perineal region, buttocks and anus

Question 9

What should the oral cavity be examined for?

Answer 9

forced entrance; bruising or petechiae

Question 10

What should the female genitalia be examined for?

Answer 10

erythema, abrasions, lesions, or tears and if a discharge is present they should be checked for an STI

Question 11

True or False: you never do a speculum exam on a prepubertal girl.

Answer 11

True (unless there is active bleeding with an unknown cause)

Question 12

What changes to the hymen might indicate abuse?

Answer 12

notching, lacerations, or fusion to the labia minora.

Question 13

What are the thing you will look for on the penis and scrotum of abuse patients?

Answer 13

erythema, bruising, acute or chronic trauma, bite marks, or abrasions

Question 14

Generally, what are some differential diagnoses to sexual abuse?

Answer 14

Any form of genital trauma, infection or dermatological conditions, including genetic conditions that involve the perineum or anus.