Forensic Gynaecology Flashcards

1
Q

What percentage of women report

Domestic Violence

since the age of 16yr

A

28%

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2
Q

What % of victims report sexual assault to the police

A

17%

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3
Q

What % of offenders are known to their victims

A

80%

47% where partners or ex-partners

33% family members

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4
Q

What % of sexual assaults are on individuals under 12yr

A

15%

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5
Q

What is the % of women will suffer

Sexual Assault

in their lifetime

A

10%

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6
Q

Define rape under the 2003 sexual offences act

A

He intentionally penetrates the vagina, amid or mouth of another person with his penis without consent

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7
Q

Define statutory rape of a child under 13 under the 2003 sexual offences act

A

He intentionally penetrates the vagina, amid or mouth of another person with his penis

And the other person is under 13 yr

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8
Q

Following sexual assault when would prophylactic Abx be recommended

What would be given

A

Cu IUD fitted
Unlikely to attend screening
Known STI in assailant

Ceftriaxone 500mg IM
Azithromycin 1g po
Metronidazole 2g po

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9
Q

How soon following sexual assault should routine screen for STI be completed

A

10-14 days

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10
Q

What is the risk of HIV transmission from individual not on ARVs

From receptive vaginal intercourse

A

1:1000

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11
Q

What is the risk of HIV transmission from individual not on ARVs

From receptive anal intercourse

A

1:65

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12
Q

Within how many hours of exposure can PEP be given

A

Ideally within 24 hours, no evidence for use beyond 72 hours

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13
Q

What is the first line regime for PEP

Does it interact with hormonal, including emergency contraception

A

Truvada and raltegravir

No

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14
Q

How long after sexual assault can Hep B vaccination have protective effect

A

6 weeks after assault

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15
Q

What is the forensic time frame

Penile oral assault

A

Within 48hr

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16
Q

What is the forensic time frame

Penile vaginal assault

A

Within 7 days

17
Q

What is the forensic time frame

Penile anal assault

A

Within 3 days

18
Q

What is the forensic time frame

Digital penetration of any orifice

A

Within 48 hours

19
Q

What is the forensic time frame

Skin swabs

A

Within 48 hours or up to 7 days if not washed