SCAN Flashcards

Question

Which 3 STD do you definitely report to CAS and Public Health?

Answer 1

Trichomonas Gonorrhea Chlamydia

Answer 2

Perinatal Non-abrasive skin contact (warts on hands) Sexual contact Fomite transmission

Answer 3

Up to 5 years (maybe 8)

Answer 4

``` Exam (general, SMR stage, external genital/anal) Speculum exam in adolescents Pregnancy test Tox screen (based on history) Sexual assault evidence kit Don't do STD swabs acutely! ```

Answer 5

Vaginal/penile swab-12 days Anal swab-3 days For prepubscent, after 24 hours, yield is VERY LOW

Answer 6

STI prophylaxis (Azithromycin 1g, Cefixime 800 mg) Emergency contraception Consider HepB, HIV prophylaxis

Answer 7

Up to 120 hours after

Answer 8

True. While chlamydia causes cervicitis in adolescents and is often asymptomatic, in prepubertal girls it often causes vaginitis

Answer 9

16 years | Exceptions are 12-14 and 1-4-19

Answer 10

1) Child under 16 years of age, Perpetrator in position of authority 2) Perpetrator is a stranger and caregiver is unbelieving or unsupportive

Answer 11

``` Repeated penetration of anus/vagina with object/digit Coercing another child into a sexual act Explicit imitation of sexual intercourse Asking an adult to perform a sexual act Oral-genital contact ```

Answer 12

``` Metaphyseal fractures Posterior rib fractures Spinous processes fractures Scapular fractures Sternal fractures ```

Answer 13

Postcircumcision bleeding Birth cephalohematoma Umbilical stump bleeding or delayed stump separation Post venipuncture bleeding Hematuria Petechiae at clothing line pressure sites Bruising at sites of object pressure (e.g. car seat fasteners) ``` Family members: Spontaneous, easy or excessive bruising Mucocutaneous bleeding Epistaxis (>10 mins) Bleeding from wounds (>15 mins) Joint swelling with minor injury Menorrhagia History of blood transfusion Unexplained anemia Bruises with palpable lumps under them Prolonged bleeding with surgical procedures ```

Answer 14

Lack of sexual health education Low levels of privacy and high degree of physical intrusion in health care Social isolation caused by institutionalization, hospitalization, special education Perceived disempowerment/lack of control Cognitive, sensory, mobility impairments, or difficulty communicating

Answer 15

``` STDs Vaginal/anal trauma Unexplained UTIs Fear of examination Self-harming Sleep disturbance Sexualized behaviour Somatic complains with no organic cause ```

Answer 16

Advocate for thorough screening and monitoring of employees/volunteers Chaperoning of physical exams and procedures Supervised outings Promoting patient privacy Educating adolescents on safe sex and sexual abuse

Answer 17

``` LD Developmental delay Substance-base related birth defects ADHD CHornic disorder (asthma, CP, congenital anomaly) Dental caries ```

Answer 18

Consistent Close to behaviour needing change Developmentally and temperamentally appropriate Perceived as fair by child

Answer 19

Schedule around feeding, sleeping, play and interaction with otherance void overstimulation Develop tolerance to frustration

Answer 20

Firm "no" | Redirecting child to alternate activity

Answer 21

Superivse Se limits and routines Relistic expectations Simple verbal explanations and redirection

Answer 22

Time outs Redirections Small consequences Approval/praise for good behaviour

Answer 23

Allow child to be more autonomous Withdrawal or delay of privileges Consequences Time out

Answer 24

Set rules in a non critical way Avoiding lectures Contracting with adolescent Remaining available

Answer 25

“Glove or stocking” burns of the hands and feet Single-area deep burns on the trunk, buttocks, or back Small, full-thickness burns (cigarette burns)

Answer 26

1. Contact Child Protection Services 2. Offer social/emotional support, social worker 3. Complete Forensic Exam (less than 72-96 hours) 4. Provide STI prophylaxes – decision to culture is controversial 5. Offer Emergency Contraception (up to 120 hours)