sexual assault

Question 1

what is the timeline for forensic examination samples following sexual assault:

a) kissing/licking or biting
b) digital penetration
c) oral penetration
d) vaginal penetration
e) anal penetration

Answer 1

A - kissing/licking or biting 48 hours
B - digital penetration - 48 hours
C - oral penetration - 48 hours
D- vaginal penetration - 7 days
E - anal penetration - 72 hours (3 days)

Question 2

what is the timeframe for bloods and toxicology post SA

Answer 2

3 days

Question 3

when should a HIV window period blood test be performed on patients who have been prescribed PEPSE

Answer 3

45 days after the completion of 28 day course of PEP

Question 4

what is the legal age of consent for sex in the UK

Answer 4

16

Question 5

describe type 1 FGM

Answer 5

clitoridectomy (partial or full removal of the clitoris or just the prepuce

Question 6

describe type 2 FGM

Answer 6

excision (partial or full removal of the clitoris and labia minora - can extend to include labia majora)

Question 7

describe type 3 FGM

Answer 7

infibulation (sealing the vaginal opening can involve partial removal or cutting of the clitoris +/- labia)

Question 8

describe type 4 FGM

Answer 8

piercing/pricking or cutting the female genitals not for the purpose of a medical procedure

Question 9

A 15 year old discloses that they have had FGM what should you do?

Answer 9

inform the police, safeguarding referral

Anyone aged under 18 that has had FGM needs police referral _+ safeguarding

in anyone aged over 18 - safeguarding referral

Question 10

what is the age of consent for medical procedures or refusal of medical treatment in the UK

Answer 10

16 years

Question 11

when assessing if a child under the age of 16 is competent what legal framework should be followed

Answer 11

Gillick competence

Question 12

when assessing if a child under the age of 16 is competent to make a decision regarding their sexual health treatment and contraception, what legal framework should be used

Answer 12

fraser guidelines

Question 13

what are the principles of fraser guidelines

Answer 13

fraser guidelines should be used to assess if a child aged <16 years is competent to consent to contraception treatment.

it has 5 principles

1. the young person understand the treatment and risks/benefits associated with it
2. the young person should be encouraged to tell a parent or guardian but should be encouraged
3. the young person is likely to continue having sex even if contraception is not supplied
4. it is in their best interests
5. the young persons physical or mental health is likely to suffer if they do not receive contraception or treatment

Question 14

what age does Fraser guidelines and Gillick competence apply to

Answer 14

anyone under the age of 16 as in the UK the age of consent for treatment and sex is considered 16

Question 15

what is the age of a child in terms of child protection services

Answer 15

18 (confusing as the age of a child in the NHS and for medical Rx is 16)

Question 16

under what age in the UK are children considered unable to consent for sex and penetrative sexual activity is considered rape

Answer 16

children <13 years are considered unable to consent so even if they think it is consensual sex the law would disregard this and consider any penetrative sex as rape

Question 17

in the law what has to be used for penetration for the sexual offence to be classed as rape

Answer 17

penetration must be by the penis and not any other object.
Penetration must be proven

Question 18

In the law for rape to be proven does ejaculation need to have occurred?

Answer 18

no - ejaculation does not need to have occurred

Question 19

in the definition of rape what orifice could have been penetrated

Answer 19

vagina/oral or anus must be by the PENIS, ejaculation does not need to have occurred without someones consent

Question 20

what is the definition of sexual assault by penetration

Answer 20

penetration of the vagina, anus with part of their body another object without consent

Question 21

what is the following definition describing

’ it is an offence for someone to expose their genitals if they intended another person to see them and be caused alarm or distress

Answer 21

indecent exposure

Question 22

what is the mandatory reporting duty if you discover a patient aged under 18 to have been subject to FGM

Answer 22

must report anyone under the age of 18 to the police (mandatory legal requirement).
FGM is illegal in the UK s