trafficking/mutilation/transgender

Question 1

What kind of health problems will a trafficker usually suffer from?

Answer 1

Anaemia, malnutrition, respiratory (TB), STD, addiction, trauma injuries

Question 2

Define female genital mutilation

Answer 2

procedures involving partial or total removal of external female genitalia or any injury to female organs

Question 3

Which country has the most women effected by female genital mutilation?

Answer 3

egypt

Question 4

% of women in Somalia who experience genital mutilation?

Answer 4

98%

Question 5

Primary vs secondary FGM?

Answer 5

primary before age 14, before marriage or 50% under age of 5. secondary is after children

Question 6

What is type 1 FGM classification?

Answer 6

partial or total removal of the clitoris and prepuce

Question 7

What is type 2 FGM classification?

Answer 7

removal of clitoris and labia minora. Sometimes also labia majora

Question 8

What is type 3 FGM classification?

Answer 8

Narrowing the vaginal orifice by sewing together the labia minora and potentially majora

Question 9

What is type 4 FGM classification?

Answer 9

All other harmful procedures to the female genetalia like pricking, piercing, incising, scraping, cauterizing

Question 10

What is haematocolpos?

Answer 10

When menstrual blood cannot get out of the vagina

Question 11

if a female is under 18 years old and FGM occurs, who must be alerted in what time period?

Answer 11

1 month to report to police

Question 12

What is infundibulation?

Answer 12

Removal of external female genitalia and the suturing of the vulva

Question 13

Gender variant?

Answer 13

how a persons gender identity, role or expression differs from cultural norms prescribed for people of a particular sex

Question 14

What is a gender recognition certificate?

Answer 14

Individuals who demonstrated gender dysphoria and lived in that gender role for 2 years at least and legally identified as a man or woman

Question 15

in the patient pathway of a trangender patient where are they referred on to initially?

Answer 15

Gender identity clinic

Question 16

What kind of input is given in a gender identity clinic?

Answer 16

psychologists, SLT, endocrinologists, sexual health, dermatology

Question 17

What do the gender identity development service and gender identity clinic aim to do?

Answer 17

Change their gender role socially, medically and legally

Question 18

What is given to individuals hoping to transition in order to delay their puberty?

Answer 18

Gonadotrophin releasing analogues

Question 19

What procedures must a transwoman undergo

Answer 19

Penectomy and removal of testicles, labioplasty, clitoroplasty, vaginoplasty

Question 20

What procedures must a transman undergo?

Answer 20

Mastectomy, hysterectomy, oophorectomy, urethroplasty, scrotoplasty, phalloplasty

Question 21

What must you offer a trans individual before you commence sex change therapy?

Answer 21

preservation of gametes with cryopreservation

Question 22

Screening still needed in transman?

Answer 22

cervical smears

Question 23

Issues often suffered by a transwoman in terms of their vaginal functioning?

Answer 23

vagina length, hair in the vagina, vaginal lubrication

Question 24

What does SARC stand for?

Answer 24

sexual assault referral centre

Question 25

What is the SARC in NI

Answer 25

Rowan

Question 26

What aftercare is provided at a sexual assault referral centre?

Answer 26

STI screening, emergency contraception

Question 27

Difference between sexual assault and sexual violence?

Answer 27

Sexual assault is a range of offences like digital penetration or sexual touching whereas sexual violence is any behaviour perceived to be of a sexual nature that is unwanted

Question 28

5 Fs of responses to trauma?

Answer 28

Flight, freight, friend, flop, freeze

Question 29

hormone released in fight or flight?

Answer 29

catecholamines

Question 30

What cognitive effect do catecholamines have in fight or flight response? why?

Answer 30

Dampen the frontal cortex to reduce rational thinking

Question 31

if someone develops persistent symptoms of nightmares and falshbacks with PTSD after a rape what has developed?

Answer 31

Rape trauma syndrome

Question 32

Pregnancy risk in rape victims?

Answer 32

5-18%

Question 33

If someone contacts the Rowan under the age of 18 what happens?

Answer 33

Automatically contact PSNI and social services

Question 34

Criminal Law Act Section 5?

Answer 34

If anyone knows about an offence that occured that could be punishable with over 5 years imprisonment then that in itself can lead to 5 years in prison

Question 35

Time limit for vaginal rape examination, what is examined

Answer 35

7 days, vulval, low and high vaginal, endocervical, perianal

Question 36

Time limit for anal rape examination?

Answer 36

3 days

Question 37

Time limit for oral rape examination?

Answer 37

2 days

Question 38

Time limit for digital penetration sexual assault examination?

Answer 38

2 days

Question 39

What is examined in the rape of a pre-pubertal infant? how many days do they need to be examined within?

Answer 39

Vulval and perianal exam (rarely low vaginal and anal canal)

Question 40

What signs and aspects of history would be suggestive of child sexual abuse?

Answer 40

masturbation, recurrent UTIs, vaginal discharge, bleeding, bruising, scratching, bites, blood stains on underwear, anal fissures, STI, pain

Question 41

What do the letters in the STILLNESS model stand for?

Answer 41

sorry its happened, thank you for telling me, i believe you, listen, law, not your fault, even if it is, signpost, soar