A sexual assault patient presents to our facility, what reactions would you expect choose all that apply:

a) Rocking, crying, and shivering

b) a take charge, take control attitude or angry attitude

c) want to pray for the assailant

d) laughing and joking

a) Rocking, crying, and shivering

b) a take charge, take control attitude or angry attitude

c) want to pray for the assailant

d) laughing and joking

Please choose the correct answer that lists the stages of rape recovery in order:

a) Acute, reoganization

b) disbeleif, shock, flashbacks

c) shock, disbeleif, reorganization

d) Shock, Acute, Reorganization, Flashbacks

d) Shock, Acute, Reorganization, Flashbacks

Rape Trauma syndrome (RTS) is a diagnosis associated with sexual assault and is similar o the characterisics of post traumatic stress disorder:

a) True

b) False

a) True

Jane, SANE performs a physical assessment and finds no physical trauma, she understands that this is a comon finding:

a) True

b) False

a) True

When conducting a sexual assult forensic exam, the SANE understands it should be based on the following: Circle all that apply:

a) Guidelines from ACEP, IAFN, and the State Protocol

b) The programs policy and procedure

c) Physicians orders

d) The Patients Input

a) Guidelines from ACEP, IAFN, and the State Protocol

b) The programs policy and procedure

d) The Patients Input

A patient presents describing: a certian smell related to the assault or the care afterward, a certian sound, or a voice or the way a word is pronounced, or a certian touch. the nurse knows that these are symptoms of flashback:

a) True

b) False

a) True

When testifying in court, it is important for a forensic nurse to be able to date a bruise based on it's appearance

a) True

b) False

b) False

Circle all that apply:

To become a SANE-A, I must:

a) be a licenced registered nurse

b) complet the diadactic and clinical components of a sexual assault nurse examiner that meets the International Associaton of Forensic Nurses Education Guidelines

c) Pass an exam given by the Forensic Nursing Certification Board

d) become an IAFN member

a) be a licenced registered nurse

b) complet the diadactic and clinical components of a sexual assault nurse examiner that meets the International Associaton of Forensic Nurses Education Guidelines

c) Pass an exam given by the Forensic Nursing Certification Board

Jane SANE knows that: Fidelity to Patients and Clients, Obligation to Science and Excellent Forensics are examples of IAFN's "Visions of Ethical Practice" and can be found on IAFN's official website

a) True

b) False

a) True

All baby girls are born with a hymen with the exception of rare congenital anomalies:

a) True

b) False

a) True

During the Medical forensic exam the nurse notices injuries to the labia minora and the posterior fourchette, these injuries are more frequently seen in patients in which position with vaginal penetration:

a) prone

b) supine

c) lateral

d) all of the above

b) supine

Jane Sane is discussing Plan B with her patient, the patient says that she does not beleive in abortion, Jane understands that Plan B will not interfere with an established pregnancy

a) True

b) False

a) True

You are discussing medication options iwht your patient. She asks if you can give her anything to protect her against Chlamydia. According to the CDC guidelines you should give:

a) Penicillin 250mg po

b)Ceftriaxone 255 mg IM

c) Azithromycin 1000mg po

d) Flagyl 2g po

c) Azithromycin 1000mg po

A patient presents to the ER with vaginal penetration with ejaculation, no condom, with unknown assailant, the patient is 86 hours post assault, has a hymneal tear, your response would be:

a) We can provide that for you

b) That is not an option but you can FU with testing

c) Assure the patient that she will not contact HIV

d) HIV prophylaxis is not an option for victims of sexual assault.

b) That is not an option but you can FU with testing

Discharge planing for Flagyl includes:

a) no ETOH for 24 hours after

b) it is ok to drink after 8 hours

c) there are no special instructions for this patient

d) she should not take any narcotics as they interfere with this drug

a) no ETOH for 24 hours after

Your patient describes becoming wet during her sexual assault, the SANE understands becuase she knows that the majority of fluid secreted during the arousal stage comes from the Bartholin's glands:

a) True

b) False

b) False

According to Masters and Johnson the four stages of human sexual repsonse are (choose the best answer in correct order)

a) arousal, orgasam, resolution, & plateau

b) engagment, plateau, orgasam, & resolution

c) foreplay, orgasam, resolution, & plateau

d) excitement, plateau, orgasam, & resolution

d) excitement, plateau, orgasam, & resolution

On exam of the cervix, you know from your training the followin findings are normal varations except:

a) white patchy surface

b) beefy red around the os

c) absence of cervic due to hysterectomy

d) green odiferious discharge

a) white patchy surface

d) green odiferious discharge

During the exam of a female patient, the examiner finds that she has sustained genital injury during the assault, this may be secondary to: Choose all that apply

a) lack of pelvic tilt

b) lack of communication

c) lack of estrogen

d) incrased force

a) lack of pelvic tilt

b) lack of communication

c) lack of estrogen

d) incrased force

When talking to your patient about the risk of HIV exposre after an assault a nurse would explore these criteria with the patient: choose all that apply

a) HIV risk factors of perpetrator

b) types and site of blody fluid exposure

c) injury noted

d) the perpetrators brother has HIV

a) HIV risk factors of perpetrator

b) types and site of blody fluid exposure

c) injury noted

While masters and Johnsons model of HSR is most accepted, there are other models in the literature. All of the following are found in the literature except:

a) kaplans

b) reeds

c) killrains

d) bassons

a) kaplans

b) reeds

d) bassons

During the phases of the HRS lubrication of the female sex organ occurs mostly in the _______ phase.

a) excitement

b) plateau

c) orgasm

d) resolution

a) excitement

When performing a SA exam the best way to conduct the exam woudl be ________.

a) by swabbing only where law enforcement asks

b) by collecting samples only wher ethe patient direct you to wher ethey beleive the evidence could be found

c) by being methodical, varying only if it is in the best interest of the patient

d) by following each step of the Indiana State protocol without fail

c) by being methodical, varying only if it is in the best interest of the patient

When obtaining the medical forensic history it is best practice to ask family members to leave

a) True

b) False

a) True

When conducting the SA exam the nurse examiner knows tha thse is not required to change her gloves because the samples come from one source, the patient.

a) True

b) False

b) False

When packaging evidence the SANE knows the appropriate method for this process includes: Choose appropriate:

a) Folding the patients clothign neatley in a tight square to fid exactly in the paper bag provided in the kit

b) Placing a tampon in a biohazarad bag prior to placing in a paper envalope

c) Licking the envelope closed and placing a patient label over the closure

d) drying all evidence compeltely prior to packaging

d) drying all evidence compeltely prior to packaging

When a sexual assault p atient describes the sexual assault ot you, you rmost appropriate initial reponse is:

a) I am so sorry that this has happened to you

b) Later let's talk about safety planning- to keep this from happening again

c) This guy is a criminal. We'll be seeing him in court.

d) Have you had a bath or shower.

a) I am so sorry that this has happened to you

The cycle of violence concsists of Tension Buliding, Eruption of Violence, Honeymoon

a) True

b) False

a) True

Women stay in abuse relationships because

a) low self esteem

b) financial reasons

c) low self esteem

d) fear of leaving animals

a) low self esteem

b) financial reasons

c) low self esteem

d) fear of leaving animals

Is it appropriate to allow family to be present during the medical forensic exam, if the patient chooses.

a) True

b) False

a) True

Maintaining chain of custody is best demonstrated by all of the following except

a) leaving adovocate in the room with the evidence to escort the patient to x-ray

b) remaining with the kit once it is openend until properly stored

c) having reciving officer sign Applicaton for Benefits when picking up the evidence kit

d) Sealing each time with patient identifers

a) leaving adovocate in the room with the evidence to escort the patient to x-ray

You are seeing ___(except)___ you beleive your  patient is displaying dissociative disorder. (which one is not dissociate disoder):

a) the patient comments "i can smell him on me"

b) Patient commenting to you that he or she was molested as a child and has been able to "go away" or "leave" in his or her mind when bad things happen

c) The patient inablity to remember some or all of the facts of the assault

d) Splitting of thier personality into one or more multiple personalities

a) the patient comments "i can smell him on me"

The husband of a sexual assault victim says to you "I told her not go go out tonight and she did anyway. I am so mad at her--this is her fault!" Your best response would be:

a) You sound like a pretty controling man. Do you always tell her when she can go out?

b) Sounds like she doesn't listen to you very well. No wonder you are so mad.

c) I am hearing that you are very angry, it might be that you are mad about what happened to her

d) You have every right to be mad at her, its her fault

c) I am hearing that you are very angry, it might be that you are mad about what happened to her

The following are good exampels of maintenace of chain of custody EXCEPT:

a) leaving the advocate in the room with the evidence to escort the patient to x-ray

b) Remaning with the kit once it is openened until properly stored

c) Having reciving officer sign Application for Benefits when pickignup the evidence kit.

d) Sealing each item with patient identifers

a) leaving the advocate in the room with the evidence to escort the patient to x-ray

Aligning yourself with the patient includes all of the following EXCEPT:

a) nothing obvious commonalities between you and the victim might help the patient or vicitm relate to you.

b) Mimicking the patients posture by mirroring her posture

c) relating personal stories that have happened to you, family or friends.

d) communicate with patient at her level of understanding

c) relating personal stories that have happened to you, family or friends.

The patient you are caring for int he shock room dies while you are collecting forensic samples, you can continue to collect samples so all of them are collected by one person.

a) True

b) False

b) False

The moment the person dies it is the corners responsiblity

If present during a police interview, the nurse examiner:

a) Does not interrupt the detective, even if the patient told you something differnt earlier than she is telling you now.

b) may ask clarifiyng questions of the patient, that relate to the forensic medical exam, after the police interview.

c) May speak with the detective before and/or after the interview to share any information that may be important/appropriate.

d) All of the above.

d) All of the above.

After the detctives interview, he discoses to you that he thinks the patient is lying. You should:

a) Proceed as if the detective didnto disclose his concerns to you.

b) explain to he patient that there will be no need to pursue the exam at this time.

c) confront the patient about her lies

d) Enlist the help of the patients mother to get her to tell the truth.

a) Proceed as if the detective didnto disclose his concerns to you.

The most common date rape drug is:

a) Alcohol

b) GHB

c) Rohypnol

d) cocaine

a) Alcohol

Symptoms a patient may describe that would make a nurse suspicious of date rape drugs include:

a) feelign like they wanted to move or talk but not being able to make thier body do what they wanted it to do.

b) Remembering "bits and pieces" or vage images of the event

c) Waking up in a different location, clothing, in a different state or completely off

d) all ofthe above

d) all ofthe above

According to the National Institiute of Justice most perpetrators are:

a) strangers

b) acquaintances/relatives

c) pedophiles

d) anger/retalitory

b) acquaintances/relatives

Nurse examiners may be able to identify characteristics of a serial rapist when:

a) the rapist made her call him a certian name

b) the rapist did or made her do things in a certain order

c) the rapist took something of little value when he left

d) All of the above

d) All of the above

Even thoguh an assailant may be surgically sterilized, seminal material with out spermatozaoa may have noguh DNA presnent to make identification:

a) True

b) False

a) True

"Black outs" differ from pass outs

a) in that the victim of a black out can still function, but can not remember the events

b) they do not differ

c) the victim of a blakc out vomits black substance

d) to be a true "black out" the scenario must involve durgs and alcohol

a) in that the victim of a blac out can still function, but can not remember the events

GHB and Rohypnol are the classic date rape durgs and seen in 75% of Drug Facilitated Sexual Assaults

a) True

b) False

b) False

If the patient recieves text messages while in your care you can take a photo of the test and submit the photo to evidence:

a) True

b) False

a) True

The forensic examiner does not really need to understand cypercrimes because it is irrelevant to the crime or rape:

a) True

b) False

b) False

Pam collects blood for toxicology becuase:

a) drugs can be detected further out in blood

b) urine is not admissible into court

c) Pam does not collect blood because urine drug screens can detect durgs longer

e) both b and d

e) both b and d

Fraternal twins have an identical DNA profile

a) true

b) false

b) false

The rapist typology is driven by fantasy and will use little or no profanity, beleives the victim enjoys it, and avoids confrontation.

a) Power reassurance

b) Power Assertive

c) Anger Retalitory

d) Anger exctiation

a) Power reassurance

In Indiana rape is defined as: A person knowingly or intentionally having sexual intercourse with a member of the opposite sex when:

a) the other person is compelled by force or imminent threat of force

b) the other person is unaware that he sexual intercourse is occuring

c) the other person is a sex trade worker

d) both a & b

d) both a & b

You are in the Trauma room collecting evidence from a patient that it seems likely will deteriorate. Your evidence collection for placement in the evidence kit may include all except: Pick incorrect answer:

a) Hair pulling's or standards

b) Anal Swabs

c) Vaginal Swabs

d) Dentures

d) Dentures