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Multiple Choice Questions (MCQ)

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Category: Obstetrics & Gynecology--->Sexual Abuse and Intimate Partner Violence
Page: 2

Question 6#Print Question

You are evaluating a 19-year-old victim of sexual assault in the emergency department. The patient is concerned that she may have been exposed to a sexually transmitted infection.

Which of the following tests should be ordered?

 

A. HIV, HBsAg, Pap smear, RPR, and urine culture
B. HIV, HBsAg, Pap smear, RPR, and urine pregnancy test
C. Chlamydia and gonorrhea cultures, complete blood count, HIV, HBsAg, Pap smear, and RPR
D. Chlamydia and gonorrhea cultures, HIV, HBsAg, Pap smear, RPR, and urine pregnancy test
E. Chlamydia and gonorrhea cultures, DNA probe for trichomonas, HIV, HBsAg, and RPR


Question 7#Print Question

You are evaluating a 19-year-old victim of sexual assault in the emergency department.

Which of the following antibiotic regimens do you recommend she take to prophylax against sexually transmitted infections?

A. Azithromycin 1 g orally plus ceftriaxone 250 mg IM plus metronidazole 2 g orally
B. Ceftriaxone 125 mg IM
C. Ciprofloxacin 500 mg PO twice daily x 7 days
D. Metronidazole 2 g orally in a single dose
E. No antibiotic prophylaxis is indicated


Question 8#Print Question

You are evaluating a 19-year-old victim of sexual assault in the emergency department. During your evaluation, the patient expresses fear of becoming pregnant due to the assault.

Which of the following is the best method to recommend for emergency contraception?

A. None, because it will cause an abortion and is morally wrong
B. None, because it will be ineffective if taken more than 12 hours after coitus
C. An intrauterine device, because it is 99% effective
D. Combination of estrogen and progestin contraceptive pills
E. Plan B, a progestin only contraception


Question 9#Print Question

You are evaluating a 19-year-old victim of sexual assault in the emergency department. After your evaluation and treatment has been completed, you discharge the patient to home.

When is the best time to schedule a follow-up appointment?

A. 24 to 48 hours
B. 1 week
C. 6 weeks
D. 12 weeks
E. There is no need for the patient to have any additional follow-up as long as she feels well


Question 10#Print Question

You are evaluating a 19-year-old victim of sexual assault in the emergency department. The patient returns to your office 2 months after the assault for a follow-up visit. She informs you that her sleep has improved and she can now be by herself without feeling anxious or panicked. She has also developed new friendships through her church. She tells you that she is changing jobs and moving to a new town. She feels that with this change she will be in control of her life.

The best recommendation you can make for the recovery of this patient is which of the following?

A. Continue counseling
B. Face her attacker to bring closure to this event
C. Get her to accept responsibility for the attack
D. Stop counseling since her recovery is now complete
E. Take anxiolytic medication




Category: Obstetrics & Gynecology--->Sexual Abuse and Intimate Partner Violence
Page: 2 of 4