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

Question 16#Print Question

A 25-year-old G1P0 presents to your office for a routine return OB visit at 30 weeks. When you listen to the fetal heart tones, you notice that the patient has a number of bruises on her abdomen. You ask her what happened, and she tells you the bruises resulted from a fall she suffered several days earlier, when she slipped on the stairs. The patient returns to your office 3 weeks later for another routine visit, and you note that she has a broken arm in a cast. She says that she fell again. You question her about physical abuse, and the patient begins crying, and reveals a long-standing history of abuse by her husband.

Which of the following is the normal course of an abusive relationship during pregnancy?

a. Abuse is uncommon during pregnancy
b. An increase in abuse occurs in about 20% of relationships
c. Abuse is usually directed away from the breast and abdomen
d. Pregnant women who are abused usually have fewer complaints
e. Abused women usually receive adequate prenatal care


Question 17#Print Question

A 73-year-old woman is brought to your clinic for a gynecological examination by a neighbor for vaginal bleeding. She appears unkempt and frail. Her friend is concerned about abuse by the patient’s family. You interview and examine the patient and make the appropriate referrals for social services.

What is the common type of abuse of the elderly?

a. Emotional
b. Financial
c. Neglect
d. Physical
e. Sexual


Question 18#Print Question

You are evaluating a 36-year-old woman in the emergency department for a broken arm. She states that she slipped in the tub. This is the third time you have seen her for a trauma-related injury in the past 6 months. You suspect domestic violence. After treating her broken arm and evaluating her emotional status, which of the following is the next appropriate step in the management of this patient? 

a. Confront the patient’s partner
b. Discharge her to home
c. Offer counseling and resources
d. Order her to leave her partner
e. Provide an antidepressant


Question 19#Print Question

You are evaluating a 36-year-old woman in the emergency department for a broken arm. She states that she slipped in the tub. This is the third time you have seen her for a trauma-related injury in the past 6 months. You suspect domestic violence.

Which of the following is a common characteristic of intimate partner violence (IPV)?

a. Victims repeatedly visit clinics and emergency departments for different complaints
b. Victims are reluctant to reveal abuse when their physicians ask them about it
c. The events are isolated and not associated with other abuses
d. The head and neck are rare areas of injury
e. Signs and symptoms are usually evident, and the correct diagnosis is made most of the time


Question 20#Print Question

You are seeing a 37-year-old woman in your office for follow-up of an injury related to domestic violence. She states that her husband is over with his abusive behavior and is treating her like royalty. He has bought her a new necklace to show how sorry he is about the incident. She has changed her plans to seek counseling and to move out.

Which of the following is the most likely outcome in this situation?

a. Abuser accepts responsibility for his behavior
b. Cessation of all abuse
c. Decreased episodes of violence
d. Increasing severity of battering
e. Role reversal with victim taking control of relationship




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