CFN Sexual Assault Forensic Examination (SANE) Practice 2 — Questions and Answers
Question 1: Which prophylactic medication is typically offered to sexual assault patients to prevent pregnancy?
- Mifepristone alone
- Emergency contraception (levonorgestrel or ulipristal acetate) (Correct answer)
- Oral contraceptive pills started immediately
- Medroxyprogesterone injection
Correct answer: Emergency contraception (levonorgestrel or ulipristal acetate)
Emergency contraception such as levonorgestrel is offered as soon as possible after assault to reduce the risk of unintended pregnancy.
Question 2: A SANE notices petechial hemorrhages on the soft palate during an oral exam. What does this finding most likely indicate?
- Strep throat infection
- Forced oral penetration or choking (Correct answer)
- Allergic reaction
- Vitamin C deficiency
Correct answer: Forced oral penetration or choking
Petechial hemorrhages on the soft palate are associated with forced oral penetration and are a significant forensic finding to document.
Question 3: Which STI prophylaxis regimen is recommended for sexual assault patients per CDC guidelines?
- Azithromycin 500mg single dose only
- Ceftriaxone + doxycycline + metronidazole (Correct answer)
- Amoxicillin and acyclovir
- Ciprofloxacin alone
Correct answer: Ceftriaxone + doxycycline + metronidazole
CDC guidelines recommend ceftriaxone for gonorrhea, doxycycline for chlamydia, and metronidazole for trichomoniasis as standard post-assault prophylaxis.
Question 4: When swabbing for DNA evidence during a sexual assault exam, what is the correct technique to maximize recovery?
- Use a single dry swab in one pass
- Use two swabs with a dry-wet technique (Correct answer)
- Use a moistened cotton ball
- Scrape with a wooden depressor
Correct answer: Use two swabs with a dry-wet technique
The two-swab technique (one wet, one dry) maximizes cellular material recovery by rehydrating dried secretions before absorbing them.
Question 5: Which documentation element is MOST critical when photographing injuries during a sexual assault examination?
- Using only black-and-white photography
- Including a measurement scale (ruler) in each photograph (Correct answer)
- Photographing from a single angle only
- Avoiding close-up photos to protect patient privacy
Correct answer: Including a measurement scale (ruler) in each photograph
A measurement scale in every photograph provides objective size reference essential for medical-legal interpretation of injury severity.
Question 6: How should a SANE handle a disclosure of sexual assault by a pediatric patient during examination?
- Document verbatim and make a mandatory child abuse report (Correct answer)
- Delay reporting until the examination is complete
- Refer the child to a psychiatrist before reporting
- Notify the parents first before any report
Correct answer: Document verbatim and make a mandatory child abuse report
SANEs are mandatory reporters; a child's disclosure requires immediate documentation of exact words used and a mandatory report to child protective services.
CFN Sexual Assault Forensic Examination (SANE) Practice 2
Which prophylactic medication is typically offered to sexual assault patients to prevent pregnancy?