Violence & Abuse

20 Questions

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Violence Quizzes & Trivia

Violence and Abuse Post Test (Chapters 62-68)


Questions and Answers
  • 1. 
    Which of the following is the leading cause of death in the US in individuals between 4 and 34 years of age?
    • A. 

      Fire/Smoke Exposure

    • B. 

      Malignant Neoplasm

    • C. 

      Motorized Vehicle Related Injuries

    • D. 

      Homicide

  • 2. 
    The theory of injury prevention focuses on the modification of 3 major factors that taken as a whole dictate the likelihood and severity of a given traumatic event.  Which of the below is not considered one of these factors? 
    • A. 

      Host/Patient Characteristics

    • B. 

      Environmental Conducitivity

    • C. 

      Agent of Energy Transmission

    • D. 

      Established EMS Response Systems

  • 3. 
    In patients who suffer a motor vehicle related injury, several key findings regarding the event have been identified that independently predict a greater probability for a future motor vehicle related injury.  Which of the following is not one of the top 3 factors?
    • A. 

      Age < 30 at the time of the initial event

    • B. 

      Alcohol use at the time of the initial event

    • C. 

      Seat belt use at the time of the initial event

    • D. 

      Speeding at the time of the initial event

  • 4. 
    With regards to forensic handgun wound analysis, which of the following associations is correct?
    • A. 

      Intermediate Range Wounds : Soot Deposition

    • B. 

      Contact Wounds : Sear Margins

    • C. 

      Long Range Wounds : Tattooing/Stippling

    • D. 

      Close Range Wounds : Stellate Lacerations

  • 5. 
    Which of the following is true regarding so called "pattern lacerations"?
    • A. 

      Result when a sharp edged object (eg knife) is forcefully drawn across the skin

    • B. 

      Isolated "tissue bridges" are common findings

    • C. 

      Associated wound margins abrasions are rare findings

    • D. 

      Involved tissue margins are smooth edged and well demarcated

  • 6. 
    • A. 

      When broken (eg during an MVC), the tempered glass found in rear and side windows tends to produce linear/ stellate lacerations upon contact with intact skin

    • B. 

      The front bumper of a vehicle that is actively braking will strike a patient at a higher point that would that bumper if the car was not actively decelerating

    • C. 

      Upon a collision, the occupants of a vehicle will initially move in a direction away from the area of primary contact

    • D. 

      When broken (eg during an MVC), laminated automotive glass tends to shatter into a multitute of razor edged shards

  • 7. 
    Regarding injury patterns commonly seen in child abuse, which of the following is true?
    • A. 

      Immersion burns characteristically exhibit a classic "drip-like" appearance

    • B. 

      "Bucket handle" or "corner" fractures commonly occur along the diaphyseal shafts of long bones

    • C. 

      Although essentially pathognomonic, retinal hemorrhages are seen in

    • D. 

      Anogenital burns are unlikely to occur via hot liquids spilling down into a child's diaper and such wounds should prompt concern for possible child abuse

  • 8. 
    A "toddler's" of CAST fracture is commonly seen in what location?
    • A. 

      Distal tibia

    • B. 

      Midshaft humerus

    • C. 

      Distal femur

    • D. 

      Proximal fibula

  • 9. 
    Regarding abdominal injury in child abuse, which of the following is false?
    • A. 

      Elevated liver enzymes are a sensitive marker of clinically signifcant liver injuries

    • B. 

      Duodenal hematomas can be seen despite only minor abdominal trauma (eg fall

    • C. 

      Trauma is the second leading cause of acute pancreatitis in pediatric patients

    • D. 

      Abdominal trauma represents the second most common type of fatal injury in child abuse related deaths

  • 10. 
    Regarding the physical examination of a sexual assault victim (SAV), which of the following is true?
    • A. 

      Anogenital lacerations are the most commonly identified traumatic injuries

    • B. 

      Copious lubricant (eg Surgilube) should be utilized during the vaginal speculum exam to limit any further injury to already jeopardized tissues

    • C. 

      The anterior forchette is the most common site of injury

    • D. 

      Powder-free examination gloves should be used to limit the potential for evidence contamination

  • 11. 
    • A. 

      Post assault, there is a 5 day window in which HIV prophylaxis can be successfully initiated

    • B. 

      Standard STD prophylaxis should only be offered after all associated cultures have been processed

    • C. 

      The immediate use of an emergency contraceptive can drop the likelihood of becomming pregnant to < 15%

    • D. 

      Hepatitis B vaccine should be offered to all patients who have not been previously vaccinated

  • 12. 
    Regarding elder abuse, which of the following is true?
    • A. 

      Under no circumstances should a victim of elder abuse be allowed to leave the hospital and return to a potentially abusive setting

    • B. 

      The majority of states have enacted laws dictating the mandatory reporting of suspected elder abuse

    • C. 

      By default, elderly patients should be assumed to lack adequate decision making capacity and therefore cannot legally refuse medical care

    • D. 

      Unlike victims of other forms of abuse, elder abuse patients rarely develop associated psychological disorders (eg PTSD)

  • 13. 
    Which of the following is true regarding intimate partner violence (IPV)?
    • A. 

      The majority of IPV cases occur outside of the home

    • B. 

      Nearly 95% of all IPV victims that seek care in US emergency departments subsequently self-report the abuse to law enforcement individuals

    • C. 

      Girls who either witness or directly experience intra-familial violence as children have an increased risk of becoming IPV victims when they reach adulthood

    • D. 

      All 50 states have laws that mandate the emergency physician to report all cases of suspected IPV to the appropriate law enforcement individuals

  • 14. 
    Regarding youth and violent crimes, which of the following is true?
    • A. 

      By the age of 18, most US children will have seen over 200,000 acts of violence portrayed on television

    • B. 

      Firearm related homicide rates are actually the highest in rural regions of the US

    • C. 

      Assault rifles are currently the most commonly utilized firearms in gang-related homicides

    • D. 

      Over the past 20 years, there has actually been a drop in the incidence of firearm related deaths in the 15-19 year-old age group

  • 15. 
    • A. 

      Fully-jacketed rounds are the preferred munition of standard US law enforcement officers

    • B. 

      The kinetic energy of a projectile is determined more by its given velocity rather than by its overall mass

    • C. 

      The term "magnum", when applied to a firearm round, implies a larger caliber or diameter as compared to a standard "non-magnum" round

    • D. 

      Handgun barrels are designed to impart a spin on the projectile as it exits the muzzle

  • 16. 
    Trauma is a recurrent disease, and victims of significant trauma are 10 times more likely than the general population to experience an additional episode.
    • A. 

      True

    • B. 

      False

  • 17. 
    In cases of shaken baby syndrome, the majority of patients will have evidence of an impact injury to the cranium.
    • A. 

      True

    • B. 

      False

  • 18. 
    Projectiles from non-powder firearms (eg BB guns) do not possess enough kinetic energy to inflict life-threatening wounds.
    • A. 

      True

    • B. 

      False

  • 19. 
    A firearm in the house is 43 times more likely to kill a family member or friend than an intruder.
    • A. 

      True

    • B. 

      False

  • 20. 
    As a rule, firearm rounds that possess a larger quanta of kinetic energy will always effect a greater amount of tissue damage than a lower energy projectile.
    • A. 

      True

    • B. 

      False