Violence & Abuse
Settings
-
+
- 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
Back to top