SAQ 1017 – Sexual assault, HIV risk and mandatory reporting

A 25-year-old woman presents after sexual assault. She had separated from her partner three months earlier because of recurring verbal abuse and escalating intravenous drug use.

He returned home intoxicated and aggressive, assaulted and raped her. After careful assessment, the only significant physical injuries are two minor rib fractures.

Estimate the risk of HIV transmission from heterosexual sexual exposure.

(Marked out of 2.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Exposure</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Estimated risk</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Receptive vaginal intercourse</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Receptive anal intercourse</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 2

What known characteristics of the assailant would increase HIV transmission risk enough to mandate HIV post-exposure prophylaxis?

(Marked out of 2.0)

/ 2

Discuss the role of presumptive antimicrobial therapy for Chlamydia trachomatis and Neisseria gonorrhoeae.

(Marked out of 3.0)

/ 3

The patient does not want police involved. In what circumstances is it mandatory for a doctor to report domestic and family violence to police regardless of the victim's wishes?

(Marked out of 4.0)

/ 4

Total Score: 0 / 11

Percentage: 0%