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Forensic Medicine · Sexual assault examination: consent
Sample itemA conscious adult presents soon after an alleged sexual assault. They accept treatment for injuries and emergency contraception but decline genital examination and forensic swabs. What is the most appropriate response?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Respect the refusal, provide accepted care, and document the discussion and choices
Forensic examination and evidence collection require informed, voluntary consent and may be declined in whole or in part. The clinician should provide the care the patient accepts, explain time-sensitive options without coercion, and document the discussion accurately.
Option by option
A. Require police attendance before any medical care
Police involvement is not a prerequisite for urgent medical care.
B. Withhold all treatment unless a full forensic examination is accepted
Accepted healthcare should not be withheld because another component is declined.
C. Respect the refusal, provide accepted care, and document the discussion and choices (correct)
Correct. A patient may choose medical treatment while declining forensic procedures.
D. Collect forensic swabs because evidence may otherwise be lost
Evidence collection without consent violates autonomy and may be unlawful.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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