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Forensic Medicine · Sexual offences: examination of the survivor
Sample itemA 19-year-old woman reports sexual assault. Which approach is consistent with current Indian guidelines for the medical examination?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Take informed consent for each step, record history and injuries, collect samples, and do not perform the two-finger test
The Ministry of Health guidelines (2014) and the Supreme Court have held that the two-finger test has no scientific basis and violates the survivor's dignity. The examination must be done with informed consent, privacy and a trained examiner, with prompt collection of evidence, treatment (emergency contraception, post-exposure prophylaxis) and psychological support.
Option by option
A. Delay the examination for several days until the family arrives
Delay may lose forensic evidence and delays treatment.
B. Take informed consent for each step, record history and injuries, collect samples, and do not perform the two-finger test (correct)
Correct. Consent, careful documentation and sample collection without the two-finger test are required.
C. Perform a two-finger test to assess whether she is habituated to sexual intercourse
The two-finger test is unscientific and discontinued.
D. Examine her without consent because the police have requested it
Medical examination of an adult requires her own consent.
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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