SANE P QUESTIONS WITH VERIFIED
ANSWERS
jThe SANE is called to see a 4-yo patient brought to the ED by her mother with complaints of sexual
abuse by a male relative. Which of the following answers best identifies an age-appropriate patient-
centered approach?
A. Get through the exam as quickly as possible.
B. Don't explain each step of the exam process so as not to scare the chile.
C. Ask a nonoffending parent/guardian to wait outside the room during the exam process.
D. Limit exposure, ait times, and provide developmentally appropriate toys and distractions. - D
a 10 yo male tells his mother that he is bleeding from his bottom. Later n the ED he discloses to his
mother that his uncle has been sexually abusing him for the last five years. The SANE observes that his
mother is upset. She keeps repeating, "This couldn't have happened or he would have told me sooner."
Which of the following is most probable regarding the child's disclosure?
A. This could not have happened since there is such a delay in the child's disclosure?
B. The patient must only have disclosed because of the injuries today.
C. This disclosure is consistent with a true disclosure of abuse.
D. The mother is covering for the uncle and knew all along. - C
A primary role of the pediatric SANE includes which of the following?
A. Performing a forensic interview to get to important information to guide the SANE's medical
examination.
B. Performing an ethical, compassionate, and objective medical forensic examination.
C. Performing a physical examination to confirm that sexual abuse has or has not occured.
D. Performing a thorough forensic examination by analyzing clothing to find trace evidence. - B
While performing a pediatric sexual-assault examination, the SANE notes that the 8-month-old-girl has a
septate hymen, which the SANE identifies as a normal variation of the hymen. In which standard of
practice is the identified?
A. Assessment
B. Diagnosis
C. Evaluation
D. Outcomes - B
,The SANE is performing an examination on a 2-year-old female with her mother present. The alleged
perpetrator is the mother's boyfriend and the mother is insistent on defending him during the
examination. During the exam the SANE realizes she is getting angry. The SANE later tells a coworker that
she was angry with the mother for not protecting her child. Using a patient-centered care model, which
standard of practice should the SANE review to improve the SANE's practice?
A. Assessment
B. Evaluation
C. Outcomes
D. Diagnosis - A
Which of the following statements best describes a pediatric sexual assault perpetrator demonstrating
the trait of cognitive distortion?
A. A 27 yo Black male electrician who tells the SANE that all women are evil.
B. A 30 yo Caucasian female middle school teacher who tells the SANE that many students have wanted
to have sex with her.
C. A 45 yo Caucasian male soccer coach who tells the SANE he sometimes hallucinates, but is well-
controlled on his bipolar medication.
D. A 60 yo Caucasian male pediatrician who tells the SANE he is secretly homosexual, but married. - B
Grooming by a perpetrator can only occur if:
A. Parents aren't involved with their child's day-to-day lives.
B. The child is involved in sports or clubs.
C. Parents do not know the perpetrator.
D. The child trusts the perpetrator. - D
Lynn, the SANE's 10 yo female patient, has disclosed to her mother that her mother's boyfriend has been
sexually abusing her since she was 4 yo. She states that, "I am the only one who can help him. Please
don't be mad at him." The SANE knows this as which sign of grooming?
A. Gaining trust
B. Secrecy
C. Power difference
D. Isolation - C
The SANE's 6 yo patient discloses to the SANE that her mother's boyfriend has been sexually abusing her.
She says that she loves him, and her mommy loves him, and she does not want to get anyone in trouble.
"He loves me and mommy and he would never hurt us," she says. The SANE demonstrates a good
understanding about accommodation syndrome and grooming by saying:
, A. "But he did hurt you and he should not get away with it."
B. If he loved you and your mommy, he would not have done this."
C. "He might love you mother but touching like this is not love."
D. Sometimes even people we love can do things that don't feel right." - D
The jNational jChildren's jAlliance j(NCA) jwas jestablished jin j1988 jto jprovide jall jof jthe jfollowing jexcept:
A. jTo jbe jan jaccrediting jbody jfor jCACs, jensuring jquality jassurance jand jtechnical jassistance jfor
jmembers.
B. jA jmultidisciplinary jinvestigative jteam jand jcoordinated jforensic jinterviews.
C. jLive-in jshelter jaccommodations jfor jchildren jin jneed jof ja jsafe jenvironment.
D. jMedical jevaluation, jtherapeutic jintervention, jand jvictim jadvocacy jservices. j- jC
An jelementary jschool-aged jchild jtells jher jteacher jthat jshe jwas jtouched jinappropriately jby jher
jstepfather. jThe jteacher jtells jthe jprincipal, jwho jinterviews jthe jchild jand jthen jcalls j911. jLaw
jenforcement jresponds jand jquestions jthe jchild jin jthe jprincipal's joffice. jThe jprincipal jalso jnotifies jCPS
jand jCPS jresponds jto jthe jschool jand jinterviews jthe jchild. jCPS jtakes jcustody jof jthe jchild juntil jthe jsase
jis jresolved. jThe jchild jdoes jnot jreceive ja jmedical jexam. jHow jmight jthings jhave jbeen jdifferent jif ja
jCAC jexisted jin jthis jcommunity?
A. jCPS jwould jnot jhave jremoved jthe jchild jfrom jher jhome.
B. jThe jchild jwould jhave jhad jinterviews jperformed jonly jby jlaw jenforcement jand jCPS.
C. jForensic jinterview jwould jhave jbeen jperformed jby ja jtrained jinterviewer jin ja jchild jfriendly jplace.
D. jMedical jevaluation jwould jhave jbeen jprovided jif jthe jchild jreported ja jpenis-to-vagina jassault. j- jC
The jCAC jmodel jwas jdeveloped jbecause jthere jwere jconcerns jthat jchild jsexual jabuse j(CSA)
jinvestigations jcaused jadditional jdistress jto jchild jvictims jand jtheir jcaregivers. jWhat jprimary jchange
jrelated jto jCACs jhad jimpacted jchildren jin jthe jpositive jway jand jlessened jthe jadditional jstress jfor
jchildren jand jtheir jcaregivers?
A. jProviding jan jenvironment jwhich jis jchild-friendly
B. jEliminative jmultiple jinterview jperformed jby juntrained jinterviewers
C. jProviding jthe jopportunity jfor ja jmedical jexamination jand jtreatment
D. jOffering jmental jhealth jresources jand jintervention j- jB
A j5 jyo jmale jarrives jat jthe jED jwith jhis jmother. jThe jmother jimmediately jstarts jtalking jabout jhow jher
json jwas jabused jby jhis jfather jand jgoes jinto jdetail jabout jthe jassault. jWhat jwould jbe jthe jimmediate
jresponse jfor jthe jSANE?
A. jExplain jthe jmedical jforensic jexam jalong jwith jits jlimitations.
ANSWERS
jThe SANE is called to see a 4-yo patient brought to the ED by her mother with complaints of sexual
abuse by a male relative. Which of the following answers best identifies an age-appropriate patient-
centered approach?
A. Get through the exam as quickly as possible.
B. Don't explain each step of the exam process so as not to scare the chile.
C. Ask a nonoffending parent/guardian to wait outside the room during the exam process.
D. Limit exposure, ait times, and provide developmentally appropriate toys and distractions. - D
a 10 yo male tells his mother that he is bleeding from his bottom. Later n the ED he discloses to his
mother that his uncle has been sexually abusing him for the last five years. The SANE observes that his
mother is upset. She keeps repeating, "This couldn't have happened or he would have told me sooner."
Which of the following is most probable regarding the child's disclosure?
A. This could not have happened since there is such a delay in the child's disclosure?
B. The patient must only have disclosed because of the injuries today.
C. This disclosure is consistent with a true disclosure of abuse.
D. The mother is covering for the uncle and knew all along. - C
A primary role of the pediatric SANE includes which of the following?
A. Performing a forensic interview to get to important information to guide the SANE's medical
examination.
B. Performing an ethical, compassionate, and objective medical forensic examination.
C. Performing a physical examination to confirm that sexual abuse has or has not occured.
D. Performing a thorough forensic examination by analyzing clothing to find trace evidence. - B
While performing a pediatric sexual-assault examination, the SANE notes that the 8-month-old-girl has a
septate hymen, which the SANE identifies as a normal variation of the hymen. In which standard of
practice is the identified?
A. Assessment
B. Diagnosis
C. Evaluation
D. Outcomes - B
,The SANE is performing an examination on a 2-year-old female with her mother present. The alleged
perpetrator is the mother's boyfriend and the mother is insistent on defending him during the
examination. During the exam the SANE realizes she is getting angry. The SANE later tells a coworker that
she was angry with the mother for not protecting her child. Using a patient-centered care model, which
standard of practice should the SANE review to improve the SANE's practice?
A. Assessment
B. Evaluation
C. Outcomes
D. Diagnosis - A
Which of the following statements best describes a pediatric sexual assault perpetrator demonstrating
the trait of cognitive distortion?
A. A 27 yo Black male electrician who tells the SANE that all women are evil.
B. A 30 yo Caucasian female middle school teacher who tells the SANE that many students have wanted
to have sex with her.
C. A 45 yo Caucasian male soccer coach who tells the SANE he sometimes hallucinates, but is well-
controlled on his bipolar medication.
D. A 60 yo Caucasian male pediatrician who tells the SANE he is secretly homosexual, but married. - B
Grooming by a perpetrator can only occur if:
A. Parents aren't involved with their child's day-to-day lives.
B. The child is involved in sports or clubs.
C. Parents do not know the perpetrator.
D. The child trusts the perpetrator. - D
Lynn, the SANE's 10 yo female patient, has disclosed to her mother that her mother's boyfriend has been
sexually abusing her since she was 4 yo. She states that, "I am the only one who can help him. Please
don't be mad at him." The SANE knows this as which sign of grooming?
A. Gaining trust
B. Secrecy
C. Power difference
D. Isolation - C
The SANE's 6 yo patient discloses to the SANE that her mother's boyfriend has been sexually abusing her.
She says that she loves him, and her mommy loves him, and she does not want to get anyone in trouble.
"He loves me and mommy and he would never hurt us," she says. The SANE demonstrates a good
understanding about accommodation syndrome and grooming by saying:
, A. "But he did hurt you and he should not get away with it."
B. If he loved you and your mommy, he would not have done this."
C. "He might love you mother but touching like this is not love."
D. Sometimes even people we love can do things that don't feel right." - D
The jNational jChildren's jAlliance j(NCA) jwas jestablished jin j1988 jto jprovide jall jof jthe jfollowing jexcept:
A. jTo jbe jan jaccrediting jbody jfor jCACs, jensuring jquality jassurance jand jtechnical jassistance jfor
jmembers.
B. jA jmultidisciplinary jinvestigative jteam jand jcoordinated jforensic jinterviews.
C. jLive-in jshelter jaccommodations jfor jchildren jin jneed jof ja jsafe jenvironment.
D. jMedical jevaluation, jtherapeutic jintervention, jand jvictim jadvocacy jservices. j- jC
An jelementary jschool-aged jchild jtells jher jteacher jthat jshe jwas jtouched jinappropriately jby jher
jstepfather. jThe jteacher jtells jthe jprincipal, jwho jinterviews jthe jchild jand jthen jcalls j911. jLaw
jenforcement jresponds jand jquestions jthe jchild jin jthe jprincipal's joffice. jThe jprincipal jalso jnotifies jCPS
jand jCPS jresponds jto jthe jschool jand jinterviews jthe jchild. jCPS jtakes jcustody jof jthe jchild juntil jthe jsase
jis jresolved. jThe jchild jdoes jnot jreceive ja jmedical jexam. jHow jmight jthings jhave jbeen jdifferent jif ja
jCAC jexisted jin jthis jcommunity?
A. jCPS jwould jnot jhave jremoved jthe jchild jfrom jher jhome.
B. jThe jchild jwould jhave jhad jinterviews jperformed jonly jby jlaw jenforcement jand jCPS.
C. jForensic jinterview jwould jhave jbeen jperformed jby ja jtrained jinterviewer jin ja jchild jfriendly jplace.
D. jMedical jevaluation jwould jhave jbeen jprovided jif jthe jchild jreported ja jpenis-to-vagina jassault. j- jC
The jCAC jmodel jwas jdeveloped jbecause jthere jwere jconcerns jthat jchild jsexual jabuse j(CSA)
jinvestigations jcaused jadditional jdistress jto jchild jvictims jand jtheir jcaregivers. jWhat jprimary jchange
jrelated jto jCACs jhad jimpacted jchildren jin jthe jpositive jway jand jlessened jthe jadditional jstress jfor
jchildren jand jtheir jcaregivers?
A. jProviding jan jenvironment jwhich jis jchild-friendly
B. jEliminative jmultiple jinterview jperformed jby juntrained jinterviewers
C. jProviding jthe jopportunity jfor ja jmedical jexamination jand jtreatment
D. jOffering jmental jhealth jresources jand jintervention j- jB
A j5 jyo jmale jarrives jat jthe jED jwith jhis jmother. jThe jmother jimmediately jstarts jtalking jabout jhow jher
json jwas jabused jby jhis jfather jand jgoes jinto jdetail jabout jthe jassault. jWhat jwould jbe jthe jimmediate
jresponse jfor jthe jSANE?
A. jExplain jthe jmedical jforensic jexam jalong jwith jits jlimitations.
