SANE-P CERTIFICATION ACTUAL EXAM
2025/2026 COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS!!
<RECENT VERSION>
1. STDs diagnostic of child sexual abuse (not perinatally acquired) - ANSWER
✔ HIV, syphilis, gonorrhea, chlamydia
2. Perinatal transmission timeline for chlamydia - ANSWER ✔ up to 3 years
perinatal transmission timeline
3. Perinatal transmission timeline for gonorrhea - ANSWER ✔ up to 1 year
perinatal transmission timeline
4. Perinatal transmission timeline for syphilis - ANSWER ✔ up to 6 months
perinatal transmission timeline
5. perinatal transmission timeline for trichomonas - ANSWER ✔ 6 months up
to 3 years perinatal transmission timeline
6. perinatal transmission timeline for herpes simplex virus (HSV) - ANSWER
✔ up to 4 weeks perinatal transmission timeline
7. perinatal transmission timeline for human papilloma virus (HPV) -
ANSWER ✔ up to 3 years perinatal transmission timeline
8. How to test for chlamydia - ANSWER ✔ NAAT test- girls urine
-vaginal swab
Culture- boys urine
, - boys urethral discharge
- vagina
- anus
no test for pharyngeal site
9. Signs and symptoms, or evidence of STD infection in children- what is the
next step? - ANSWER ✔ Test, don't treat until tests have been confirmed
10.How to test for gonorrhea - ANSWER ✔ NAAT test- girls urine
Culture- boys urine
- pharynx
- anus
- urethral discharge (boys)
- vagina
11.How to test for bacterial vaginosis - ANSWER ✔ *swab genitals and test
with wet mount microscopy
*look for "clue cells" ( vaginal epithelial cells studded with coccoobacilli)
under the microscope
*10 % KOH whiff test
visually examine for thin white discharge that smoothly coats
the vaginal walls
12.How to test for HSV - ANSWER ✔ culture of lesions
13.How to test for HPV - ANSWER ✔ visual exam
14.How to test for syphilis - ANSWER ✔ serology testing for t. pallidium
15.Follow up testing timeline for syphilis - ANSWER ✔ serology testing 6
weeks post assault
16.Treatment for syphilis - ANSWER ✔ Intramuscular, benzathine, penicillin,
G injection for primary or secondary syphilis.
,17.Prophylactic treatment for syphilis - ANSWER ✔ There is not a
prophylactic treatment for syphilis, patients should have an RPR test at six
weeks, three months and six months after exposure. This is the same
schedule for HIV testing post exposure.
18.Highest risk for HIV transmission - ANSWER ✔ Number one needle
sharing; number two, receptive, anal intercourse; number three, receptive,
vaginal intercourse; number for insertive, anal intercourse; number five
inserted vaginal intercourse number six possibly oral sex with ejaculation.
19.Standard npep prescription - ANSWER ✔ Truvada/tenofovir one tablet
orally and raltegrovir twice daily or dolutegravir once every day for 28 days.
Must start within 72 hours. Must take all doses. Pregnant women should
avoid dolutegravir.
20.Parameters for standard NPEP prescription - ANSWER ✔ Greater than 13
years of age, normal liver function, including AST and ALT testing,
complete blood count tests, and a creatinine clearance of greater than 60 mL
per minute.
21.nPEP regimen with baseline abnormal kidney function - ANSWER ✔
lamivudine and zidovudine plus raltegrovir 2x daily or dolutegravir once
daily with dosing adjustments.
22.Prophylaxis for gonorrhea - ANSWER ✔ Ceftriaxone 500 mg IM
23.Complications of long-term Truvada - ANSWER ✔ Bone marrow loss, renal
dysfunction, liver impairment.
24.Factors to consider for HIV npep administration: victim factors - ANSWER
✔ Concurrent, sexually transmitted infection, menstruating at time of
assault, acute anogenital injury, including bleeding, transections, lacerations,
bruising, swelling, unexplained injury
25.Factors to consider for HIV npep administration, assailant factors -
ANSWER ✔ Known HIV positive, man who has sex with men, intervenous,
drug user, perpetrator from an area or country with high, HIV prevalence,
history of incarceration, multiple assailants, unknown perpetrator.
, 26.Risk of pregnancy from sexual assault estimation - ANSWER ✔ 2% to 5%
27.Who needs to be considered for emergency contraception - ANSWER ✔
Any cisgender woman or transgender man beyond tanner stage 3 can
become pregnant from any single exposure
28.Assessment concerns relating to strangulation - ANSWER ✔ Neurological
changes, voice, changes, swallowing changes, neck swelling, lung injury,
breathing changes, mental status, changes, bowel and bladder incontinence,
visible injuries on the head, neck, shoulders, or upper chest, pain,
discomfort, or tenderness.
29.Tanner stage one breasts - ANSWER ✔ pre-pubertal only the papilla is
elevated above the level of the chest wall.
30.Tanner stage one pubic hair - ANSWER ✔ Vellus hair similar to abdominal
hair.
31.Tanner stage one male genitalia - ANSWER ✔ Testes, scrotum, and penis
sized similarly to early childhood.
32.Tanner stage two breasts - ANSWER ✔ Breast budding, elevation of breasts
as small mounds, enlargement and widening of areola, may be tender and
not symmetrical.
33.Tanner stage two, pubic hair - ANSWER ✔ Sparse growth of long, slightly
pigmented, downy straight or curled hair on labia majora and base of penis.
34.Tanner stage two, male genitalia - ANSWER ✔ Are enlargement of scrotum
and testes, scrotum skin may thin and appear reddened.
35.Tanner stage 3 breasts - ANSWER ✔ Breast enlarges, elevating beyond
areola.
36.Tanner stage three, pubic hair - ANSWER ✔ Coarser, curly, extends
outward over junction of pubis.
2025/2026 COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS!!
<RECENT VERSION>
1. STDs diagnostic of child sexual abuse (not perinatally acquired) - ANSWER
✔ HIV, syphilis, gonorrhea, chlamydia
2. Perinatal transmission timeline for chlamydia - ANSWER ✔ up to 3 years
perinatal transmission timeline
3. Perinatal transmission timeline for gonorrhea - ANSWER ✔ up to 1 year
perinatal transmission timeline
4. Perinatal transmission timeline for syphilis - ANSWER ✔ up to 6 months
perinatal transmission timeline
5. perinatal transmission timeline for trichomonas - ANSWER ✔ 6 months up
to 3 years perinatal transmission timeline
6. perinatal transmission timeline for herpes simplex virus (HSV) - ANSWER
✔ up to 4 weeks perinatal transmission timeline
7. perinatal transmission timeline for human papilloma virus (HPV) -
ANSWER ✔ up to 3 years perinatal transmission timeline
8. How to test for chlamydia - ANSWER ✔ NAAT test- girls urine
-vaginal swab
Culture- boys urine
, - boys urethral discharge
- vagina
- anus
no test for pharyngeal site
9. Signs and symptoms, or evidence of STD infection in children- what is the
next step? - ANSWER ✔ Test, don't treat until tests have been confirmed
10.How to test for gonorrhea - ANSWER ✔ NAAT test- girls urine
Culture- boys urine
- pharynx
- anus
- urethral discharge (boys)
- vagina
11.How to test for bacterial vaginosis - ANSWER ✔ *swab genitals and test
with wet mount microscopy
*look for "clue cells" ( vaginal epithelial cells studded with coccoobacilli)
under the microscope
*10 % KOH whiff test
visually examine for thin white discharge that smoothly coats
the vaginal walls
12.How to test for HSV - ANSWER ✔ culture of lesions
13.How to test for HPV - ANSWER ✔ visual exam
14.How to test for syphilis - ANSWER ✔ serology testing for t. pallidium
15.Follow up testing timeline for syphilis - ANSWER ✔ serology testing 6
weeks post assault
16.Treatment for syphilis - ANSWER ✔ Intramuscular, benzathine, penicillin,
G injection for primary or secondary syphilis.
,17.Prophylactic treatment for syphilis - ANSWER ✔ There is not a
prophylactic treatment for syphilis, patients should have an RPR test at six
weeks, three months and six months after exposure. This is the same
schedule for HIV testing post exposure.
18.Highest risk for HIV transmission - ANSWER ✔ Number one needle
sharing; number two, receptive, anal intercourse; number three, receptive,
vaginal intercourse; number for insertive, anal intercourse; number five
inserted vaginal intercourse number six possibly oral sex with ejaculation.
19.Standard npep prescription - ANSWER ✔ Truvada/tenofovir one tablet
orally and raltegrovir twice daily or dolutegravir once every day for 28 days.
Must start within 72 hours. Must take all doses. Pregnant women should
avoid dolutegravir.
20.Parameters for standard NPEP prescription - ANSWER ✔ Greater than 13
years of age, normal liver function, including AST and ALT testing,
complete blood count tests, and a creatinine clearance of greater than 60 mL
per minute.
21.nPEP regimen with baseline abnormal kidney function - ANSWER ✔
lamivudine and zidovudine plus raltegrovir 2x daily or dolutegravir once
daily with dosing adjustments.
22.Prophylaxis for gonorrhea - ANSWER ✔ Ceftriaxone 500 mg IM
23.Complications of long-term Truvada - ANSWER ✔ Bone marrow loss, renal
dysfunction, liver impairment.
24.Factors to consider for HIV npep administration: victim factors - ANSWER
✔ Concurrent, sexually transmitted infection, menstruating at time of
assault, acute anogenital injury, including bleeding, transections, lacerations,
bruising, swelling, unexplained injury
25.Factors to consider for HIV npep administration, assailant factors -
ANSWER ✔ Known HIV positive, man who has sex with men, intervenous,
drug user, perpetrator from an area or country with high, HIV prevalence,
history of incarceration, multiple assailants, unknown perpetrator.
, 26.Risk of pregnancy from sexual assault estimation - ANSWER ✔ 2% to 5%
27.Who needs to be considered for emergency contraception - ANSWER ✔
Any cisgender woman or transgender man beyond tanner stage 3 can
become pregnant from any single exposure
28.Assessment concerns relating to strangulation - ANSWER ✔ Neurological
changes, voice, changes, swallowing changes, neck swelling, lung injury,
breathing changes, mental status, changes, bowel and bladder incontinence,
visible injuries on the head, neck, shoulders, or upper chest, pain,
discomfort, or tenderness.
29.Tanner stage one breasts - ANSWER ✔ pre-pubertal only the papilla is
elevated above the level of the chest wall.
30.Tanner stage one pubic hair - ANSWER ✔ Vellus hair similar to abdominal
hair.
31.Tanner stage one male genitalia - ANSWER ✔ Testes, scrotum, and penis
sized similarly to early childhood.
32.Tanner stage two breasts - ANSWER ✔ Breast budding, elevation of breasts
as small mounds, enlargement and widening of areola, may be tender and
not symmetrical.
33.Tanner stage two, pubic hair - ANSWER ✔ Sparse growth of long, slightly
pigmented, downy straight or curled hair on labia majora and base of penis.
34.Tanner stage two, male genitalia - ANSWER ✔ Are enlargement of scrotum
and testes, scrotum skin may thin and appear reddened.
35.Tanner stage 3 breasts - ANSWER ✔ Breast enlarges, elevating beyond
areola.
36.Tanner stage three, pubic hair - ANSWER ✔ Coarser, curly, extends
outward over junction of pubis.
