SANE P CERTIFICATION |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
The 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.
CORRECT ANSWER
D
Question 2
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.
CORRECT ANSWER
C
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,Question 3
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.
CORRECT ANSWER
B
Question 4
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
CORRECT ANSWER
B
Question 5
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
2
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, 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
CORRECT ANSWER
A
Question 6
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.
CORRECT ANSWER
B
Question 7
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.
3
@THE STUDY VAULT
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
The 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.
CORRECT ANSWER
D
Question 2
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.
CORRECT ANSWER
C
1
@THE STUDY VAULT
,Question 3
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.
CORRECT ANSWER
B
Question 4
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
CORRECT ANSWER
B
Question 5
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
2
@THE STUDY VAULT
, 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
CORRECT ANSWER
A
Question 6
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.
CORRECT ANSWER
B
Question 7
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.
3
@THE STUDY VAULT