ESTUDYR
SANE-P CERTIFICATION EXAM PREP 2025
Which of the following STIs is considered inconclusive for diagnosing child sexual abuse because it can
be acquired nonsexually?
A. Gonorrhea
B. Bacterial vaginosis (BV)
C. Chlamydia
D. Syphilis
Rationale: BV can be caused by nonsexual factors and is not diagnostic of abuse in children.
Which viral infection is often inconclusive for child sexual abuse because perinatal or household
transmission is possible?
A. HIV
B. HPV
C. Hepatitis B (HBV)
D. Gonorrhea
Rationale: HBV may be perinatally or household-acquired, so its presence alone can be inconclusive.
What is the recommended HIV testing timeline after a sexual assault (baseline → …)?
A. Baseline, 1 week, 2 months, 1 year
B. Baseline only
C. Baseline, 6 weeks, 3 months, 6 months
D. Baseline, 2 years
Rationale: Serial testing at these intervals detects seroconversion after exposure.
Which of the following STIs is suspicious (but not definitive) for child sexual abuse and requires
exclusion of autoinoculation?
A. Syphilis
B. Gonorrhea
C. Herpes simplex virus (HSV)
D. HIV
Rationale: HSV can be acquired by autoinoculation or perinatal exposure; in children it raises suspicion
but needs context.
Which organism in a prepubertal child is considered suspicious for sexual abuse (not usually
perinatally acquired)?
A. Hepatitis B
B. Bacterial vaginosis
C. Trichomonas vaginalis (TV)
D. Candida
Rationale: Trichomonas in children is uncommon and raises concern for sexual contact.
, ESTUDYR
How is Trichomonas vaginalis commonly tested in pediatric patients?
A. Blood serology only
B. Genital swab with wet mount microscopy and culture
C. Urine NAAT (always validated in peds)
D. Visual exam only
Rationale: Wet mount/culture are commonly used; NAAT is sensitive but less validated in pediatrics.
Which STIs are considered diagnostic (strong evidence) of child sexual abuse if not perinatally
acquired?
A. HPV and BV
B. BV and HSV
C. HIV, syphilis, gonorrhea, chlamydia
D. BV and candidiasis
Rationale: These infections are usually sexually transmitted and, in a non-perinatal context, are
diagnostic or strongly suspicious.
Up to how long after birth can perinatal transmission of chlamydia be detected (per your notes)?
A. 1 month
B. 6 months
C. Up to 3 years
D. 10 years
Rationale: Your material notes perinatal chlamydia may be detected for a prolonged period (up to 3
years).
Perinatal transmission of gonorrhea can be detected for up to:
A. 1 week
B. Up to 1 year
C. 3 years
D. 6 months
Rationale: Your notes indicate gonorrhea may be perinatally acquired and detectable up to 1 year.
Perinatal transmission timeline for syphilis (major window):
A. Up to 10 days only
B. Up to 6 months
C. Up to 5 years
D. Lifetime only
Rationale: Your content lists syphilis perinatal timeline up to ~6 months.
Perinatal transmission for HSV (neonatal HSV) is typically detectable for up to:
A. 6 months
B. 4 weeks
C. 1 year
SANE-P CERTIFICATION EXAM PREP 2025
Which of the following STIs is considered inconclusive for diagnosing child sexual abuse because it can
be acquired nonsexually?
A. Gonorrhea
B. Bacterial vaginosis (BV)
C. Chlamydia
D. Syphilis
Rationale: BV can be caused by nonsexual factors and is not diagnostic of abuse in children.
Which viral infection is often inconclusive for child sexual abuse because perinatal or household
transmission is possible?
A. HIV
B. HPV
C. Hepatitis B (HBV)
D. Gonorrhea
Rationale: HBV may be perinatally or household-acquired, so its presence alone can be inconclusive.
What is the recommended HIV testing timeline after a sexual assault (baseline → …)?
A. Baseline, 1 week, 2 months, 1 year
B. Baseline only
C. Baseline, 6 weeks, 3 months, 6 months
D. Baseline, 2 years
Rationale: Serial testing at these intervals detects seroconversion after exposure.
Which of the following STIs is suspicious (but not definitive) for child sexual abuse and requires
exclusion of autoinoculation?
A. Syphilis
B. Gonorrhea
C. Herpes simplex virus (HSV)
D. HIV
Rationale: HSV can be acquired by autoinoculation or perinatal exposure; in children it raises suspicion
but needs context.
Which organism in a prepubertal child is considered suspicious for sexual abuse (not usually
perinatally acquired)?
A. Hepatitis B
B. Bacterial vaginosis
C. Trichomonas vaginalis (TV)
D. Candida
Rationale: Trichomonas in children is uncommon and raises concern for sexual contact.
, ESTUDYR
How is Trichomonas vaginalis commonly tested in pediatric patients?
A. Blood serology only
B. Genital swab with wet mount microscopy and culture
C. Urine NAAT (always validated in peds)
D. Visual exam only
Rationale: Wet mount/culture are commonly used; NAAT is sensitive but less validated in pediatrics.
Which STIs are considered diagnostic (strong evidence) of child sexual abuse if not perinatally
acquired?
A. HPV and BV
B. BV and HSV
C. HIV, syphilis, gonorrhea, chlamydia
D. BV and candidiasis
Rationale: These infections are usually sexually transmitted and, in a non-perinatal context, are
diagnostic or strongly suspicious.
Up to how long after birth can perinatal transmission of chlamydia be detected (per your notes)?
A. 1 month
B. 6 months
C. Up to 3 years
D. 10 years
Rationale: Your material notes perinatal chlamydia may be detected for a prolonged period (up to 3
years).
Perinatal transmission of gonorrhea can be detected for up to:
A. 1 week
B. Up to 1 year
C. 3 years
D. 6 months
Rationale: Your notes indicate gonorrhea may be perinatally acquired and detectable up to 1 year.
Perinatal transmission timeline for syphilis (major window):
A. Up to 10 days only
B. Up to 6 months
C. Up to 5 years
D. Lifetime only
Rationale: Your content lists syphilis perinatal timeline up to ~6 months.
Perinatal transmission for HSV (neonatal HSV) is typically detectable for up to:
A. 6 months
B. 4 weeks
C. 1 year
