8/3/2019 dip sac 2007 08

1/3

30 August 2007Paper I (3 hours)

1 You are asked to clinically examine a 6-month-old baby. The baby was allegedlyinjured when falling from his cot, while under the supervision of his stepfather.Answer the following questions relating to the case

a) Which injuries would you specifically look for to exclude possible childabuse? (6)

b) What is your legal obligation in this case when suspecting child abuse? (4)c) Describe the relevance of radiological examination in cases of possible

child abuse. (5)[15]

2 Write short notes on the following

a) The definition of torture. (5)b) The responsibilities of the doctor treating a prisoner who claims to have been

tortured. (10)[15]3 a) In terms of the Criminal Procedure Act (Section 335B), discuss consent

where parents or guardians are not available (4)b) In terms of the Road Traffic Act discuss

i) Illegal blood alcohol limits for all categories of drivers. (5)ii) The reason(s) for the 2 hour time limit for blood alcohol sampling in

drunk drivers. (6)[15]

4 Describe the following examination techniques in cases of rape, including theiradvantages, as well as their limitations

a) Foleys catheter technique. (5)b) The use of ultra-violet light. (5)c) The use of Toluidine Blue dye. (5)

[15]

5 Discuss the definition of mild, moderate and severe intoxication and the differentclinical pictures expected in each category.

[15]

PTO/Page 2 Question 6...

8/3/2019 dip sac 2007 08

2/3

-2-

6 Discuss briefly, in terms of The National Health Act (Act 61 of 2003)

a) The rights of the patient.b) When a doctor may legally disclose information about his/her patient.

[15]

7 List the circumstances and conditions under which a pregnancy may be legally

terminated in South Africa, as contemplated in the Choice on Termination ofPregnancy Act of 1996.

[10]

8/3/2019 dip sac 2007 08

3/3

30 August 2007Paper II (3 hours)

1 Describe the clinical examination of a male survivor of alleged sexual assaultwith specific reference to the samples that you would collect during the clinicalexamination.

[15]

2 a) Define and briefly discuss Munchausen syndrome by proxy. (7)b) Discuss age assessment in a living person. (8)

[15]

3 You are tasked with developing a post coital treatment protocol in rape cases.What will the minimum requirements be?

[15]

4 a) Briefly discuss shaken baby syndrome and the clinical findings. (15)b) Discuss your approach to a malnourished child seen in outpatients. (10)

[25]

5 a) Define and discuss the medico legal aspects of bruises of the skin. (8)b) List and discuss the value of the colour changes in bruises in the

determination of the age of these wounds. (7)[15]

6 Write short notes on

a) Self inflicted skin wounds. (5)b) Subconjunctival petechial haemorrhages. (5)c) The effect of alcohol on the heart and bloodvessels. (5)

[15]