Montana Rape Exam Training Program
Final Exam
Circle the letter of the best answer for each question. When finished, follow the instructions on the last page to submit your exam.
1)The Montana Rape Exam Training Program is available to anyone in Montana involved in sexual assault response.
a)True
b)False
2)Providing medical care to your patient should take priority over collecting evidence.
a)True
b)False
3)A community-based response to rape involves many agencies and individuals including
a)prosecutors.
b)forensic scientists.
c)law enforcement officers.
d)victim advocates.
e)healthcare professionals.
f)all of the above.
4)The Montana Rape Exam Training Program uses the legal definitions of sex crimes as outlined in the Montana Code.
a)True
b)False
5)An unbroken trail of accountability that ensures the integrity, identity, and security of a piece of evidence is also known as
a)an evidence seal.
b)chain of custody.
c)linked evidence.
d)paper packaging.
e)none of the above.
6)Most rape exam evidence is biological evidence. When packaged, the biggest threat to this type of evidence isthe growth of mold and bacteria and
a)fire.
b)theft.
c)cross-contamination.
d)none of the above.
7)Never use a blow dryer or a heat lamp to dry evidence.
a)True
b)False
8)Rape exam evidence should be packaged in
a)plastic bags.
b)gauze.
c)sturdy paper products such as cardboard boxes and paper bags.
d)none of the above.
9)You should never sign chain of custody documents the day before an evidence transfer.
a)True
b)False
10)You will usually remember the details of a rape exam, so there is no need to take notes.
a)True
b)False
11)When correcting a written mistake, you should
a)erase it.
b)cover it with correction fluid or "white-out.
c)cross it out with one line and initial and date it.
d)none of the above.
12)Transient evidence, also known as exigent evidence, is evidence that
a)is found on a homeless person.
b)can be collected up to a month after the assault.
c)will disappear if not collected within a certain time frame.
d)all of the above.
13)Factors that affect the persistence of evidence on the human body are
a)the passage of time.
b)where on the body the evidence was deposited.
c)the post-assault activities of the patient.
d)all of the above.
14)Samples of your patient’s DNA and hairs are called ______and are used by scientists at the crime lab.
a)exhibits
b)known standards
c)crime scopes
d)none of the above
15)A rape exam is a simple procedure that you can perform by reading the instructions in the kit.
a)True
b)False
16)Rape exam information is always
a)public record.
b)sharable with family and friends.
c)reported to the local newspaper.
d)none of the above.
17)Situations covered by mandatory reporting in Montana are
a)gunshot wounds, stab wounds, child abuse, elder abuse, and abuse of the disabled.
b)stab wounds, sexual assault, and indecent exposure.
c)sexual intercourse without consent and sexual assault.
d)none of the above.
18)If a sexual assault patient chooses not to report the incident to law enforcement then
a)they must pay for the rape exam out of their own pocket.
b)they cannot have a rape exam.
c)the Forensic Rape Exam Payment Program (FREPP) will pay for their rape exam provided the exam is within 72 hours of the assault.
d)you should turn them away from your facility.
e)none of the above.
19)Chain of custody documentation is required when you transfer evidence into secure storage.
a)True
b)False
20)It is OK to leave urine in the urine cup and package it in the rape kit.
a)True
b)False
21)It is important that healthcare professionals learn how to take rape exam photos because law enforcement may not be present during the exam to take the photos.
a)True
b)False
22)It is important to learn how to use your photographic equipment before using it for an exam.
a)True
b)False
23)To ensure your patient's comfort and privacy you should obtain their permission before taking pictures, reassure them that the pictures are confidential, and
a)post the pictures on the Internet after the exam.
b)destroy the pictures after showing them to law enforcement.
c)shield uninvolved private parts of your patient in the pictures whenever possible.
d)none of the above.
24)One reason to use a digital camera when taking rape exam photos is
a)you can avoid the expense and privacy issues of having to develop film.
b)you can edit the pictures in an image editing program.
c)you can easily store the images in the rape kit.
d)all of the above.
25)Photographs, film, and digital images should always be packaged in the rape kit.
a)True
b)False
26)Prior to the exam, you should instruct your patient not to
a)talk about the incident or become emotional.
b)urinate without collecting the urine in a urine cup.
c)leave the building.
d)None of the above.
27)Victim-centered care means that
a)you are in charge and your patient should obey your orders.
b)your patient is in charge and you should ask their permission before proceeding with each step of the exam.
c)you should judge your patient for their behavior prior to the assault.
d)you should decide whether the patient is telling the truth or not and proceed accordingly.
e)none of the above.
28)Step 2 –The Patient Narrative is where you should transcribe
a)your patient's description of the assault using their own words.
b)the medications your patient is currently taking.
c)a list of who is present at the rape exam.
d)none of the above.
29)You will not need the red-top tubes in the toxicology kit.
a)True
b)False
30)The asterisked questions in Step 4 - Patient Assault History will help you identify and collect evidence based on the unique details of each case.
a)True
b)False
31)If you collect a physical item of evidence as part of a finding, you should
a)not record the finding on a diagram.
b)not photograph the finding.
c)label the evidence with the same Locator Number and description used in the diagram.
d)all of the above.
32)If your patient bathed or showered after the assault, you can omit the collection of evidence from body surfaces.
a)True
b)False
33)When making a smear or microscope slide from evidence swabs you should
a)cover the entire slide with material.
b)confine the smeared area to 1/2 square inch.
c)confine the smear to the frosted, or etched, area of the slide.
d)all of the above.
34)Head hairs will be easy for you to handle because you do not have to wear gloves.
a)True
b)False
35)Evidence found on fingers and fingernails can be important in sexual assault cases especially if
a)the victim bathed or showered after the assault.
b)the victim fought with or injured the assailant.
c)the assault occurred at night.
d)all of the above.
36)Evidence on clothing can be important in sexual assault cases because evidence on clothing
a)will persist longer than evidence on the human body.
b)will not get washed away if the victim bathes or showers.
c)will last for decades if handled and packaged properly.
d)all of the above.
37)The rape kit provides small paper bags for packaging your patient's bra and underwear. You will have to provide packaging for all other items of clothing. You should package clothing in
a)plastic zip-lock bags.
b)paper grocery bags.
c)wrapping paper.
d)all of the above.
38)The first step in collecting clothing is to place a covering such as butcher paper or a clean hospital sheet on the floor. This is to
a)be used as packaging material for all of the clothing.
b)prevent the clothing from touching the floor.
c)prevent debris from the floor from getting on the catch paper.
d)none of the above.
39)If you have to cut your patient's clothing to remove it, you should never cut through or enlarge existing holes and tears.
a)True
b)False
40)Because all cases are different, you may not use all of the collection material in the Step 8B, Step 8C and the Additional Swabs envelops.
a)True
b)False
41)Step 9 involves examination of your patient's genital area. This procedure differs depending on whether
a)the assault happened at night.
b)whether law enforcement is involved.
c)your patient is a male or female.
d)none of the above.
42)At the conclusion of Step 9A, the Pubic Hair Combings, you should throw the comb away.
a)True
b)False
43)You will not be able to perform Step 9A, Pubic Hair Combings, and Step 9B, Pubic Hair Standards, if your patient
a)is male.
b)does not have pubic hair.
c)does not report the incident to law enforcement.
d)all of the above.
44)Vaginal swabs can be collected without the aid of a speculum.
a)True
b)False
45)If it has been over 48 hours since the assault you should
a)omit all of Step 9.
b)not make a smear from the vaginal swabs.
c)collect cervical swabs.
d)none of the above.
46)When collecting the Known DNA Reference Standard you should do all of the following except
a)use the swabs together as a pair.
b)spin the swabs for even coating.
c)allow at least 30 seconds for material to absorb.
d)package the swabs in the Step 5C envelop along with the Oral Swabs and Smear.
e)none of the above.
47)Your patient does not have to be in the exam room when you perform Step 11, The Exam Inventory and Summary.
a)True
b)False
48)During Step 11 Section A, the evidence inventory, you should
a)check that all items are properly packaged, labeled, and sealed.
b)initial next to each item on the list as it passes inspection.
c)put diagram locator numbers next to items where needed.
d)all of the above.
49)If law enforcement is not involved you should provide your patient verbal and written information about the Forensic Rape Exam Payment Program or FREPP.
a)True
b)False
50)The white, original copy of the rape exam paperwork should be sealed in the envelope on the back of the rape kit box. This is the copy for law enforcement and attorneys.
a)True
b)False
When finished with the exam, fill in the information below and mail the completed exam to
Holley Johnson
Office of Victim Services
Montana Department of Justice
2225 11th Avenue
Helena, MT 59601-4880
Phone: (406) 444-3653
E-mail:
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