An adult rape survivor, examined four hours after the incident, gives written history but firmly refuses internal genital examination when the doctor begins the medicolegal procedure. The correct action is to:

• A Proceed with the internal examination because treatment of a rape victim overrides consent
• B Refer to court for an order compelling examination before any evidence is collected
• C Record the refusal in writing with witnesses, examine only what is permitted, and preserve external evidence ✓
• D Sedate the victim lightly so that examination becomes possible

Explanation

Medicolegal examination is a consensual procedure; performing it against the express refusal of a conscious adult constitutes criminal assault. The doctor documents the refusal, ideally with witnesses, collects whatever evidence is possible without internal examination (clothing, nail scrapings, oral and external swabs), offers prophylaxis, and notes that refusal limits interpretation. Court orders do not authorise forcible examination of a competent adult, and sedating a patient solely to enable examination is unlawful.

Reference: The Essentials of Forensic Medicine and Toxicology, K S Narayan Reddy, 34th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.