FINAL APD TEST QUESTIONS WELL
ANSWERS GRADED A+ 2025/2026
Basic epidemiology of sexual abuse - correct answer ✔✔1/5 girls, 1/10 boys
HS students: 11% F 4% of M
25% of F in college experience attempted or completed rape
Abuse typically occurs within long-term ongoing relationship between offender & victim,
escalates over time & lasts average of 4 yrs
Boys more likely than girls to be abused outside the family
Medical role of provider in identifying sexual abuse - correct answer ✔✔*History*: talk a little,
listen alot, document description of event in pts own words in detail
-identify players, use quotes when possible, consider taking hx from each caregiver separately
-Don't offer potential explanations
-Avoid confrontation or accusation
-Ask for details
PE
Labs & radiology
Evaluation of child for sexual abuse - correct answer ✔✔-Test for N. gonorrhoeae & C.
trachomatis
-Wet mount & culture of vaginal swab for trich vag; if malodor, discharge, or pruritis also check
for BV & candida
-Serum sample for HIV, Hep B, syphilis
-Repeat STI exam within 1-2 wks post-assault
-Repeat syphilis & HIV in 6 wks, 3 months, and 6-months post-assault
, Basic labs sexual abuse - correct answer ✔✔-Diagnostic for sexual abuse: gonorrhea, syphilis,
HIV, C. trachomatis,
-Highly suspicious: trich vag
-Suspicious: condylomata acuminata, genital herpes
All the above should be reported
-Inconclusive: BV; medical follow-up
ACES study - correct answer ✔✔Research study conducted by Kaiser Permanente & CDC -
Demonstrated an association of adverse childhood experiences (ACEs) (aka childhood trauma)
with health & social problems across the lifespan
Burnout symptoms - correct answer ✔✔-Exhaustion
-Detachment
-Loss of satisfaction
Stress-lack of control, suppression of emotion, striving for perfection, workaholic tendency
Descending "D"s - correct answer ✔✔-Difficulty/disappointment: issue defined negatively
-Discouragement: what you focus on grows
-Disillusionment: loss of creative vision
-Depression: loss of joy
-Despair: loss of hope
Ascending "A"s - correct answer ✔✔-Awareness: non-judgemental acceptance
-Appreciation: gratitude for opportunity
ANSWERS GRADED A+ 2025/2026
Basic epidemiology of sexual abuse - correct answer ✔✔1/5 girls, 1/10 boys
HS students: 11% F 4% of M
25% of F in college experience attempted or completed rape
Abuse typically occurs within long-term ongoing relationship between offender & victim,
escalates over time & lasts average of 4 yrs
Boys more likely than girls to be abused outside the family
Medical role of provider in identifying sexual abuse - correct answer ✔✔*History*: talk a little,
listen alot, document description of event in pts own words in detail
-identify players, use quotes when possible, consider taking hx from each caregiver separately
-Don't offer potential explanations
-Avoid confrontation or accusation
-Ask for details
PE
Labs & radiology
Evaluation of child for sexual abuse - correct answer ✔✔-Test for N. gonorrhoeae & C.
trachomatis
-Wet mount & culture of vaginal swab for trich vag; if malodor, discharge, or pruritis also check
for BV & candida
-Serum sample for HIV, Hep B, syphilis
-Repeat STI exam within 1-2 wks post-assault
-Repeat syphilis & HIV in 6 wks, 3 months, and 6-months post-assault
, Basic labs sexual abuse - correct answer ✔✔-Diagnostic for sexual abuse: gonorrhea, syphilis,
HIV, C. trachomatis,
-Highly suspicious: trich vag
-Suspicious: condylomata acuminata, genital herpes
All the above should be reported
-Inconclusive: BV; medical follow-up
ACES study - correct answer ✔✔Research study conducted by Kaiser Permanente & CDC -
Demonstrated an association of adverse childhood experiences (ACEs) (aka childhood trauma)
with health & social problems across the lifespan
Burnout symptoms - correct answer ✔✔-Exhaustion
-Detachment
-Loss of satisfaction
Stress-lack of control, suppression of emotion, striving for perfection, workaholic tendency
Descending "D"s - correct answer ✔✔-Difficulty/disappointment: issue defined negatively
-Discouragement: what you focus on grows
-Disillusionment: loss of creative vision
-Depression: loss of joy
-Despair: loss of hope
Ascending "A"s - correct answer ✔✔-Awareness: non-judgemental acceptance
-Appreciation: gratitude for opportunity
