Care of Women KSA 2025 exam with correct answers.

Care of Women KSA 2025 exam with |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




correct answers |||\\\




A 24-year-old graduate student comes to your office to be tested for sexually transmitted
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infections. The medical assistant tells you that the patient was upset when she saw how much |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




she weighed. On questioning, the patient says that for the past year she has experienced
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episodes of uncontrollable eating followed by self-induced vomiting. Her weight is 82 kg (181 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




lb) and her BMI is 32 kg/m2. Which one of the following is true regarding treatment for this
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condition?



A. Cognitive behavioral therapy has the best evidence for treatment
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B. SSRI monotherapy is a first-line treatment option
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C. Anemia is an indication for hospitalization
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D. More than half of patients will relapse after treatment - correct answer✔✔ANSWER: A
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Eating disorders include anorexia nervosa, bulimia nervosa, and binge eating disorder, and the
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DSM-5 added avoidant/restrictive food intake disorder, rumination disorder, and pica to this
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group in 2014. Mood disorders, anxiety, substance use, and personality or somatic disorders
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are common in these patients. Screening can include regularly asking questions about mood,
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body image concerns, and eating behaviors. Before establishing the diagnosis based on history,
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it is important to perform a physical examination that includes measurement of orthostatic
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vital signs and obtain a metabolic panel that includes magnesium and phosphate levels.
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This patient appears to have bulimia nervosa, which consists of eating an excessive amount of
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food in a short period of time (often >2000 calories in one sitting), with a concomitant feeling
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of loss of control. Because patients with bulimia base their self-worth on their body shape and
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weight, they follow this binge eating with compensatory behaviors to prevent weight gain, such|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




as vomiting, laxative use, food restriction, excessive exercise, or taking diuretics. Episodes
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occur, on average, one or more times a week for 3 months or longer, and the disorder is
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associated with a two- to sixfold increase in age-adjusted mortality. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\

,After the diagnosis is established and a goal weight has been accepted, the patient is best
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served with treatment delivered by a team that includes a therapist, a nutritionist, and a
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clinician, preferably with each having prior experience in caring for patients with eating
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disorders. Cognitive behavioral therapy (CBT) has the best evidence for treatment of adults |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




with bulimia, while family-based therapy is the first-line treatment for adolescents with this
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condition. Early behavioral response, with rapidly declining episodes of binge eating, is associat |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A 35-year-old female presents to your office for treatment of insomnia. You ask if she has
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experienced any trauma in her life and she discloses that she was sexually assaulted 6 weeks |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




ago. She has not sought medical, legal, or psychological counseling since the assault. During
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today's visit, you should do which one of the following? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A. Assess for symptoms of posttraumatic stress disorder
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B. Prescribe levonorgestrel (Plan B One-Step), 1.5 mg
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C. Prescribe HIV postexposure prophylaxis
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D. Perform a forensic examination to collect evidence, such as a rape kit evaluation
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E. Refer her for cognitive behavioral therapy - correct answer✔✔ANSWER: A
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Sexual assault affects 43.6% of women in the United States during their lifetimes, with
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increased risks seen in adolescents, college students, LGBTQ persons, and active-duty military |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




personnel. The risk is also increased by physical or mental disabilities, poverty, homelessness, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




incarceration, and substance use disorders. The majority of assaults are committed by |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




someone known to the victim, and assaults are often unreported. It has been estimated that |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




only 16%-38% of victims seek help from law enforcement or obtain a medical evaluation.Both
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short- and long-term consequences can occur after sexual assault. Short-term consequences
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include physical injuries, unintended pregnancy, and sexually transmitted infections (most
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commonly Chlamydia, gonorrhea, and trichomoniasis). Over time, additional sequelae may |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




include chronic pelvic pain, headaches, fibromyalgia and other chronic pain syndromes, and
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irritable bowel syndrome. The most common long-term consequence is posttraumatic stress
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disorder (PTSD), while other psychological sequelae include insomnia, depression, anxiety,
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substance use disorder, eating disorders, and suicidality. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




The American College of Obstetrics and Gynecology recommends screening all women for
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sexual violence, while the U.S. Preventive Services Task Force recommends intimate partner
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,violence (IPV) screening for women of reproductive age. Most women will not disclose IPV or
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sexual violence unless asked, and a validated two-question screening tool can be most easily
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incorporated into a primary care practice: "Have you ever been hit, slapped, kicked, or |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




otherwise hurt by your partner? Have you ever been forced to participate in sexual |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




activities?"This patient should have a urine pregnancy test and be tested for Chlamydia, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




gonorrhea, bacterial vaginosis, syphilis, and trichomoniasis. Blood shoul |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




You are developing a practice improvement activity in your office centered on substance use
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disorder (SUD). As part of the training for your clinical staff, you plan to review a variety of
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clinical vignettes of patients with SUD. One of your goals is to illustrate how SUD has different
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clinical presentations in women and men. Which one of the following statements is accurate
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regarding these differences? |||\\\ |||\\\




A. Compared to men, women have a quicker progression from first using a substance to
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developing dependence |||\\\




B. Compared to men, women with SUD have less severe adverse consequences
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C. Smaller quantities of drug consumption are associated with development of SUD among
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men compared to women |||\\\ |||\\\ |||\\\




D. Women are less likely to relapse after treatment than men - correct answer✔✔ANSWER: A
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Substance use disorder (SUD) in women is often associated with more severe adverse medical, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




psychiatric, and functional consequences than in men, often related to the interacting |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




contributions of biological and environmental factors. Physiologically, women with SUD have |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




variation in cravings and drug consumption at different times of the menstrual cycle. There is
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also evidence that women metabolize nicotine more rapidly than men, making it harder for
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them to quit using nicotine-containing products. This differential metabolism is a possible
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reason that nicotine replacement therapies are less efficacious in women.
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Environmentally, women often attribute their substance use to different reasons than men, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




including self-treatment of mental health problems, management of chronic pain, and |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




controlling weight. Use of smaller quantities of drugs and a shorter time progression from |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




initial use to dependence are both more likely among women with SUD. Treatment outcomes
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are not substantially different by sex, but women are more likely to relapse after treatment.
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, A 23-year-old patient comes to your office 4 weeks after the uncomplicated vaginal birth of her
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first child, and reports that she feels tired all the time. On further questioning, she describes
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significant emotional lability during the first week after delivery. She has continued to have a |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




low mood most days and worries about her ability to care for her child. She reports no
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personal or family history of depressive illness. Her infant is feeding and growing well, and now
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requires only one nighttime feeding. Which one of the following would be most appropriate at
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this point? |||\\\




A. Reassurance that the problem will most likely be resolved within 4 weeks
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B. Reassurance that this condition is unlikely to recur in subsequent pregnancies
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C. Appropriate screening for underlying medical conditions, including a urinalysis and an
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erythrocyte sedimentation rate |||\\\ |||\\\




D. Avoiding pharmacologic therapy because she is breastfeeding
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E. Rec - correct answer✔✔ANSWER: E
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Postpartum depression is relatively common and occurs in up to one in seven women. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Untreated, it is associated with significant maternal and neonatal mortality. It is disruptive to |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




the family, and it can lead to a higher risk for paternal depression, marital discord, family
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violence, substance use and abuse, child abuse and neglect, failure to implement child safety
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and preventive measures, and poorer management of chronic health conditions in children.
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Postpartum depression is associated with both the early cessation of breastfeeding and |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




reduced maternal-infant engagement, which can both have an adverse effect on infant
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development. Consequences of maternal depression include negative effects on cognitive |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




development, social-emotional development, and behavior of the child. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Sometimes it can be difficult to distinguish postpartum depression from "baby blues," a period |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




of increased emotional lability, irritability, and fatigue that can begin in the first 24-48 hours
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post partum, has limited impact on functioning, and usually disappears within 2 weeks.
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Symptoms that persist beyond 2 weeks, including depressed mood, lack of pleasure, sleep |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




disturbance, diminished concentration, feelings of guilt or worthlessness, loss of energy, or |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




thoughts of death or suicide, are consistent with the DSM-5 diagnostic criteria for major
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depression. Women with a prior history of treated depression have a recurrence rate of more |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




than 30% and these women should undergo preventive counseling as recommended by the
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U.S. Preventive Services Task Force (USPSTF).
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