CARE OF WOMEN KSA EXAM SCRIPT 2026
FULL QUESTIONS AND VERIFIED SOLUTIONS
◉ A 35-year-old female presents to your office for treatment of
insomnia. You ask if she has 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 today's visit, you should do which one of the
following?
A. Assess for symptoms of posttraumatic stress disorder
B. Prescribe levonorgestrel (Plan B One-Step), 1.5 mg
C. Prescribe HIV postexposure prophylaxis
D. Perform a forensic examination to collect evidence, such as a rape
kit evaluation
E. Refer her for cognitive behavioral therapy. Answer: ANSWER: A
Sexual assault affects 43.6% of women in the United States during
their lifetimes, with 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 short- and long-term consequences can
,occur after sexual assault. Short-term consequences include physical
injuries, unintended pregnancy, and sexually transmitted infections
(most commonly Chlamydia, gonorrhea, and trichomoniasis). Over
time, additional sequelae may include chronic pelvic pain,
headaches, fibromyalgia and other chronic pain syndromes, and
irritable bowel syndrome. The most common long-term
consequence is posttraumatic stress disorder (PTSD), while other
psychological sequelae include insomnia, depression, anxiety,
substance use disorder, eating disorders, and suicidality.
The American College of Obstetrics and Gynecology recommends
screening all women for sexual violence, while the U.S. Preventive
Services Task Force recommends intimate partner violence (IPV)
screening for women of reproductive age. Most women will not
disclose IPV or sexual violence unless asked, and a validated two-
question screening tool can be most easily 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 disorder (SUD). As part of the training for
your clinical staff, you plan to review a variety of clinical vignettes of
patients with SUD. One of your goals is to illustrate how SUD has
different clinical presentations in women and men. Which one of the
following statements is accurate regarding these differences?
,A. Compared to men, women have a quicker progression from first
using a substance to developing dependence
B. Compared to men, women with SUD have less severe adverse
consequences
C. Smaller quantities of drug consumption are associated with
development of SUD among men compared to women
D. Women are less likely to relapse after treatment than men.
Answer: ANSWER: A
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
also evidence that women metabolize nicotine more rapidly than
men, making it harder for them to quit using nicotine-containing
products. This differential metabolism is a possible reason that
nicotine replacement therapies are less efficacious in women.
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 are not substantially
, different by sex, but women are more likely to relapse after
treatment.
◉ A 23-year-old patient comes to your office 4 weeks after the
uncomplicated vaginal birth of her first child, and reports that she
feels tired all the time. On further questioning, she describes
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 personal or family history
of depressive illness. Her infant is feeding and growing well, and
now requires only one nighttime feeding. Which one of the following
would be most appropriate at this point?
A. Reassurance that the problem will most likely be resolved within
4 weeks
B. Reassurance that this condition is unlikely to recur in subsequent
pregnancies
C. Appropriate screening for underlying medical conditions,
including a urinalysis and an erythrocyte sedimentation rate
D. Avoiding pharmacologic therapy because she is breastfeeding
E. Rec. Answer: ANSWER: E
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
violence, substance use and abuse, child abuse and neglect, failure to
FULL QUESTIONS AND VERIFIED SOLUTIONS
◉ A 35-year-old female presents to your office for treatment of
insomnia. You ask if she has 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 today's visit, you should do which one of the
following?
A. Assess for symptoms of posttraumatic stress disorder
B. Prescribe levonorgestrel (Plan B One-Step), 1.5 mg
C. Prescribe HIV postexposure prophylaxis
D. Perform a forensic examination to collect evidence, such as a rape
kit evaluation
E. Refer her for cognitive behavioral therapy. Answer: ANSWER: A
Sexual assault affects 43.6% of women in the United States during
their lifetimes, with 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 short- and long-term consequences can
,occur after sexual assault. Short-term consequences include physical
injuries, unintended pregnancy, and sexually transmitted infections
(most commonly Chlamydia, gonorrhea, and trichomoniasis). Over
time, additional sequelae may include chronic pelvic pain,
headaches, fibromyalgia and other chronic pain syndromes, and
irritable bowel syndrome. The most common long-term
consequence is posttraumatic stress disorder (PTSD), while other
psychological sequelae include insomnia, depression, anxiety,
substance use disorder, eating disorders, and suicidality.
The American College of Obstetrics and Gynecology recommends
screening all women for sexual violence, while the U.S. Preventive
Services Task Force recommends intimate partner violence (IPV)
screening for women of reproductive age. Most women will not
disclose IPV or sexual violence unless asked, and a validated two-
question screening tool can be most easily 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 disorder (SUD). As part of the training for
your clinical staff, you plan to review a variety of clinical vignettes of
patients with SUD. One of your goals is to illustrate how SUD has
different clinical presentations in women and men. Which one of the
following statements is accurate regarding these differences?
,A. Compared to men, women have a quicker progression from first
using a substance to developing dependence
B. Compared to men, women with SUD have less severe adverse
consequences
C. Smaller quantities of drug consumption are associated with
development of SUD among men compared to women
D. Women are less likely to relapse after treatment than men.
Answer: ANSWER: A
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
also evidence that women metabolize nicotine more rapidly than
men, making it harder for them to quit using nicotine-containing
products. This differential metabolism is a possible reason that
nicotine replacement therapies are less efficacious in women.
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 are not substantially
, different by sex, but women are more likely to relapse after
treatment.
◉ A 23-year-old patient comes to your office 4 weeks after the
uncomplicated vaginal birth of her first child, and reports that she
feels tired all the time. On further questioning, she describes
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 personal or family history
of depressive illness. Her infant is feeding and growing well, and
now requires only one nighttime feeding. Which one of the following
would be most appropriate at this point?
A. Reassurance that the problem will most likely be resolved within
4 weeks
B. Reassurance that this condition is unlikely to recur in subsequent
pregnancies
C. Appropriate screening for underlying medical conditions,
including a urinalysis and an erythrocyte sedimentation rate
D. Avoiding pharmacologic therapy because she is breastfeeding
E. Rec. Answer: ANSWER: E
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
violence, substance use and abuse, child abuse and neglect, failure to
