Care of Women KSA 2025 Questions and answers EXAM, SOLUTIONS
Care of Women KSA 2023
(MULTIPLE CHOICES) 100% correct 2025!!
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1. A 24-year-old graduate ANSWER: A
student comes to your Eating disorders include anorexia nervosa, bulimia nervosa, and binge
office to be tested for eating disorder, and the DSM-5 added avoidant/restrictive food intake
sexually transmitted in- disorder, rumination disorder, and pica to this group in 2014. Mood
fections. The medical disorders, anxiety, substance use, and personality or somatic disorders
assistant tells you that are common in these patients. Screening can include regularly asking
the patient was up- questions about mood, body image concerns, and eating behaviors.
set when she saw how Before establishing the diagnosis based on history, it is important to
much she weighed. On perform a physical examination that includes measurement of orthostatic
questioning, the pa- vital signs and obtain a metabolic panel that includes magnesium and
tient says that for the phosphate levels.
past year she has expe-
rienced episodes of un- This patient appears to have bulimia nervosa, which consists of eating an
controllable eating fol- excessive amount of food in a short period of time (often >2000 calories in
lowed by self-induced one sitting), with a concomitant feeling of loss of control. Because patients
vomiting. Her weight with bulimia base their self-worth on their body shape and weight, they
is 82 kg (181 lb) and follow this binge eating with compensatory behaviors to prevent weight
her BMI is 32 kg/m2. gain, such as vomiting, laxative use, food restriction, excessive exercise, or
Which one of the fol- taking diuretics. Episodes occur, on average, one or more times a week for
lowing is true regard- 3 months or longer, and the disorder is associated with a two- to sixfold
ing treatment for this increase in age-adjusted mortality.
condition?
After the diagnosis is established and a goal weight has been accepted,
A. Cognitive behavioral the patient is best served with treatment delivered by a team that includes
therapy has the best ev- a therapist, a nutritionist, and a clinician, preferably with each having
idence for treatment prior experience in caring for patients with eating disorders. Cognitive
B. SSRI monotherapy behavioral therapy (CBT) has the best evidence for treatment of adults
is a first-line treatment with bulimia, while family-based therapy is the first-line treatment for
option adolescents with this condition. Early behavioral response, with rapidly
C. Anemia is an indica- declining episodes of binge eating, is associat
tion for hospitalization
D. More than half of pa-
, Care of Women KSA 2023
Study online at https://quizlet.com/_hgh9if
tients will relapse after
treatment
2. A 35-year-old female ANSWER: A
presents to your office Sexual assault affects 43.6% of women in the United States during their
for treatment of insom- lifetimes, with increased risks seen in adolescents, college students,
nia. You ask if she has LGBTQ persons, and active-duty military personnel. The risk is also in-
experienced any trau- creased by physical or mental disabilities, poverty, homelessness, in-
ma in her life and carceration, and substance use disorders. The majority of assaults are
she discloses that she committed by someone known to the victim, and assaults are often un-
was sexually assault- reported. It has been estimated that only 16%-38% of victims seek help
ed 6 weeks ago. She from law enforcement or obtain a medical evaluation.Both short- and
has not sought med- long-term consequences can occur after sexual assault. Short-term con-
ical, legal, or psycho- sequences include physical injuries, unintended pregnancy, and sexually
logical counseling since transmitted infections (most commonly Chlamydia, gonorrhea, and tri-
the assault. During to- chomoniasis). Over time, additional sequelae may include chronic pelvic
day's visit, you should pain, headaches, fibromyalgia and other chronic pain syndromes, and
do which one of the fol- irritable bowel syndrome. The most common long-term consequence is
lowing? posttraumatic stress disorder (PTSD), while other psychological sequelae
include insomnia, depression, anxiety, substance use disorder, eating
A. Assess for symptoms disorders, and suicidality.
of posttraumatic stress
disorder The American College of Obstetrics and Gynecology recommends screen-
B. Prescribe lev- ing all women for sexual violence, while the U.S. Preventive Services Task
onorgestrel (Plan B Force recommends intimate partner violence (IPV) screening for women
One-Step), 1.5 mg of reproductive age. Most women will not disclose IPV or sexual violence
C. Prescribe HIV post- unless asked, and a validated two-question screening tool can be most
exposure prophylaxis easily incorporated into a primary care practice: "Have you ever been
D. Perform a foren- hit, slapped, kicked, or otherwise hurt by your partner? Have you ever
sic examination to col- been forced to participate in sexual activities?"This patient should have a
lect evidence, such as a urine pregnancy test and be tested for Chlamydia, gonorrhea, bacterial
rape kit evaluation vaginosis, syphilis, and trichomoniasis. Blood shoul
, Care of Women KSA 2023
Study online at https://quizlet.com/_hgh9if
E. Refer her for cogni-
tive behavioral therapy
3. You are developing a ANSWER: A
practice improvement Substance use disorder (SUD) in women is often associated with more
activity in your office severe adverse medical, psychiatric, and functional consequences than
centered on substance in men, often related to the interacting contributions of biological and
use disorder (SUD). As environmental factors. Physiologically, women with SUD have variation
part of the training for in cravings and drug consumption at different times of the menstrual
your clinical staff, you cycle. There is also evidence that women metabolize nicotine more rapidly
plan to review a variety than men, making it harder for them to quit using nicotine-containing
of clinical vignettes of products. This differential metabolism is a possible reason that nicotine
patients with SUD. One replacement therapies are less efficacious in women.
of your goals is to il-
lustrate how SUD has Environmentally, women often attribute their substance use to different
different clinical pre- reasons than men, including self-treatment of mental health problems,
sentations in women management of chronic pain, and controlling weight. Use of smaller
and men. Which one quantities of drugs and a shorter time progression from initial use to
of the following state- dependence are both more likely among women with SUD. Treatment
ments is accurate re- outcomes are not substantially different by sex, but women are more likely
garding these differ- to relapse after treatment.
ences?
A. Compared to men,
women have a quick-
er progression from
first using a substance
to developing depen-
dence
B. Compared to men,
women with SUD have
less severe adverse
, Care of Women KSA 2023
Study online at https://quizlet.com/_hgh9if
consequences
C. Smaller quantities
of drug consumption
are associated with
development of SUD
among men compared
to women
D. Women are less like-
ly to relapse after treat-
ment than men
4. A 23-year-old patient ANSWER: E
comes to your office Postpartum depression is relatively common and occurs in up to one
4 weeks after the in seven women. Untreated, it is associated with significant maternal
uncomplicated vaginal and neonatal mortality. It is disruptive to the family, and it can lead to
birth of her first child, a higher risk for paternal depression, marital discord, family violence,
and reports that she substance use and abuse, child abuse and neglect, failure to implement
feels tired all the time. child safety and preventive measures, and poorer management of chronic
On further question- health conditions in children. Postpartum depression is associated with
ing, she describes sig- both the early cessation of breastfeeding and reduced maternal-infant
nificant emotional la- engagement, which can both have an adverse effect on infant develop-
bility during the first ment. Consequences of maternal depression include negative effects on
week after delivery. cognitive development, social-emotional development, and behavior of
She has continued to the child.
have a low mood most
days and worries about Sometimes it can be difficult to distinguish postpartum depression from
her ability to care for "baby blues," a period of increased emotional lability, irritability, and
her child. She reports fatigue that can begin in the first 24-48 hours post partum, has limited
no personal or fam- impact on functioning, and usually disappears within 2 weeks. Symptoms
ily history of depres- that persist beyond 2 weeks, including depressed mood, lack of pleasure,
sive illness. Her infant sleep disturbance, diminished concentration, feelings of guilt or worth-
is feeding and grow- lessness, loss of energy, or thoughts of death or suicide, are consistent
Care of Women KSA 2023
(MULTIPLE CHOICES) 100% correct 2025!!
Study online at https://quizlet.com/_hgh9if
1. A 24-year-old graduate ANSWER: A
student comes to your Eating disorders include anorexia nervosa, bulimia nervosa, and binge
office to be tested for eating disorder, and the DSM-5 added avoidant/restrictive food intake
sexually transmitted in- disorder, rumination disorder, and pica to this group in 2014. Mood
fections. The medical disorders, anxiety, substance use, and personality or somatic disorders
assistant tells you that are common in these patients. Screening can include regularly asking
the patient was up- questions about mood, body image concerns, and eating behaviors.
set when she saw how Before establishing the diagnosis based on history, it is important to
much she weighed. On perform a physical examination that includes measurement of orthostatic
questioning, the pa- vital signs and obtain a metabolic panel that includes magnesium and
tient says that for the phosphate levels.
past year she has expe-
rienced episodes of un- This patient appears to have bulimia nervosa, which consists of eating an
controllable eating fol- excessive amount of food in a short period of time (often >2000 calories in
lowed by self-induced one sitting), with a concomitant feeling of loss of control. Because patients
vomiting. Her weight with bulimia base their self-worth on their body shape and weight, they
is 82 kg (181 lb) and follow this binge eating with compensatory behaviors to prevent weight
her BMI is 32 kg/m2. gain, such as vomiting, laxative use, food restriction, excessive exercise, or
Which one of the fol- taking diuretics. Episodes occur, on average, one or more times a week for
lowing is true regard- 3 months or longer, and the disorder is associated with a two- to sixfold
ing treatment for this increase in age-adjusted mortality.
condition?
After the diagnosis is established and a goal weight has been accepted,
A. Cognitive behavioral the patient is best served with treatment delivered by a team that includes
therapy has the best ev- a therapist, a nutritionist, and a clinician, preferably with each having
idence for treatment prior experience in caring for patients with eating disorders. Cognitive
B. SSRI monotherapy behavioral therapy (CBT) has the best evidence for treatment of adults
is a first-line treatment with bulimia, while family-based therapy is the first-line treatment for
option adolescents with this condition. Early behavioral response, with rapidly
C. Anemia is an indica- declining episodes of binge eating, is associat
tion for hospitalization
D. More than half of pa-
, Care of Women KSA 2023
Study online at https://quizlet.com/_hgh9if
tients will relapse after
treatment
2. A 35-year-old female ANSWER: A
presents to your office Sexual assault affects 43.6% of women in the United States during their
for treatment of insom- lifetimes, with increased risks seen in adolescents, college students,
nia. You ask if she has LGBTQ persons, and active-duty military personnel. The risk is also in-
experienced any trau- creased by physical or mental disabilities, poverty, homelessness, in-
ma in her life and carceration, and substance use disorders. The majority of assaults are
she discloses that she committed by someone known to the victim, and assaults are often un-
was sexually assault- reported. It has been estimated that only 16%-38% of victims seek help
ed 6 weeks ago. She from law enforcement or obtain a medical evaluation.Both short- and
has not sought med- long-term consequences can occur after sexual assault. Short-term con-
ical, legal, or psycho- sequences include physical injuries, unintended pregnancy, and sexually
logical counseling since transmitted infections (most commonly Chlamydia, gonorrhea, and tri-
the assault. During to- chomoniasis). Over time, additional sequelae may include chronic pelvic
day's visit, you should pain, headaches, fibromyalgia and other chronic pain syndromes, and
do which one of the fol- irritable bowel syndrome. The most common long-term consequence is
lowing? posttraumatic stress disorder (PTSD), while other psychological sequelae
include insomnia, depression, anxiety, substance use disorder, eating
A. Assess for symptoms disorders, and suicidality.
of posttraumatic stress
disorder The American College of Obstetrics and Gynecology recommends screen-
B. Prescribe lev- ing all women for sexual violence, while the U.S. Preventive Services Task
onorgestrel (Plan B Force recommends intimate partner violence (IPV) screening for women
One-Step), 1.5 mg of reproductive age. Most women will not disclose IPV or sexual violence
C. Prescribe HIV post- unless asked, and a validated two-question screening tool can be most
exposure prophylaxis easily incorporated into a primary care practice: "Have you ever been
D. Perform a foren- hit, slapped, kicked, or otherwise hurt by your partner? Have you ever
sic examination to col- been forced to participate in sexual activities?"This patient should have a
lect evidence, such as a urine pregnancy test and be tested for Chlamydia, gonorrhea, bacterial
rape kit evaluation vaginosis, syphilis, and trichomoniasis. Blood shoul
, Care of Women KSA 2023
Study online at https://quizlet.com/_hgh9if
E. Refer her for cogni-
tive behavioral therapy
3. You are developing a ANSWER: A
practice improvement Substance use disorder (SUD) in women is often associated with more
activity in your office severe adverse medical, psychiatric, and functional consequences than
centered on substance in men, often related to the interacting contributions of biological and
use disorder (SUD). As environmental factors. Physiologically, women with SUD have variation
part of the training for in cravings and drug consumption at different times of the menstrual
your clinical staff, you cycle. There is also evidence that women metabolize nicotine more rapidly
plan to review a variety than men, making it harder for them to quit using nicotine-containing
of clinical vignettes of products. This differential metabolism is a possible reason that nicotine
patients with SUD. One replacement therapies are less efficacious in women.
of your goals is to il-
lustrate how SUD has Environmentally, women often attribute their substance use to different
different clinical pre- reasons than men, including self-treatment of mental health problems,
sentations in women management of chronic pain, and controlling weight. Use of smaller
and men. Which one quantities of drugs and a shorter time progression from initial use to
of the following state- dependence are both more likely among women with SUD. Treatment
ments is accurate re- outcomes are not substantially different by sex, but women are more likely
garding these differ- to relapse after treatment.
ences?
A. Compared to men,
women have a quick-
er progression from
first using a substance
to developing depen-
dence
B. Compared to men,
women with SUD have
less severe adverse
, Care of Women KSA 2023
Study online at https://quizlet.com/_hgh9if
consequences
C. Smaller quantities
of drug consumption
are associated with
development of SUD
among men compared
to women
D. Women are less like-
ly to relapse after treat-
ment than men
4. A 23-year-old patient ANSWER: E
comes to your office Postpartum depression is relatively common and occurs in up to one
4 weeks after the in seven women. Untreated, it is associated with significant maternal
uncomplicated vaginal and neonatal mortality. It is disruptive to the family, and it can lead to
birth of her first child, a higher risk for paternal depression, marital discord, family violence,
and reports that she substance use and abuse, child abuse and neglect, failure to implement
feels tired all the time. child safety and preventive measures, and poorer management of chronic
On further question- health conditions in children. Postpartum depression is associated with
ing, she describes sig- both the early cessation of breastfeeding and reduced maternal-infant
nificant emotional la- engagement, which can both have an adverse effect on infant develop-
bility during the first ment. Consequences of maternal depression include negative effects on
week after delivery. cognitive development, social-emotional development, and behavior of
She has continued to the child.
have a low mood most
days and worries about Sometimes it can be difficult to distinguish postpartum depression from
her ability to care for "baby blues," a period of increased emotional lability, irritability, and
her child. She reports fatigue that can begin in the first 24-48 hours post partum, has limited
no personal or fam- impact on functioning, and usually disappears within 2 weeks. Symptoms
ily history of depres- that persist beyond 2 weeks, including depressed mood, lack of pleasure,
sive illness. Her infant sleep disturbance, diminished concentration, feelings of guilt or worth-
is feeding and grow- lessness, loss of energy, or thoughts of death or suicide, are consistent
