ABFM + KSA
Care of Women
Certification Exam
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,A 24-year-old graduate student comes to your office to be tested for
sexually transmi ed infec ons. The medical assistant tells you that
the pa ent was upset when she saw how much she weighed. On
ques oning, the pa ent says that for the past year she has
experienced episodes of uncontrollable ea ng followed by self-
induced vomi ng. 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
condi on?
A. Cogni ve behavioral therapy has the best evidence for treatment
B. SSRI monotherapy is a first-line treatment op on
C. Anemia is an indica on for hospitaliza on
D. More than half of pa ents will relapse a7er treatment
CORRECT ANSWER: A
Ea ng disorders include anorexia nervosa, bulimia nervosa, and binge
ea ng disorder, and the DSM-5 added avoidant/restric ve food intake
disorder, rumina on disorder, and pica to this group in 2014. Mood
disorders, anxiety, substance use, and personality or soma c disorders
are common in these pa ents. Screening can include regularly asking
ques ons about mood, body image concerns, and ea ng behaviors.
Before establishing the diagnosis based on history, it is important to
perform a physical examina on that includes measurement of
orthosta c vital signs and obtain a metabolic panel that includes
magnesium and phosphate levels.
This pa ent appears to have bulimia nervosa, which consists of ea ng
an excessive amount of food in a short period of me (o,en >2000
calories in one si.ng), with a concomitant feeling of loss of control.
,Because pa ents with bulimia base their self-worth on their body shape
and weight, they follow this binge ea ng with compensatory behaviors
to prevent weight gain, such as vomi ng, laxa ve use, food restric on,
excessive exercise, or taking diure cs. Episodes occur, on average, one
or more mes a week for 3 months or longer, and the disorder is
associated with a two- to sixfold increase in age-adjusted mortality.
A,er the diagnosis is established and a goal weight has been accepted,
the pa ent is best served with treatment delivered by a team that
includes a therapist, a nutri onist, and a clinician, preferably with each
having prior experience in caring for pa ents with ea ng disorders.
Cogni ve 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 condi on. Early behavioral
response, with rapidly declining episodes of binge ea ng, is associated
with a greater chance of sustained remission.Medica on should not be
considered as monotherapy for ea ng disorders, and care must be
taken to avoid medica ons that affect electrolyte levels or heart rate, or
predispose the pa ent to a prolonged QT interval. Fluoxe ne trated up
to 60 mg daily is FDA approved for the treatment of bulimia, and may
be used as an adjunct to CBT. Other SSRIs have demonstrated benefit as
well, but all must be prescribed at dosages higher than those used to
treat depression. Citalopram and escitalopram should be avoided
because of the increased risk of prolonging the QT interval.
Criteria for inpa ent treatment of bulimia include dehydra on,
hematemesis, syncope or seizure, EKG abnormali es, autonomic
dysfunc on (bradycardia, hypotension, hypothermia, orthosta c blood
, pressure), electrolyte abnormali es, and uncontrollable symptoms or
co-occurring condi ons that cannot be treated successfully on an
outpa ent basis.
Disordered ea ng may persist for as long as 20 years a,er the diagnosis
is made in approximately one-third of pa ents. Success rates for
treatment of bulimia are higher than those for anorexia nervosa, with
less than one-third of pa ents experiencing relapse a,er treatment.
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 pos rauma c stress disorder
B. Prescribe levonorgestrel (Plan B One-Step), 1.5 mg
C. Prescribe HIV postexposure prophylaxis
D. Perform a forensic examina on to collect evidence, such as a rape
kit evalua on
E. Refer her for cogni ve behavioral therapy
CORRECT ANSWER: A
Sexual assault affects 43.6% of women in the United States during their
life mes, with increased risks seen in adolescents, college students,
LGBTQ persons, and ac ve-duty military personnel. The risk is also
increased by physical or mental disabili es, poverty, homelessness,
incarcera on, and substance use disorders. The majority of assaults are
Care of Women
Certification Exam
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,A 24-year-old graduate student comes to your office to be tested for
sexually transmi ed infec ons. The medical assistant tells you that
the pa ent was upset when she saw how much she weighed. On
ques oning, the pa ent says that for the past year she has
experienced episodes of uncontrollable ea ng followed by self-
induced vomi ng. 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
condi on?
A. Cogni ve behavioral therapy has the best evidence for treatment
B. SSRI monotherapy is a first-line treatment op on
C. Anemia is an indica on for hospitaliza on
D. More than half of pa ents will relapse a7er treatment
CORRECT ANSWER: A
Ea ng disorders include anorexia nervosa, bulimia nervosa, and binge
ea ng disorder, and the DSM-5 added avoidant/restric ve food intake
disorder, rumina on disorder, and pica to this group in 2014. Mood
disorders, anxiety, substance use, and personality or soma c disorders
are common in these pa ents. Screening can include regularly asking
ques ons about mood, body image concerns, and ea ng behaviors.
Before establishing the diagnosis based on history, it is important to
perform a physical examina on that includes measurement of
orthosta c vital signs and obtain a metabolic panel that includes
magnesium and phosphate levels.
This pa ent appears to have bulimia nervosa, which consists of ea ng
an excessive amount of food in a short period of me (o,en >2000
calories in one si.ng), with a concomitant feeling of loss of control.
,Because pa ents with bulimia base their self-worth on their body shape
and weight, they follow this binge ea ng with compensatory behaviors
to prevent weight gain, such as vomi ng, laxa ve use, food restric on,
excessive exercise, or taking diure cs. Episodes occur, on average, one
or more mes a week for 3 months or longer, and the disorder is
associated with a two- to sixfold increase in age-adjusted mortality.
A,er the diagnosis is established and a goal weight has been accepted,
the pa ent is best served with treatment delivered by a team that
includes a therapist, a nutri onist, and a clinician, preferably with each
having prior experience in caring for pa ents with ea ng disorders.
Cogni ve 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 condi on. Early behavioral
response, with rapidly declining episodes of binge ea ng, is associated
with a greater chance of sustained remission.Medica on should not be
considered as monotherapy for ea ng disorders, and care must be
taken to avoid medica ons that affect electrolyte levels or heart rate, or
predispose the pa ent to a prolonged QT interval. Fluoxe ne trated up
to 60 mg daily is FDA approved for the treatment of bulimia, and may
be used as an adjunct to CBT. Other SSRIs have demonstrated benefit as
well, but all must be prescribed at dosages higher than those used to
treat depression. Citalopram and escitalopram should be avoided
because of the increased risk of prolonging the QT interval.
Criteria for inpa ent treatment of bulimia include dehydra on,
hematemesis, syncope or seizure, EKG abnormali es, autonomic
dysfunc on (bradycardia, hypotension, hypothermia, orthosta c blood
, pressure), electrolyte abnormali es, and uncontrollable symptoms or
co-occurring condi ons that cannot be treated successfully on an
outpa ent basis.
Disordered ea ng may persist for as long as 20 years a,er the diagnosis
is made in approximately one-third of pa ents. Success rates for
treatment of bulimia are higher than those for anorexia nervosa, with
less than one-third of pa ents experiencing relapse a,er treatment.
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 pos rauma c stress disorder
B. Prescribe levonorgestrel (Plan B One-Step), 1.5 mg
C. Prescribe HIV postexposure prophylaxis
D. Perform a forensic examina on to collect evidence, such as a rape
kit evalua on
E. Refer her for cogni ve behavioral therapy
CORRECT ANSWER: A
Sexual assault affects 43.6% of women in the United States during their
life mes, with increased risks seen in adolescents, college students,
LGBTQ persons, and ac ve-duty military personnel. The risk is also
increased by physical or mental disabili es, poverty, homelessness,
incarcera on, and substance use disorders. The majority of assaults are
