PRIMARY CARE ADULT WOMAN II 2026
ACTUAL EXAM SCRIPT TESTED QUESTIONS
WITH COMPLETE SOLUTIONS GRADED A+
◉ Selective Estrogen Receptor Modulators (SERMs). Answer:
Tamoxifen, toremifene, raloxifene -- provide estrogen benefits while
avoiding its drawbacks
◉ Dysfunctional uterine bleeding. Answer: 10-14 day course of
progestin
◉ Amenorrhea treatment. Answer: progestin helps induce
menstrual flow
◉ Amenorrhea estrogen levels are low. Answer: give progestin for 5-
10 days
◉ Long term progestin therapy. Answer: protection against
endometrial cancer
◉ Estradiol. Answer: most active estrogenic compound. oral
estrogen option
, ◉ Advantages of estrogen transdermal patch. Answer: lower total
estrogen dose. less n/v. less fluctuation of estrogen blood levels.
lower r/f DVT, PE and stroke
◉ Femring. Answer: intravaginal ring controls hot flashes and night
sweats. Treats vulval and vaginal atrophy
◉ No gap method of changing from one OC to another. Answer: go
straight from one type of OC to the other without taking a gap.
◉ initiating OC treatment. Answer: first day of menstrual cycle (no
backup BC needed) OR first sunday after onset of menses (backup
BC needed for 7 days)
◉ Initiating androgen therapy short term. Answer: delayed sexual
maturation causing a boy significant distress. Limited course of
Fluoxymesterone and methyltestosterone are approved.
◉ androgen therapy long term. Answer: if delayed puberty is the
result of true hypogonadism
◉ role of androgens in anemia. Answer: promote synthesis of
erythropoietin the renal hormone that stimulates production of
RBCs
ACTUAL EXAM SCRIPT TESTED QUESTIONS
WITH COMPLETE SOLUTIONS GRADED A+
◉ Selective Estrogen Receptor Modulators (SERMs). Answer:
Tamoxifen, toremifene, raloxifene -- provide estrogen benefits while
avoiding its drawbacks
◉ Dysfunctional uterine bleeding. Answer: 10-14 day course of
progestin
◉ Amenorrhea treatment. Answer: progestin helps induce
menstrual flow
◉ Amenorrhea estrogen levels are low. Answer: give progestin for 5-
10 days
◉ Long term progestin therapy. Answer: protection against
endometrial cancer
◉ Estradiol. Answer: most active estrogenic compound. oral
estrogen option
, ◉ Advantages of estrogen transdermal patch. Answer: lower total
estrogen dose. less n/v. less fluctuation of estrogen blood levels.
lower r/f DVT, PE and stroke
◉ Femring. Answer: intravaginal ring controls hot flashes and night
sweats. Treats vulval and vaginal atrophy
◉ No gap method of changing from one OC to another. Answer: go
straight from one type of OC to the other without taking a gap.
◉ initiating OC treatment. Answer: first day of menstrual cycle (no
backup BC needed) OR first sunday after onset of menses (backup
BC needed for 7 days)
◉ Initiating androgen therapy short term. Answer: delayed sexual
maturation causing a boy significant distress. Limited course of
Fluoxymesterone and methyltestosterone are approved.
◉ androgen therapy long term. Answer: if delayed puberty is the
result of true hypogonadism
◉ role of androgens in anemia. Answer: promote synthesis of
erythropoietin the renal hormone that stimulates production of
RBCs
