MIDTERM NR 568 ACTUAL EXAM 2026
COMPLETE QUESTIONS AND ANSWERS 100%
CORRECT
◉ When/when not to use progestin for HRT. Answer: Should be
added to estrogen therapy in women with an intact uterus to
prevent endometrial hyperplasia and reduce risk of endometrial
cancer. UNNECESSARY IN WOMEN WITHOUT A UTERUS
◉ What are local estrogen options and what are they used for.
Answer: ex: vaginal rings and creams, used for GU symptoms like
vaginal dryness without significant systemic effects
◉ What are system estrogen options and what are they used for.
Answer: ex: transdermal patches and oral formulations, used for
generalized menopausal symptoms such as hot flashes and
prevention of osteoporosis
◉ What are transdermal estrogen options and what are they used
for. Answer: has fewer adverse effects compared to oral estrogen
and has a reduced risk of venous thromboembolism and stroke
, ◉ What Selective Estrogen Receptor Modulator (SERM) is used to
treat osteoporosis. Answer: Bazedoxifene, benefits bones and
protects against breast cancer
◉ How do you change a patient from one combo oral contraceptive
(OC) to another. Answer: Switch after the last active pill of the
previous pack without a break
◉ How to start OC treatment. Answer: best to start on the first day
of menstruations or the first Sunday after menstruations. If started
mid-cycle, backup contraption should be used for a week
◉ What to educate patients on when taking OCs. Answer:
Importance of adherence, what to do if dose is missed, and potential
side effects ex: nausea, breakthrough bleeding
◉ What baseline data is need to start OCs. Answer: blood pressure
and thorough medical history to assess for contraindications ex: hx
of thromboembolic disease
◉ How to suggest the appropriate birth control method. Answer:
Consider the patients health status, risk of thromboembolism,
preference for daily vs long term contraception
COMPLETE QUESTIONS AND ANSWERS 100%
CORRECT
◉ When/when not to use progestin for HRT. Answer: Should be
added to estrogen therapy in women with an intact uterus to
prevent endometrial hyperplasia and reduce risk of endometrial
cancer. UNNECESSARY IN WOMEN WITHOUT A UTERUS
◉ What are local estrogen options and what are they used for.
Answer: ex: vaginal rings and creams, used for GU symptoms like
vaginal dryness without significant systemic effects
◉ What are system estrogen options and what are they used for.
Answer: ex: transdermal patches and oral formulations, used for
generalized menopausal symptoms such as hot flashes and
prevention of osteoporosis
◉ What are transdermal estrogen options and what are they used
for. Answer: has fewer adverse effects compared to oral estrogen
and has a reduced risk of venous thromboembolism and stroke
, ◉ What Selective Estrogen Receptor Modulator (SERM) is used to
treat osteoporosis. Answer: Bazedoxifene, benefits bones and
protects against breast cancer
◉ How do you change a patient from one combo oral contraceptive
(OC) to another. Answer: Switch after the last active pill of the
previous pack without a break
◉ How to start OC treatment. Answer: best to start on the first day
of menstruations or the first Sunday after menstruations. If started
mid-cycle, backup contraption should be used for a week
◉ What to educate patients on when taking OCs. Answer:
Importance of adherence, what to do if dose is missed, and potential
side effects ex: nausea, breakthrough bleeding
◉ What baseline data is need to start OCs. Answer: blood pressure
and thorough medical history to assess for contraindications ex: hx
of thromboembolic disease
◉ How to suggest the appropriate birth control method. Answer:
Consider the patients health status, risk of thromboembolism,
preference for daily vs long term contraception
