NR 508 Week 1 TD and Quiz
(Complete solutions and resources for the course
exam)
NR 508 Week 1 TD and Quiz
PART 1:
Emily, a relatively healthy 5’5”, 32-year-old young
woman weighing 190 pounds, presents to your clinic
with hirsutism, anovulation, oligomenorrhea, and at
times amenorrhea. Biochemical blood tests reveal
elevated luteinizing hormone (LH, without a mid-cycle
surge) and androgen elevation.
She mentions that she also has a family history of
irregular cycles, and that her grandmother experienced
early menopause. She also states that she is sexually
active, occasionally smokes (1 pack/month), and desires
to be prescribed one medication to mitigate her
symptoms, as well as, prevent her from becoming
pregnant.
• Please provide a list of differential diagnoses, as well as
an indication of your primary diagnosis.
• Once this has been completed, please indicate and
describe your chosen pharmacological treatment with
inclusion of dose and mechanism of action of your
chosen prescription.
“The diagnosis of PCOS is confirmed once other conditions with features similar
to PCOS have been excluded, such as NCCAH, thyroid disease, and
hyperprolactinemia” (Barbieri, R. & Ehrmann, D, 2017)
“OCs containing one of the original progestins, norethindrone or norethindrone
acetate, are also good options; while they are not as low in androgenicity, they
have not been associated with excess VTE risk.” ( Barbieri, R. & Ehrmann,
D, 2016)
NR 508 Week 1
(Complete solutions and resources for the course
exam)
NR 508 Week 1 TD and Quiz
PART 1:
Emily, a relatively healthy 5’5”, 32-year-old young
woman weighing 190 pounds, presents to your clinic
with hirsutism, anovulation, oligomenorrhea, and at
times amenorrhea. Biochemical blood tests reveal
elevated luteinizing hormone (LH, without a mid-cycle
surge) and androgen elevation.
She mentions that she also has a family history of
irregular cycles, and that her grandmother experienced
early menopause. She also states that she is sexually
active, occasionally smokes (1 pack/month), and desires
to be prescribed one medication to mitigate her
symptoms, as well as, prevent her from becoming
pregnant.
• Please provide a list of differential diagnoses, as well as
an indication of your primary diagnosis.
• Once this has been completed, please indicate and
describe your chosen pharmacological treatment with
inclusion of dose and mechanism of action of your
chosen prescription.
“The diagnosis of PCOS is confirmed once other conditions with features similar
to PCOS have been excluded, such as NCCAH, thyroid disease, and
hyperprolactinemia” (Barbieri, R. & Ehrmann, D, 2017)
“OCs containing one of the original progestins, norethindrone or norethindrone
acetate, are also good options; while they are not as low in androgenicity, they
have not been associated with excess VTE risk.” ( Barbieri, R. & Ehrmann,
D, 2016)
NR 508 Week 1
