HANDBOOK 2026 EVIDENCE BASED PRACTICE
AND CLINICAL GUIDELINES
◉ Ashley comes to the clinic with a request for oral contraceptives.
She has successfully used oral contraceptives before and has
recently started dating a new boyfriend so would like to restart
contraception. She denies recent intercourse and has a negative
urine pregnancy test in the clinic. An appropriate plan of care would
be:
A. Recommending she return to the clinic at the start of her next
menses to get a Depo Provera shot
B. Prescribing oral combined contraceptives and recommending that
she start them at the beginning of her next period and use a back-up
method for the first seven days
C. Prescribing oral contraceptives and having her start them the
same day, with a back-up method used for the first seven days
D. Discussing the advantages of using the topical birth control patch
and recommending she consider using the patch
Answer: B. Prescribing oral contraceptives and having her start
them the same day, with a back-up method used for the first seven
days
,◉ Sallie has been diagnosed with osteoporosis and is asking about
the once-a-month pill to treat her condition. How do
bisphosphonates treat osteoporosis?
A. By selectively activating estrogen pathways in the bone
B. By reducing bone resorption by inhibiting PTH
C. By reducing bone resorption and inhibiting osteoclastic activity
D. By increasing PTH production
Answer: B. By reducing bone resorption and inhibiting osteoclastic
activity
◉ Shana is receiving her first medroxyprogesterone (Depo Provera)
injection. Shana will need to be monitored for:
A. Depression
B. Hypertension
C. Weight loss
D. Cataracts
Answer: A. Depression
◉ Infants with congenital hypothyroidism are treated with:
A. Levothyroxine
,B. Liothyronine
C. Liotrix
D. Methimazole
Answer: A. Levothyroxine
◉ Prophylactic use of bisphosphonates is recommended for patients
with early osteopenia related to long-term use of which of the
following drugs?
A. Selective estrogen-receptor modulators
B. Aspirin
C. Glucocorticoids
D. Calcium supplements
Answer: C. Glucocorticoids
◉ The ongoing monitoring of patients over the age sixty-five years
taking alendronate (Fosamax) or any other bisphosphonate is:
A. Annual dual energy X-ray absorptiometry (DEXA) scans
B. Annual vitamin D level
C. Annual renal function evaluation
D. Electrolytes every three months
, Answer: C. Annual renal function evaluation
◉ In addition to methimazole, a symptomatic patient with
hyperthyroidism may need a prescription for:
A. A calcium channel blocker
B. A beta blocker
C. Liothyronine
D. An alpha blocker
Answer: A. A beta blocker
◉ Inadequate vitamin D intake can contribute to the development of
osteoporosis by:
A. Increasing calcitonin production
B. Increasing calcium absorption from the intestine
C. Altering calcium metabolism
D. Stimulating bone formation
Answer: B. Increasing calcium absorption from the intestine
◉ The drug recommended as primary prevention of osteoporosis in
men over seventy years is: