Chapter 21 - Drugs Affecting the Reproductive
System UPDATED ACTUAL Questions and
CORRECT Answers
Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:
1. Washing their hands after applying the gel
2. Wearing occlusive clothing while using the gel
3. Exposure to estrogens while using the gel
4. Skin-to-skin contact with pregnant women while using the gel - CORRECT ANSWER 4. Skin-to-skin contact
with pregnant women while using the gel
Education when prescribing androgens to male patients includes advising that:
1. Short-term use places the patient at risk for hepatocellular carcinoma.
2. Cholestatic hepatitis and jaundice may occur with low doses of androgens.
3. Gynecomastia is a rare occurrence with the use of androgens.
4. Low sperm levels only occur with long-term use of androgens. - CORRECT ANSWER 2. Cholestatic hepatitis
and jaundice may occur with low doses of androgens.
Patients who are prescribed exogenous androgens need to be warned that decreased libido:
1. Is an unusual side effect of androgens and should be reported to the provider
2. Is treated with increased doses of androgens, so the patient should let the provider
know if he is having problems
3. May be a sign of early prostate cancer, so he should make an appointment for a
prostate screening exam
4. May occur with androgen therapy - CORRECT ANSWER 4. May occur with androgen therapy
The U.S. Food and Drug Administration warns that androgens may cause:
1. Peliosis hepatis
2. Orthostatic hypotension
3. Menstrual irregularities
4. Acne - CORRECT ANSWER 1. Peliosis hepatis
Monitoring for a patient who is using androgens includes evaluation of:
1. Complete blood count (CBC) and C-reactive protein levels
2. Lipid levels and liver function tests
3. Serum potassium and magnesium levels
4. Urine protein and potassium levels - CORRECT ANSWER 2. Lipid levels and liver function tests
Male patients require ______________________ before and during androgen therapy.
1. A digital prostate exam
2. A Doppler exam of testicular blood flow
3. Urine analysis for proteinuria
4. Serial orthostatic blood pressures - CORRECT ANSWER 1. A digital prostate exam
Absolute contraindications to estrogen therapy include:
1. History of any type of cancer
2. Clotting disorders
3. History of tension headaches
4. Orthostatic hypotension - CORRECT ANSWER 2. Clotting disorders
Postmenopausal women with an intact uterus should not be prescribed:
System UPDATED ACTUAL Questions and
CORRECT Answers
Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:
1. Washing their hands after applying the gel
2. Wearing occlusive clothing while using the gel
3. Exposure to estrogens while using the gel
4. Skin-to-skin contact with pregnant women while using the gel - CORRECT ANSWER 4. Skin-to-skin contact
with pregnant women while using the gel
Education when prescribing androgens to male patients includes advising that:
1. Short-term use places the patient at risk for hepatocellular carcinoma.
2. Cholestatic hepatitis and jaundice may occur with low doses of androgens.
3. Gynecomastia is a rare occurrence with the use of androgens.
4. Low sperm levels only occur with long-term use of androgens. - CORRECT ANSWER 2. Cholestatic hepatitis
and jaundice may occur with low doses of androgens.
Patients who are prescribed exogenous androgens need to be warned that decreased libido:
1. Is an unusual side effect of androgens and should be reported to the provider
2. Is treated with increased doses of androgens, so the patient should let the provider
know if he is having problems
3. May be a sign of early prostate cancer, so he should make an appointment for a
prostate screening exam
4. May occur with androgen therapy - CORRECT ANSWER 4. May occur with androgen therapy
The U.S. Food and Drug Administration warns that androgens may cause:
1. Peliosis hepatis
2. Orthostatic hypotension
3. Menstrual irregularities
4. Acne - CORRECT ANSWER 1. Peliosis hepatis
Monitoring for a patient who is using androgens includes evaluation of:
1. Complete blood count (CBC) and C-reactive protein levels
2. Lipid levels and liver function tests
3. Serum potassium and magnesium levels
4. Urine protein and potassium levels - CORRECT ANSWER 2. Lipid levels and liver function tests
Male patients require ______________________ before and during androgen therapy.
1. A digital prostate exam
2. A Doppler exam of testicular blood flow
3. Urine analysis for proteinuria
4. Serial orthostatic blood pressures - CORRECT ANSWER 1. A digital prostate exam
Absolute contraindications to estrogen therapy include:
1. History of any type of cancer
2. Clotting disorders
3. History of tension headaches
4. Orthostatic hypotension - CORRECT ANSWER 2. Clotting disorders
Postmenopausal women with an intact uterus should not be prescribed:
