Question 1. Osteopenia is diagnosed in a 55-year-old woman who has not had a period in 15
months. She has a positive family history of breast cancer. The primary care NP should
recommend:
a. testosterone therapy.
b. estrogen-only therapy.
c. nonhormonal drugs for osteoporosis.
d. estrogen-progesterone therapy for 1 to 2 years.
Question 2. A woman is in her first trimester of pregnancy. She tells the primary care nurse
practitioner (NP) that she continues to have severe morning sickness on a daily basis. The NP
notes a weight loss of 1 pound from her previous visit 2 weeks prior. The NP should consult
an obstetrician and prescribe:
a. aprepitant (Emend).
b. ondansetron (Zofran).
c. scopolamine transdermal.
d. prochlorperazine (Compazine).
Question 3. A 75-year-old patient who has cardiovascular disease reports insomnia and
vomiting for several weeks. The primary care NP orders thyroid function tests. The tests
show TSH is decreased and T4 is increased. The NP should consult with an endocrinologist
and order:
a. thyrotropin.
b. methimazole.