Chapter 48: Women as Patients
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Prescribing for women during their childbearing years requires constant awareness of the possibility
of:
1. Pregnancy unless the women is on birth control
2. Risk for silent bacterial or viral infections of the genitalia
3. High risk for developmental disorders in their infants
4. Decreased risk for abuse during this time
____ 2. Intimate partner violence is a serious public health problem. It should be screened for:
1. At every encounter within the health-care system
2. When a women is being seen for symptoms of depression
3. Throughout pregnancy
4. If a sexually transmitted disease is diagnosed
____ 3. Because of their longer life expectancy, women are more likely than men to experience a disabling
condition. Common conditions in older women that can produce disability include:
1. Depression
2. Panic disorders
3. Dementia
4. All of the above
____ 4. Gender differences between men and women in pharmacokinetics include:
1. More rapid gastric emptying so that drugs absorbed in the stomach have less
exposure to absorption sites
2. Higher proportion of body fat so that lipophilic drugs have relatively greater
volumes of distribution
3. Increased levels of bile acids so that drugs metabolized in the intestine have higher
concentrations
4. Slower organ blood flow rates so drugs tend to take longer to be excreted
____ 5. Which of the following drug classes is associated with significant differences in metabolism based
on gender?
1. Beta blockers
2. Antibiotics
3. Serotonin reuptake inhibitors
4. Angiotensin-converting-enzyme (ACE) inhibitors
____ 6. Since 40% of bone accrual occurs during adolescence, building bone during this time is critical.
Ways to improve bone accrual in adolescents include:
1. Use of bisphosphonates early if dual energy X-ray absorptiometry (DEXA) scans
Copyright © 2016 F. A. Davis Company
This study source was downloaded by 100000847795904 from CourseHero.com on 06-08-2022 01:01:09 GMT -05:00
https://www.coursehero.com/file/13186488/ch09/
, show limited bone accrual
2. Encouraging a daily dietary intake of 1,300 mg of calcium and 400 IU of vitamin
D
3. Avoiding all birth control methods that include progesterone
4. Fostering the intake of iron mainly in green and leafy vegetables
____ 7. Hot flashes are often a concern during menopause. Which of the following may help in reducing
them?
1. Drink one caffeinated liquid per day
2. Take progesterone supplementation
3. Exercise 20-40 minutes/day
4. Increase intake of carrots, yams, and soy products
____ 8. Factors common in women that can affect adherence to a treatment regimen include all of the
following EXCEPT:
1. Number of drugs taken: Women tend to take fewer drugs over longer periods of
time
2. Fear that medications can cause disease: Information obtained from social
networks may be inaccurate for a specific woman
3. Nutritional status: Worries about possible weight gain from a given drug may
result in nonadherence
4. Religious differences: A patient’s belief system that is not congruent with the
treatment regimen presents high risk for nonadherence
____ 9. Dysmenorrhea is one of the most common gynecological complaints in young women. The first line
of drug treatment for this disorder is:
1. Oral contraceptive pills
2. Caffeine
3. NSAIDs
4. Aspirin
____ 10. Premenstrual dysphoric disorder (PMDD) occurs in a fairly small number of patients. Theories of the
pathology behind PMDD that are supported in research include:
1. Altered sensitivity in the serontonic system
2. Inhibition of the cyclooxygenase system
3. Fluctuations of the gonadal hormones
4. All of these are theories supported by research
____ 11. Treatment of PMDD that affects all or most of the symptoms includes:
1. Tryptophan up to 6 g/d
2. Vitamin E 200-400 mg/d
3. Evening primrose oil 500 mg/d
4. Fluoxetine 20 mg/d
____ 12. Women are now the fastest growing population with HIV infection and AIDS. HIV-infected women:
1. Are less likely to become pregnant or to carry a pregnancy to term
Copyright © 2016 F. A. Davis Company
This study source was downloaded by 100000847795904 from CourseHero.com on 06-08-2022 01:01:09 GMT -05:00
https://www.coursehero.com/file/13186488/ch09/
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Prescribing for women during their childbearing years requires constant awareness of the possibility
of:
1. Pregnancy unless the women is on birth control
2. Risk for silent bacterial or viral infections of the genitalia
3. High risk for developmental disorders in their infants
4. Decreased risk for abuse during this time
____ 2. Intimate partner violence is a serious public health problem. It should be screened for:
1. At every encounter within the health-care system
2. When a women is being seen for symptoms of depression
3. Throughout pregnancy
4. If a sexually transmitted disease is diagnosed
____ 3. Because of their longer life expectancy, women are more likely than men to experience a disabling
condition. Common conditions in older women that can produce disability include:
1. Depression
2. Panic disorders
3. Dementia
4. All of the above
____ 4. Gender differences between men and women in pharmacokinetics include:
1. More rapid gastric emptying so that drugs absorbed in the stomach have less
exposure to absorption sites
2. Higher proportion of body fat so that lipophilic drugs have relatively greater
volumes of distribution
3. Increased levels of bile acids so that drugs metabolized in the intestine have higher
concentrations
4. Slower organ blood flow rates so drugs tend to take longer to be excreted
____ 5. Which of the following drug classes is associated with significant differences in metabolism based
on gender?
1. Beta blockers
2. Antibiotics
3. Serotonin reuptake inhibitors
4. Angiotensin-converting-enzyme (ACE) inhibitors
____ 6. Since 40% of bone accrual occurs during adolescence, building bone during this time is critical.
Ways to improve bone accrual in adolescents include:
1. Use of bisphosphonates early if dual energy X-ray absorptiometry (DEXA) scans
Copyright © 2016 F. A. Davis Company
This study source was downloaded by 100000847795904 from CourseHero.com on 06-08-2022 01:01:09 GMT -05:00
https://www.coursehero.com/file/13186488/ch09/
, show limited bone accrual
2. Encouraging a daily dietary intake of 1,300 mg of calcium and 400 IU of vitamin
D
3. Avoiding all birth control methods that include progesterone
4. Fostering the intake of iron mainly in green and leafy vegetables
____ 7. Hot flashes are often a concern during menopause. Which of the following may help in reducing
them?
1. Drink one caffeinated liquid per day
2. Take progesterone supplementation
3. Exercise 20-40 minutes/day
4. Increase intake of carrots, yams, and soy products
____ 8. Factors common in women that can affect adherence to a treatment regimen include all of the
following EXCEPT:
1. Number of drugs taken: Women tend to take fewer drugs over longer periods of
time
2. Fear that medications can cause disease: Information obtained from social
networks may be inaccurate for a specific woman
3. Nutritional status: Worries about possible weight gain from a given drug may
result in nonadherence
4. Religious differences: A patient’s belief system that is not congruent with the
treatment regimen presents high risk for nonadherence
____ 9. Dysmenorrhea is one of the most common gynecological complaints in young women. The first line
of drug treatment for this disorder is:
1. Oral contraceptive pills
2. Caffeine
3. NSAIDs
4. Aspirin
____ 10. Premenstrual dysphoric disorder (PMDD) occurs in a fairly small number of patients. Theories of the
pathology behind PMDD that are supported in research include:
1. Altered sensitivity in the serontonic system
2. Inhibition of the cyclooxygenase system
3. Fluctuations of the gonadal hormones
4. All of these are theories supported by research
____ 11. Treatment of PMDD that affects all or most of the symptoms includes:
1. Tryptophan up to 6 g/d
2. Vitamin E 200-400 mg/d
3. Evening primrose oil 500 mg/d
4. Fluoxetine 20 mg/d
____ 12. Women are now the fastest growing population with HIV infection and AIDS. HIV-infected women:
1. Are less likely to become pregnant or to carry a pregnancy to term
Copyright © 2016 F. A. Davis Company
This study source was downloaded by 100000847795904 from CourseHero.com on 06-08-2022 01:01:09 GMT -05:00
https://www.coursehero.com/file/13186488/ch09/
