UPDATE ) ADVANCED
PHARMACOLOGY FOR CARE OF THE
FAMILY | EXAM QUESTIONS &
ANSWERS | 100% CORRECT | GRADE A -
CHAMBERLAIN
Raloxifene (Evista) and bisphosphonates (alendronate,
calcitonin) - CORRECT ANSWER-alternatives for hormone
replacement therapy
Selective Estrogen Receptor Modulators (SERMs) - CORRECT
ANSWER-Tamoxifen, toremifene, raloxifene -- provide
estrogen benefits while avoiding its drawbacks
,Dysfunctional uterine bleeding - CORRECT ANSWER-10-14
day course of progestin
Amenorrhea treatment - CORRECT ANSWER-progestin helps
induce menstrual flow
Amenorrhea estrogen levels are low - CORRECT ANSWER-
give progestin for 5-10 days
Long term progestin therapy - CORRECT ANSWER-protection
against endometrial cancer
Estradiol - CORRECT ANSWER-most active estrogenic
compound. oral estrogen option
Advantages of estrogen transdermal patch - CORRECT
ANSWER-lower total estrogen dose. less n/v. less fluctuation
of estrogen blood levels. lower r/f DVT, PE and stroke
, Femring - CORRECT ANSWER-intravaginal ring controls hot
flashes and night sweats. Treats vulval and vaginal atrophy
No gap method of changing from one OC to another -
CORRECT ANSWER-go straight from one type of OC to the
other without taking a gap.
initiating OC treatment - CORRECT ANSWER-first day of
menstrual cycle (no backup BC needed) OR first sunday after
onset of menses (backup BC needed for 7 days)
Initiating androgen therapy short term - CORRECT ANSWER-
delayed sexual maturation causing a boy significant distress.
Limited course of Fluoxymesterone and methyltestosterone
are approved.
androgen therapy long term - CORRECT ANSWER-if delayed
puberty is the result of true hypogonadism