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LEHNE'S ADVANCED PHARMACOLOGY - FINAL REVIEWED QUESTIONS AND THEIR CORRECT ANSWERS

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After prescribing transdermal estrogen spray, which of the following patient statements suggests they understand how to apply the medication to achieve the desired effect? A. "I will apply the medication to my waistline and shoulders." B. "My abdomen and arms are the primary point of application." C. "This medication will work best if applied to my breasts and abdomen." D. "I need to put the medication on my thighs and calves." D. "I need to put the medication on my thighs and calves." In what types of menopausal women would a nurse practitioner prefer combination estrogen and progestin therapy to estrogen alone for symptom relief? A. No history of a hysterectomy B. Has osteoporosis C. At risk for myocardial infarction D. History of deep vein thrombosis A. No history of a hysterectomy What is the absolute contraindication of using Progestins? A. Undiagnosed vaginal bleeding B. Endometrial hyperplasia C. Prematurity in women at high risk for preterm birth D. Mild elevation of Liver enzymes A. Undiagnosed vaginal bleeding A patient wants relief from vaginal dryness and painful intercourse without lubricants, but fears side effects from hormones. What hormone option minimizes systemic estrogen exposure while addressing her needs? A. Medroxyprogesterone acetate B. Transdermal estrogen C. Low-dose estrogens D. A vaginal conjugated estrogen D. A vaginal conjugated estrogen According to the Center for Disease Control (CDC), how should a nurse practitioner guide a woman who missed one pill in the second week of a 28-day birth control pack? A. Take one pill as soon as possible and then continue with the pack. B. Take one pill as soon as possible and then continue with the active pills in the pack but skip the placebo pills. C. Take 2 pills together the next day and continue on the same schedule D. Use a different type of OCs as soon as possible B. Take one pill as soon as possible and then continue with the active pills in the pack but skip the placebo pills. How can a Nurse practitioner address a 60-year-old postmenopausal patient's concerns about the potential downsides of estrogen therapy for managing her severe vasomotor symptoms after a hysterectomy? A. An estrogen-progesterone product will reduce side effects. B. An intravaginal preparation may be best for her. C. Side effects of ET are uncommon among women her age. D. Transdermal preparations have fewer side effects. D. Transdermal preparations have fewer side effects. Considering the specifics of IUD insertion, which patient's circumstances would advise against proceeding with the procedure today? A. A woman with four children B. A teenager C. A woman with a suspected chlamydia infection D. A nulliparous woman C. A woman with a suspected chlamydia infection What is a black box warning of using Oxandrolone (17 a-alkylated androgen)? A. Viral hepatitis B. Peliosis hepatitis C. Erectile dysfunction D. Congestive heart failure B. Peliosis hepatitis When changing a patient's combination oral contraceptive (OC) to a different combination product, what advice will the provider give the patient?

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LEHNE'S ADVANCED
PHARMACOLOGY - FINAL
REVIEWED QUESTIONS AND THEIR
CORRECT ANSWERS

After prescribing transdermal estrogen spray, which
of the following patient statements suggests they
understand how to apply the medication to achieve
the desired effect?

A. "I will apply the medication to my waistline and
shoulders."

B. "My abdomen and arms are the primary point of
application."

C. "This medication will work best if applied to my
breasts and abdomen."
D. "I need to put the medication on my thighs and
calves."
D. "I need to put the medication on my thighs and calves."
In what types of menopausal women would a nurse
practitioner prefer combination estrogen and
progestin therapy to estrogen alone for symptom
relief?

A. No history of a hysterectomy

,B. Has osteoporosis

C. At risk for myocardial infarction

D. History of deep vein thrombosis
A. No history of a hysterectomy
What is the absolute contraindication of using
Progestins?

A. Undiagnosed vaginal bleeding

B. Endometrial hyperplasia

C. Prematurity in women at high risk for preterm birth

D. Mild elevation of Liver enzymes
A. Undiagnosed vaginal bleeding
A patient wants relief from vaginal dryness and painful
intercourse without lubricants, but fears side effects
from hormones. What hormone option minimizes
systemic estrogen exposure while addressing her
needs?

A. Medroxyprogesterone acetate

B. Transdermal estrogen

C. Low-dose estrogens

D. A vaginal conjugated estrogen
D. A vaginal conjugated estrogen

,According to the Center for Disease Control (CDC),
how should a nurse practitioner guide a woman who
missed one pill in the second week of a 28-day birth
control pack?

A. Take one pill as soon as possible and then continue
with the pack.

B. Take one pill as soon as possible and then continue
with the active pills in the pack but skip the placebo
pills.

C. Take 2 pills together the next day and continue on
the same schedule

D. Use a different type of OCs as soon as possible
B. Take one pill as soon as possible and then continue
with the active pills in the pack but skip the placebo pills.
How can a Nurse practitioner address a 60-year-old
postmenopausal patient's concerns about the
potential downsides of estrogen therapy for managing
her severe vasomotor symptoms after a
hysterectomy?

A. An estrogen-progesterone product will reduce side
effects.

B. An intravaginal preparation may be best for her.

C. Side effects of ET are uncommon among women
her age.

, D. Transdermal preparations have fewer side effects.
D. Transdermal preparations have fewer side effects.
Considering the specifics of IUD insertion, which
patient's circumstances would advise against
proceeding with the procedure today?

A. A woman with four children

B. A teenager

C. A woman with a suspected chlamydia infection

D. A nulliparous woman
C. A woman with a suspected chlamydia infection
What is a black box warning of using Oxandrolone (17
a-alkylated androgen)?

A. Viral hepatitis

B. Peliosis hepatitis

C. Erectile dysfunction

D. Congestive heart failure
B. Peliosis hepatitis
When changing a patient's combination oral
contraceptive (OC) to a different combination product,
what advice will the provider give the patient?

A. Stop the old OC and begin taking the new product

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