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1. Which progestin is used in the progestin implant? - ANSWER
Etonogestrel
2. True or False
Raloxifene is a selective estrogen receptor modifier. Its use in osteoporosis has
some benefit, but not without risks. According to a black box warning in its
package insert, its use should be limited in patients with estrogen receptor-
positive breast cancer. - ANSWER False
- Raloxifene has a black box warning for venous thromboembolism and
stroke because it is a selective estrogen receptor modifier
3. Progesterone is contraindicated in women who have what? - ANSWER
Undergone a hysterectomy
4. A 50-year-old postmenopausal patient who has had a hysterectomy has
moderate to severe vasomotor symptoms and is discussing estrogen
therapy (ET) with the provider. The patient is concerned about the adverse
effects of ET.
,What should the provider tell the patient? - ANSWER Transdermal
preparations have fewer side effects, use lower doses of estrogen, and have less
fluctuation of estrogen levels than oral preparations do Intravaginal preparations
are most useful for treating local estrogen deficiencies such as vaginal and vulvar
atrophy
- Side effects of ET are the same for any age
5. A provider is teaching a male adult patient about the use of testosterone
gel.
Which statement by the patient indicates an understanding of the teaching? -
ANSWER "I should not let my child touch the gel to prevent behavioral
problems"
- Gel should be applied to clean, dry skin on the upper arms, shoulders, or
abd and should be covered with clothing
- No swimming or bathing until 5-6 after application
6. A patient with erectile dysfunction is prescribed tadalafil 2.5 mg daily.
Which medication history finding would indicate the need to discontinue this
prescription? - ANSWER Nitro-tab 0.4 sublingual as needed
7. Use of PDE5 inhibitors is contraindicated in patients receiving nitrate
preparations due to the risk of profound hypotension
Which phosphodiesterase type 5 (PDE5) inhibitor offers the most flexibility in
dosing due to its longer duration of effect? - ANSWER Tadalafil may be taken
up to 36 hours before sexual activity
, 8. What is a potential advantage of the alprostadil intracavernous injections
compared to the phosphodiesterase type 5 (PDE5) inhibitors? - ANSWER
Quicker onset of action
- Erections typically occur within 5-20 mins after injections
- PDE5 inhibitors take at least 30 mins to onset
9. A patient receiving doxazosin presents for a routine evaluation.
Which assessment finding would be most concerning? - ANSWER BP of 96/58
Hypotension, dizziness, and nasal congestion are all adverse effects of doxazosin
(Alpha1-adrenergic antagonist)
- Hypotension most concerning because it can lead to inadequate peripheral
tissue perfusion
10. Which vitamin B deficiency is associated with cheilosis, glossitis,
vascularization of the cornea, and itchy dermatitis of the scrotum and
vulva? - ANSWER Riboflavin (vitamin B2)
11.A patient who is known to be a heavy drinker is brought to the emergency
department with ataxia and confusion. The patient cannot remember the
events of the previous day. The examination reveals nystagmus, and the
patient reports having double vision.
Which vitamin should the provider order for this patient? - ANSWER IV
thiamine (Vitamin B1)
- Form of thiamine deficiency called Wernicke-Korsakoff syndrome:
nystagmus, diplopia, ataxia, confusion, and short-term memory loss