with Correct Answers.
Ashley comes to the clinic with a request for oral contraceptives. She has successfully used oral
contraceptives before and has recently started dating a new boyfriend so would like to restart
contraception. She denies recent intercourse and has a negative urine pregnancy test in the
clinic. An appropriate plan of care would be:
A. Recommending she return to the clinic at the start of her next menses to get a Depo Provera
shot
B. Prescribing oral combined contraceptives and recommending that she start them at the
beginning of her next period and use a back-up method for the first seven days
C. Prescribing oral contraceptives and having her start them the same day, with a back-up
method used for the first seven days
D. Discussing the advantages of using the topical birth control patch and recommending she
consider using the patch - Answer B. Prescribing oral contraceptives and having her start
them the same day, with a back-up method used for the first seven days
Sallie has been diagnosed with osteoporosis and is asking about the once-a-month pill to treat
her condition. How do bisphosphonates treat osteoporosis?
A. By selectively activating estrogen pathways in the bone
B. By reducing bone resorption by inhibiting PTH
C. By reducing bone resorption and inhibiting osteoclastic activity
D. By increasing PTH production - Answer B. By reducing bone resorption and inhibiting
osteoclastic activity
Shana is receiving her first medroxyprogesterone (Depo Provera) injection. Shana will need to
be monitored for:
A. Depression
B. Hypertension
C. Weight loss
D. Cataracts - Answer A. Depression
Infants with congenital hypothyroidism are treated with:
A. Levothyroxine
, B. Liothyronine
C. Liotrix
D. Methimazole - Answer A. Levothyroxine
Prophylactic use of bisphosphonates is recommended for patients with early osteopenia related
to long-term use of which of the following drugs?
A. Selective estrogen-receptor modulators
B. Aspirin
C. Glucocorticoids
D. Calcium supplements - Answer C. Glucocorticoids
The ongoing monitoring of patients over the age sixty-five years taking alendronate (Fosamax)
or any other bisphosphonate is:
A. Annual dual energy X-ray absorptiometry (DEXA) scans
B. Annual vitamin D level
C. Annual renal function evaluation
D. Electrolytes every three months - Answer C. Annual renal function evaluation
In addition to methimazole, a symptomatic patient with hyperthyroidism may need a
prescription for:
A. A calcium channel blocker
B. A beta blocker
C. Liothyronine
D. An alpha blocker - Answer A. A beta blocker
Inadequate vitamin D intake can contribute to the development of osteoporosis by:
A. Increasing calcitonin production
B. Increasing calcium absorption from the intestine
C. Altering calcium metabolism
D. Stimulating bone formation - Answer B. Increasing calcium absorption from the intestine
The drug recommended as primary prevention of osteoporosis in men over seventy years is: