NU 641 Quiz 4 with accurate detailed solutions ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Washing their hands after applying the gel
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Wearing occlusive clothing while using the gel
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Exposure to estrogens while using the gel
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Skin-to-skin contact with pregnant women while using the gel - correct answer✔✔4
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Education when prescribing androgens to male patients includes advising that: ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Short-term use places the patient at risk for hepatocellular carcinoma.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Cholestatic hepatitis and jaundice may occur with low doses of androgens.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Gynecomastia is a rare occurrence with the use of androgens.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Low sperm levels only occur with long-term use of androgens. - correct answer✔✔2
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Patients who are prescribed exogenous androgens need to be warned that decreased libido:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Is an unusual side effect of androgens and should be reported to the provider
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Is treated with increased doses of androgens, so the patient should let the provider know
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
if he is having problems
||//\\|| ||//\\|| ||//\\|| ||//\\||
3. May be a sign of early prostate cancer and he should make an appointment for a prostate
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
screening exam
||//\\|| ||//\\||
4. May occur with androgen therapy - correct answer✔✔4
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
The U.S. Food and Drug Administration warns that androgens may cause:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Peliosis hepatis
||//\\|| ||//\\||
2. Orthostatic hypotension
||//\\|| ||//\\||
,3. Menstrual irregularities
||//\\|| ||//\\||
4. Acne - correct answer✔✔1
||//\\|| ||//\\|| ||//\\|| ||//\\||
Monitoring for a patient who is using androgens includes evaluation of: ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Complete blood count and C-reactive protein levels
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Lipid levels and liver function tests
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Serum potassium and magnesium levels
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Urine protein and potassium levels - correct answer✔✔2
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Male patients require ______________________ before and during androgen therapy.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. A digital prostate exam
||//\\|| ||//\\|| ||//\\|| ||//\\||
2. A Doppler exam of testicular blood flow
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Urine analysis for proteinuria
||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Serial orthostatic blood pressures - correct answer✔✔1
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Absolute contraindications to estrogen therapy include: ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. History of any type of cancer
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Clotting disorders
||//\\|| ||//\\||
3. History of tension headaches
||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Orthostatic hypotension - correct answer✔✔2
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Postmenopausal women with an intact uterus should not be prescribed: ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Estrogen/progesterone combination
||//\\|| ||//\\||
2. IM medroxyprogesterone (Depo Provera)
||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Estrogen alone
||//\\|| ||//\\||
4. Androgens - correct answer✔✔3
||//\\|| ||//\\|| ||//\\|| ||//\\||
, Women who have migraines with an aura should not be prescribed estrogen because of:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. The interaction between triptans and estrogen, limiting migraine therapy choices
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. An increased incidence of migraines with the use of estrogen
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. An increased risk of stroke occurring with estrogen use
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Patients with migraines may be prescribed estrogen without any concerns - correct
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
answer✔✔3
A 22-year-old woman receives a prescription for oral contraceptives. Education for this
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
patient includes: ||//\\||
1. Counseling regarding decreasing or not smoking while taking oral contraceptives
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Advising a monthly pregnancy test for the first 3 months she is taking the contraceptive
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Advising that she may miss two pills in a row and not be concerned about pregnancy
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Recommending that her next follow-up visit is in 1 year for a refill and annual exam -
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
correct answer✔✔1 ||//\\||
A 19-year-old female is a nasal Staph aureus carrier and is placed on 5 days of rifampin for
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
treatment. Her only other medication is combined oral contraceptives. What education
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
should she receive regarding her medications?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Separate the oral ingestion of the rifampin and oral contraceptive by at least an hour.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Both medications are best tolerated if taken on an empty stomach.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. She should use a back-up method of birth control such as condoms for the rest of the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
current pill pack. ||//\\|| ||//\\||
4. If she gets nauseated with the medications she should call the office for an antiemetic
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
prescription. - correct answer✔✔3 ||//\\|| ||//\\|| ||//\\||
A 56-year-old woman is complaining of vaginal dryness and dyspareunia. To treat her
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
symptoms with the lowest adverse effects she should be prescribed: ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Low-dose oral estrogen
||//\\|| ||//\\|| ||//\\||
Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Washing their hands after applying the gel
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Wearing occlusive clothing while using the gel
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Exposure to estrogens while using the gel
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Skin-to-skin contact with pregnant women while using the gel - correct answer✔✔4
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Education when prescribing androgens to male patients includes advising that: ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Short-term use places the patient at risk for hepatocellular carcinoma.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Cholestatic hepatitis and jaundice may occur with low doses of androgens.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Gynecomastia is a rare occurrence with the use of androgens.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Low sperm levels only occur with long-term use of androgens. - correct answer✔✔2
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Patients who are prescribed exogenous androgens need to be warned that decreased libido:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Is an unusual side effect of androgens and should be reported to the provider
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Is treated with increased doses of androgens, so the patient should let the provider know
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
if he is having problems
||//\\|| ||//\\|| ||//\\|| ||//\\||
3. May be a sign of early prostate cancer and he should make an appointment for a prostate
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
screening exam
||//\\|| ||//\\||
4. May occur with androgen therapy - correct answer✔✔4
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
The U.S. Food and Drug Administration warns that androgens may cause:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Peliosis hepatis
||//\\|| ||//\\||
2. Orthostatic hypotension
||//\\|| ||//\\||
,3. Menstrual irregularities
||//\\|| ||//\\||
4. Acne - correct answer✔✔1
||//\\|| ||//\\|| ||//\\|| ||//\\||
Monitoring for a patient who is using androgens includes evaluation of: ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Complete blood count and C-reactive protein levels
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Lipid levels and liver function tests
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Serum potassium and magnesium levels
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Urine protein and potassium levels - correct answer✔✔2
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Male patients require ______________________ before and during androgen therapy.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. A digital prostate exam
||//\\|| ||//\\|| ||//\\|| ||//\\||
2. A Doppler exam of testicular blood flow
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Urine analysis for proteinuria
||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Serial orthostatic blood pressures - correct answer✔✔1
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Absolute contraindications to estrogen therapy include: ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. History of any type of cancer
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Clotting disorders
||//\\|| ||//\\||
3. History of tension headaches
||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Orthostatic hypotension - correct answer✔✔2
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Postmenopausal women with an intact uterus should not be prescribed: ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Estrogen/progesterone combination
||//\\|| ||//\\||
2. IM medroxyprogesterone (Depo Provera)
||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Estrogen alone
||//\\|| ||//\\||
4. Androgens - correct answer✔✔3
||//\\|| ||//\\|| ||//\\|| ||//\\||
, Women who have migraines with an aura should not be prescribed estrogen because of:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. The interaction between triptans and estrogen, limiting migraine therapy choices
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. An increased incidence of migraines with the use of estrogen
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. An increased risk of stroke occurring with estrogen use
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Patients with migraines may be prescribed estrogen without any concerns - correct
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
answer✔✔3
A 22-year-old woman receives a prescription for oral contraceptives. Education for this
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
patient includes: ||//\\||
1. Counseling regarding decreasing or not smoking while taking oral contraceptives
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Advising a monthly pregnancy test for the first 3 months she is taking the contraceptive
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Advising that she may miss two pills in a row and not be concerned about pregnancy
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Recommending that her next follow-up visit is in 1 year for a refill and annual exam -
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
correct answer✔✔1 ||//\\||
A 19-year-old female is a nasal Staph aureus carrier and is placed on 5 days of rifampin for
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
treatment. Her only other medication is combined oral contraceptives. What education
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
should she receive regarding her medications?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Separate the oral ingestion of the rifampin and oral contraceptive by at least an hour.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Both medications are best tolerated if taken on an empty stomach.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. She should use a back-up method of birth control such as condoms for the rest of the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
current pill pack. ||//\\|| ||//\\||
4. If she gets nauseated with the medications she should call the office for an antiemetic
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
prescription. - correct answer✔✔3 ||//\\|| ||//\\|| ||//\\||
A 56-year-old woman is complaining of vaginal dryness and dyspareunia. To treat her
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
symptoms with the lowest adverse effects she should be prescribed: ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Low-dose oral estrogen
||//\\|| ||//\\|| ||//\\||
