NSG 6005 Week 7 Pharmacology Quiz - Questions & Answers) Grade A+

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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 contrac... eption. 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 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 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 Infants with congenital hypothyroidism are treated with: A. Levothyroxine B. Liothyronine C. Liotrix D. Methimazole 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 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 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 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 The drug recommended as primary prevention of osteoporosis in men over seventy years is: A. Alendronate (Fosamax) B. Ibandronate (Boniva) C. Calcium carbonate D. Raloxifene (Evista) When starting a patient with hypothyroidism on thyroid replacement hormones, patient education would include the following: A. He or she should feel symptomatic improvement in one to two weeks. B. Drug-related adverse effects such as lethargy and dry skin may occur. C. It may take four to eight weeks to get to euthyroid symptomatically and by lab testing. D. Due to the short half-life of levothyroxine, its doses should not be missed. The drug recommended as primary prevention of osteoporosis in women over seventy years old is: A. Alendronate (Fosamax) B. Ibandronate (Boniva) C. Calcium carbonate D. Raloxifene (Evista) Goals of treatment when treating hypothyroidism with thyroid replacement include: A. Normal TSH and free T4 levels B. Resolution of fatigue C. Weight loss to baseline D. All of the above Intranasal calcitonin is used in the treatment of osteoporosis. For which patient is Calcitonin therapy appropriate? A. Thin, Caucasian perimenopausal women B. Men over the age of sixty-five years with osteoporosis C. Women over the age of sixty-five years with osteopenia D. Women over the age of sixty-five years with severe osteoporosis Bisphosphonates treat or prevent osteoporosis by: A. Inhibiting osteoclastic activity B. Fostering bone resorption C. Enhancing calcium uptake in bones D. Strengthening the osteoclastic proton pump Potentially fatal granulocytopenia has been associated with the treatment of hyperthyroidism with propylthiouracil. Patients should be taught to report: A. Tinnitus and decreased salivation B. Fever and sore throat C. Hypocalcemia and osteoporosis D. Laryngeal edema and difficulty swallowing Men who use transdermal testosterone gel (AndroGel) should be advised to avoid: A. Washing their hands after applying the gel B. Wearing occlusive clothing while using the gel C. Exposure to estrogens while using the gel D. Skin-to-skin contact with pregnant women while using the gel A contraindication to the use of combined contraceptives is: A. Adolescence (not approved for this age) B. A history of clotting disorder C. Recent pregnancy D. Overweight Kristine would like to start HRT to treat the significant vasomotor symptoms she is experiencing during menopause. Education for a woman considering hormone replacement would include: A. Explaining that HRT is totally safe if used for a short term B. Telling her to ignore media hype regarding HRT C. Discussing the advantages and risks of HRT D. Encouraging the patient to use phytoestrogens with the HRT [Show More]

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