Chapter 20 (4) Flashcards
Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:
Skin-to-skin contact with pregnant women while using the gel
Education when prescribing androgens to male patients includes advising that:
Cholestatic hepatitis and jaundice may occur with low doses of androgens.
Patients who are prescribed exogenous androgens need to be warned that decreased libido:
May occur with androgen therapy
The U.S. Food and Drug Administration warns that androgens may cause:
Peliosis hepatis
Monitoring for a patient who is using androgens includes evaluation of:
Lipid levels and liver function tests
Male patients require _____ before and during androgen therapy.
A digital prostate exam
Absolute contraindications to estrogen therapy include:
Clotting disorders
Postmenopausal women with an intact uterus should not be prescribed
Estrogen alone
Women who have migraines with an aura should not be prescribed estrogen because of:
An increased risk of stroke occurring with estrogen use
A 22-year-old woman receives a prescription for oral contraceptives. Education for this patient includes:
Counseling regarding decreasing or not smoking while taking oral contraceptives
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?
She should use a back-up method of birth control such as condoms for the rest of the current pill pack.
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:
A vaginal estradiol ring
Shana is receiving her first medroxyprogesterone (Depo Provera) injection. Shana will need to be monitored for:
Depression
When prescribing medroxyprogesterone (Depo Provera) injections, essential education would include advising of the following potential adverse drug effects:
Depression and weight gain
The medroxyprogesterone (Depo Provera) injection has a Black Box Warning due to:
Decreased bone density
Shana received her first medroxyprogesterone (Depo Provera) injection 6 weeks ago and calls the clinic with a concern that she has been having a light “period” off and on since receiving her Depo
shot. What would be the management of Shana?
Reassurance that some spotting is normal the first few months of Depo and it should improve.
William is a 62-year-old male who is requesting a prescription for sildenafil (Viagra). He should be screened for _____ before prescribing sildenafil.
Unstable coronary artery disease
Men who are prescribed sildenafil (Viagra) need ongoing monitoring for:
Development of chest pain or dizziness
Men who are prescribed an erectile dysfunction drug such as sildenafil (Viagra) should be warned about the risk for:
Fatal hypotension if combined with nitrates
Androgens are indicated for:
Symptomatic treatment for male deficiency
Female libido, endometriosis, and postmenopausal
symptoms
Symptomatic treatment in both sexes for cancer and HIV
(1, 2, 4)
Long-term use of androgens requires specific laboratory monitoring of:
Calcium, testosterone, PSA, liver function, glucose, and
lipid
Effects of estrogen include:
All of the above
Absolute contraindications that clinicians must consider when initiating estrogen therapy include:
1 and 2
Undiagnosed dysfunctional uterine bleeding
Deep vein or arterial thromboemboli within the prior
Patients taking hormonal contraceptives and hormone replacement therapy need to take the drug daily at the same time to prevent:
Breakthrough bleeding
