Chapter 20 (4)

Question 1

Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:

Answer 1

Skin-to-skin contact with pregnant women while using the gel

Question 2

Education when prescribing androgens to male patients includes advising that:

Answer 2

Cholestatic hepatitis and jaundice may occur with low doses of androgens.

Question 3

Patients who are prescribed exogenous androgens need to be warned that decreased libido:

Answer 3

May occur with androgen therapy

Question 4

The U.S. Food and Drug Administration warns that androgens may cause:

Answer 4

Peliosis hepatis

Question 5

Monitoring for a patient who is using androgens includes evaluation of:

Answer 5

Lipid levels and liver function tests

Question 6

Male patients require _____ before and during androgen therapy.

Answer 6

A digital prostate exam

Question 7

Absolute contraindications to estrogen therapy include:

Answer 7

Clotting disorders

Question 8

Postmenopausal women with an intact uterus should not be prescribed

Answer 8

Estrogen alone

Question 9

Women who have migraines with an aura should not be prescribed estrogen because of:

Answer 9

An increased risk of stroke occurring with estrogen use

Question 10

A 22-year-old woman receives a prescription for oral contraceptives. Education for this patient includes:

Answer 10

Counseling regarding decreasing or not smoking while taking oral contraceptives

Question 11

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?

Answer 11

She should use a back-up method of birth control such as condoms for the rest of the current pill pack.

Question 12

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:

Answer 12

A vaginal estradiol ring

Question 13

Shana is receiving her first medroxyprogesterone (Depo Provera) injection. Shana will need to be monitored for:

Answer 13

Depression

Question 14

When prescribing medroxyprogesterone (Depo Provera) injections, essential education would include advising of the following potential adverse drug effects:

Answer 14

Depression and weight gain

Question 15

The medroxyprogesterone (Depo Provera) injection has a Black Box Warning due to:

Answer 15

Decreased bone density

Question 16

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?

Answer 16

Reassurance that some spotting is normal the first few months of Depo and it should improve.

Question 17

William is a 62-year-old male who is requesting a prescription for sildenafil (Viagra). He should be screened for _____ before prescribing sildenafil.

Answer 17

Unstable coronary artery disease

Question 18

Men who are prescribed sildenafil (Viagra) need ongoing monitoring for:

Answer 18

Development of chest pain or dizziness

Question 19

Men who are prescribed an erectile dysfunction drug such as sildenafil (Viagra) should be warned about the risk for:

Answer 19

Fatal hypotension if combined with nitrates

Question 20

Androgens are indicated for:

Answer 20

Symptomatic treatment for male deficiency
Female libido, endometriosis, and postmenopausal
symptoms
Symptomatic treatment in both sexes for cancer and HIV
(1, 2, 4)

Question 21

Long-term use of androgens requires specific laboratory monitoring of:

Answer 21

Calcium, testosterone, PSA, liver function, glucose, and
lipid

Question 22

Effects of estrogen include:

Answer 22

All of the above

Question 23

Absolute contraindications that clinicians must consider when initiating estrogen therapy include:

Answer 23

1 and 2
Undiagnosed dysfunctional uterine bleeding
Deep vein or arterial thromboemboli within the prior

Question 24

Patients taking hormonal contraceptives and hormone replacement therapy need to take the drug daily at the same time to prevent:

Answer 24

Breakthrough bleeding