Exam 5 chapters 55 and 56

Question 1

What are the estrogen drugs?

Answer 1

estrogens, estradiol, estriol

Question 2

What are adverse effects of estrogen

Answer 2

endometrial and ovarian cancers, risk for estrogen-dependent breast cancer, embolic events

Question 3

Patients on estrogen should quit smoking to reduce

Answer 3

risk of thromboembolic event

Question 4

Estrogen is a pregnancy category

Answer 4

x

Question 5

Estrogen is contraindicated in>

Answer 5

heart disease / family history of, vaginal bleeding, certain cancers, thrombotic disease/risk of , fibroid tumors, tobacco use

Question 6

What are the progestin drugs

Answer 6

progesterone, medroxyprogesterone, megestrol, norgestrel

Question 7

Adverse effects of progesterones

Answer 7

weight gain, edema, depression, thromboembolism, breast cancer, jaundice, migraine headaches, birth defects, spontaneous abortion

Question 8

Contraindications of progesterones

Answer 8

liver disease, pregnancy, breast cancer

Question 9

If a woman has a uterus, can she take estrogen alone?

Answer 9

NO

Question 10

If a woman has a uterus, they must take estrogen and progesterone together to decrease?

Answer 10

endometrial hyperplasia

Question 11

Adverse effects of oral contraceptives?

Answer 11

N/V, breast fullness, depression, edema, abnormal clotting, uterine/vaginal bleeding, hyperglycemia, hyperkalemia

Question 12

Contraindications of combined oral contraceptives?

Answer 12

pregnancy, thrombophlebitic disorders, estrogen-dependent cancer

Question 13

what are estrogen dependent cancers?

Answer 13

ovarian, breast, endometrial cancers

Question 14

Indication for finasteride

Answer 14

treatment of BPH and stimulating hair growth

Question 15

Patient teaching for finasteride

Answer 15

pregnant women should not touch the medication, can take 6 months to feel effects, do not donate blood (must be discontinued for one month) , antihypertensive teaching

Question 16

Patients on finasteride should report?

Answer 16

symptoms of decreased libido, gynecomastia and impotence

Question 17

Older adults on finasteride are more likely to see?

Answer 17

effects of hypotension

Question 18

What is the indication for tamsulosin?

Answer 18

BPH (relaxes smooth muscles of bladder and prostate)

Question 19

Mechanism of action:

Answer 19

highly protein bound; relaxes the smooth muscle of the bladder and prostate

Question 20

Adverse effects of tamsulosin?

Answer 20

hypotension, dizziness, nasal congestion, sleepiness, faintness, problems with ejaculation

Question 21

If our patient has had cataract surgery, tamsulosin can cause them to have

Answer 21

floppy iris syndrome

Question 22

What is the indication for PDE5 inhibitors?

Answer 22

erectile dysfunction

Question 23

Contraindications of PDE5 inhibitors

Answer 23

nitrates, grapefruit juice

Question 24

PDE5 inhibitors should not be taken with drugs that

Answer 24

lower blood pressure (ex. alcohol, antihypertensives, alpha-adrenergic blockers)