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Reproductive and Genitourinary system QUESTIONS AND ANSWERS

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Reproductive and Genitourinary system A patient is considering taking estrogen and medroxyprogesterone acetate (Prempro) to treat postmenopausal vasomotor symptoms. You explain to the patient that she would need to watch for which of the following possible indications of a serious adverse effect...

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  • June 23, 2022
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  • 2021/2022
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Reproductive and Genitourinary system
A patient is considering taking estrogen and medroxyprogesterone acetate (Prempro) to treat
postmenopausal vasomotor symptoms. You explain to the patient that she would need to watch for
which of the following possible indications of a serious adverse effect of this combination drug? Correct
Answer: swelling or pain in the calf

Finasteride (Proscar) Correct Answer: benign prostatic hypertrophy

Oxybutynin (Ditropan) Correct Answer: urinary incontinence

Sildenafil (Viagra) Correct Answer: erectile dysfunction

Testosterone (Androderm) Correct Answer: male puberty induction

Combination oral contraceptives, such as ethinyl estradiol and drospirenone (Yasmin), require cautious
use with patients who have which of the following disorders? Correct Answer: diabetes mellitus

You are talking with a patient about beginning therapy with testosterone (Delatestryl) to treat testicular
failure. Which of the following potential side effects should you tell the patient to watch for and report?
Correct Answer: weight gain

When talking with a patient about beginning therapy with finasteride (Proscar) to treat benign prostatic
hypertrophy, you should instruct the patient to do which of the following? Correct Answer: expect
improvement in about 6 to 12 months

You should question the use of sildenafil (Viagra) to treat erectile dysfunction in patients who take which
of the following drugs? Correct Answer: Nitroglycerin (Nitrostat) for chest pain

Dinoprostone (Cervidil) Correct Answer: induces uterine contractions

Terbutaline (Brethine) Correct Answer: stops uterine contractions

hCG (Pregnyl) Correct Answer: stimulates ovulation

Medroxyprogesterone (Provera) Correct Answer: Treats endometriosis

You are talking with a patient about beginning therapy with clomiphene (Clomid) to treat infertility.
Which of the following should you instruct the patient to watch for and report? Correct Answer: pelvic
pain

For relief of urinary obstruction due to prostatic enlargement, providers should prescribe which of the
following drugs? Correct Answer: Tamsulosin (Flomax)

You administer oxytocin (Pitocin) to a patient to induce labor. You should monitor her for which of the
following potential adverse reactions to oxytocin? (Select all that apply.) Correct Answer: Urine output

, Blood pressure

Duration of contractions

Fetal heart rate

The primary care provider talks with the couple about clomiphene therapy. Which of the following
instructions should the primary care provider include? Correct Answer: Begin 5 days after menstruation
begins and take it every day for next 5 days.

One month later, the patient tells the primary care provider that she has developed some adverse
effects. Which of the following effects does clomiphene cause? (Select all that apply.) Correct Answer:
Blurred vision

Hot flashes

Breast engorgement

Nausea

The primary care provider should instruct the patient to do which of the following? Correct Answer:
take a pregnancy test

Recognizing the adverse effects of terbutaline (Brethine), the provider should monitor the patient for
which of the following? Correct Answer: tachycardia

Which of the following drugs should the primary care provider have available to reverse the adverse
effects of terbutaline (Brethine)? Correct Answer: Propranolol (Inderal)

A health care professional is caring for a patient who is taking bethanechol (Urecholine) for urinary
retention when advising the patient about taking the drug, which of the following instructions should
the health care professional include? (select all that apply) Correct Answer: Avoid driving and activities
that require alertness

Increase fluid intake

Stay close to a bathroom after taking the drug

When talking with a patient about using leuprolide (Lupron) to treat endometriosis, the health care
professional should include which of the following instructions? Correct Answer: perform weight
bearing activities

A health care professional should question the use of the combination oral contraceptive ethinyl
estradiol and drospirenon (Yasmin) by a patient who Correct Answer: smokes half a pack of cigarettes a
day

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