NU 641 Quiz 4 Questions with All Correct Answers
When discussing with a patient the different start methods used for oral combined contraceptives, the advantage of a Sunday start over the other start methods is:
1. Immediate protection against pregnancy the first week of using the pill
2. No ...
NU 641 Quiz 4 Questions with All
Correct Answers
When discussing with a patient the different start methods used for oral combined
contraceptives, the advantage of a Sunday start over the other start methods is:
1. Immediate protection against pregnancy the first week of using the pill
2. No back-up method is needed when starting
3. Menses occur during the week
4. They can start the pill on the Sunday after the office visit - Answer- 3
The topical patch combined contraceptive (Ortho Evra) is:
1. Started on the first day of the menstrual cycle
2. Recommended for women over 200 pounds
3. Not as effective as oral combined contraceptives
4. Known to have more adverse effects, such as nausea, than the oral combined
contraceptives - Answer- 1
Progesterone-only pills are recommended for women who:
1. Are breastfeeding
2. Have a history of migraine
3. Have a medical history that contradicts the use of estrogen
4. All of the above - Answer- 4
Women who are prescribed progestin-only contraception need education regarding
which common adverse drug effects?
1. Increased migraine headaches
2. Increased risk of developing blood clots
3. Irregular vaginal bleeding for the first few months
4. Increased risk for hypercalcemia - Answer- 3
An advantage of using the NuvaRing vaginal ring for contraception is:
1. It does not require fitting and is easy to insert.
2. It is inserted once a week, eliminating the need to remember to take a daily pill.
3. Patients get a level of estrogen and progestin equal to combined oral contraceptives.
4. It also provides protection against vaginal infections. - Answer- 1
Oral emergency contraception (Plan B) is contraindicated in women who:
1. Had intercourse within the past 72 hours
2. May be pregnant
3. Are taking combined oral contraceptives
4. Are using a diaphragm - Answer- 2
, The goals of therapy when prescribing HRT include reducing:
1. Cardiovascular risk
2. risk of stroke or other thromboembolic event
3. breast cancer
4. vasomotor symptoms - Answer- 4
The optimal maximum time frame for HRT or ERT is
1. 2 years
2. 5 years
3. 10 years
4. 15 years - Answer- 2 (5 years)
Dosage changes of conjugated equine estrogen (Premarin) are made at ______
intervals:
1. 1-2 weeks
2. 2-4 weeks
3. 6-8 weeks
4. 12 weeks - Answer- 3
The advantage of vaginal estrogen preparations in the treatment of vulvovaginal atrophy
and dryness is:
1. ability to deliver higher doses of estrogen in a non-oral form
2. the vaginal cream formula provides moisture to the vaginal area
3. relief of symptoms without increasing cardiovascular risk
4. all of the above - Answer- 3
Women with an intact uterus should be treated with both estrogen and progestin due to:
1. increased risk for endometrial cancer if estrogen is used alone
2. combination therapy provides the best relief of menopausal vasomotor symptoms
3. reduced risk for colon cancer with combined therapy
4. lower risk of developing blood clots with combined therapy - Answer- 1
Ongoing monitoring for women on ERT includes:
1. lipid levels, repeated annually if normal
2. annual health history and review of risk profile
3. annual mammogram
4. all of the above - Answer- 4
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 - Answer- C
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