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NR566 -WEEK 5 STUDY GUIDE EXAM QUESTIONS AND ANSWERS
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NR566 -WEEK 5 STUDY GUIDE EXAM QUESTIONS AND ANSWERS
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NR566 -WEEK 5 STUDY GUIDE EXAMQUESTIONS AND ANSWERS
Regarding osteoporosis, what are the two SERM drugs? - Answer--Tamoxifen
-Raloxifene
Tamoxifen is a good drug because it protects against osteoporosis, but what is it's
downside? - Answer--Higher risk for cancer
-Higher risk for blood clots
What is the the awesome benefit of Tamoxifen other than bone health? - Answer--
Promotes good blood lipid levels
What is one thing that makes Raloxifene better than Tamoxifen? - Answer--Lower risk
for cancer
What is the only drug approved for prevention and treatment of osteoporosis? -
Answer--Duavee (conjugated estrogens/bazedoxifene)
What drug prevents osteoporosis and vasomotor symptoms in postmenopausal women
with a uterus? - Answer--Duavee (conjugated estrogens/bazedoxifene)
What are the 3 main benefits of hormone therapy? - Answer--suppression of vasomotor
symptoms
-prevention of urogenital atrophy
-prevention of osteoporosis and related fractures
Does urogenital atrophy and osteoporosis prevention sustain after withdrawal of HT? -
Answer---No, benefits will decline after HT withdrawal
Although HT therapy is great for bone loss prevention, what will happen when HT is
stopped? - Answer--bone mass rapidly decreases by approximately 12% ---Therapy
must be life long--
Examples of progestins - Answer--Medroxyprogesterone acetate
-Norethindrone
A patient has undiagnosed vaginal bleeding, should she be prescribed HT? - Answer--
No, don't give HT with undiagnosed vaginal bleeding
Julie has some blood clotting issues in his body. He has active thrombophlebitis &
thromboembolic disorders Should she use HT? - Answer--No, better not use HT with
blood and clotting issues.
, Amy has active liver disease, would HT be okay? - Answer-No, better not use HT with
active liver problems
Yolanda has active breast cancer. Should she receive HT? - Answer-No, those with
active breast cancer should not receive HT!
The nurse practitioner is considering adding progestin plus estrogen to his patient's med
regimen. The patient has HX of blood clotting disorders. What considerations must be
dicussed? - Answer--Increased risk for
--DVT
--Stroke
--MI
--PE
Susie just had her 65th birthday. She also has dementia and cardiovascular disease.
Regarding combination of estrogen/progestin, what is she at higher risk for ? - Answer--
With these things, she's at a higher risk for dementia
Tina has a mild risk of breast cancer. Is it a good idea for her to have estrogen/progestin
combo? - Answer--No, this combo of progestin/estrogen increases risk for breast cancer
The new doctor wants to prescribe progestins for a prepubertal child, his attendee says
what? - Answer--He screams "NO", those are not for prepubertal children.
A patient asks her doctor if progestin is okay while breast feeding. What does he say? -
Answer--Progestins while breastfeeding may cause neonatal jaundice.
What are the guidelines for tapering a patient off HT? - Answer--There are no firm
guidelines!
What kind of symptoms may occur while tapering off HT? - Answer--Tapering of HT
may cause vasomotor symptoms.
For women on EPT, the progestin dosage should remain... - Answer--unchanged
because lowering the progestin dosage might permit estrogen to stimulate endometrial
growth, thereby posing a risk for endometrial hyperplasia.
What are some names of intravaginal inserts? - Answer--Imvexxy
-Vagifem
-Yuvafem
What are some names of intravaginal creams? - Answer--Estrace vaginal
-Premarin Vaginal
What is the name of a vaginal ring used for local effects? - Answer--Estring
--treatment of vulval and vaginal atrophy associated with menopause
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