A twenty-two-year-old woman receives a prescription for oral
contraceptives. Education for this patient includes:
A. Counseling regarding decreasing or not smoking while taking oral
contraceptives
B. Advising a monthly pregnancy test for the first three months she is
taking the contraceptive
C. Advising that she may miss two pills in a row and not be concerned about
pregnancy
D. Informing her that her next follow-up visit is in one year for a refill and
"annual exam" - ANS ✓A. Counseling regarding decreasing or not smoking while
taking oral contraceptives
Men who are prescribed sildenafil (Viagra) need ongoing monitoring for:
A. The development of chest pain or dizziness
B. Weight gain
C. Priapism
D. Renal function - ANS ✓A. The development of chest pain or dizziness
Prophylactic use of bisphosphonates is recommended for patients with
early osteopenia related to long-term use of which of the following drugs?
A. Selective estrogen-receptor modulators
B. Aspirin
C. Glucocorticoids
D. Calcium supplements - ANS ✓C. Glucocorticoids
NSG 6005
, 2
NSG
The drug recommended as primary prevention of osteoporosis in women
over seventy years old is:
A. Alendronate (Fosamax)
B. Ibandronate (Boniva)
C. Calcium carbonate
D. Raloxifene (Evista) - ANS ✓A. Alendronate (Fosamax)
Elderly patients who are started on levothyroxine for thyroid replacement
should be monitored for:
A. Excessive sedation
B. Tachycardia and angina
C. Weight gain
D. Cold intolerance - ANS ✓B. Tachycardia and angina
The ongoing monitoring of patients over the age sixty-five years taking
alendronate (Fosamax) or any other bisphosphonate is:
A. Annual dual energy X-ray absorptiometry (DEXA)
scans
B. Annual vitamin D level
C. Annual renal function evaluation
D. Electrolytes every three months - ANS ✓C. Annual renal function evaluation
When starting a patient with hypothyroidism on thyroid replacement
hormones, patient education would include the following:
A. He or she should feel symptomatic improvement in one to two weeks.
B. Drug-related adverse effects such as lethargy and dry skin may occur.
C. It may take four to eight weeks to get to euthyroid symptomatically and
by lab testing.
D. Due to the short half-life of levothyroxine, its doses should not be missed.
- ANS ✓C. It may take four to eight weeks to get to euthyroid symptomatically
and by lab testing.
NSG 6005
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