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DNP PHARMACOLOGY-GENITOURINARY, CONTRACEPTION, AND HRT PRACTICE QUESTIONS EXAM STUDY MATERIALS QUESTION AND ANSWERS (VERIFIED ANSWERS)R208,49
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DNP PHARMACOLOGY-GENITOURINARY,
CONTRACEPTION, AND HRT PRACTICE QUESTIONS
EXAM STUDY MATERIALS QUESTION AND ANSWERS
(VERIFIED ANSWERS)
1. **Education when prescribing androgens to male patients includes advising that:**
- a. Cholestatic hepatitis and jaundice may occur with low doses of androgens.
- b. Liver damage is common with high doses of androgens.
- c. Increased libido is guaranteed with androgens.
- d. There is no risk of side effects with androgens.
- **ANSWER:** a. Cholestatic hepatitis and jaundice may occur with low doses of androgens.
2. **The mechanism of action of oral combined contraceptives that prevents pregnancy is:**
- a. Progestins thicken cervical mucus and slow tubal motility.
- b. Estrogens block ovulation entirely.
- c. Progestins prevent implantation of the egg.
- d. Estrogens increase uterine lining thickness.
- **ANSWER:** a. Progestins thicken cervical mucus and slow tubal motility.
3. **The ongoing monitoring for patients over age 65 years taking alendronate or any other
bisphosphonate includes the following EXCEPT:**
- a. DEXA scans every 2-3 years.
- b. Vitamin D levels every 4 months.
,ESTUDY
- c. Annual renal function evaluation.
- d. Annual calcium levels.
- **ANSWER:** b. Vitamin D levels every 4 months.
4. **Women with an intact uterus should be treated with both estrogen and progestin due to:**
- a. Increased risk for endometrial cancer if estrogen is used alone.
- b. Better control of hot flashes.
- c. Improved bone density.
- d. Reduced risk of breast cancer.
- **ANSWER:** a. Increased risk for endometrial cancer if estrogen is used alone.
5. **5-Alpha reductase inhibitors work in BPH by:**
- a. Blocking the production of dihydrotestosterone (DHT), thus shrinking the prostate and increasing
urine flow.
- b. Relaxing bladder muscles.
- c. Increasing testosterone levels.
- d. Blocking urinary tract infections.
- **ANSWER:** a. Blocking the production of dihydrotestosterone (DHT), thus shrinking the prostate
and increasing urine flow.
6. **The most effective class of birth control methods includes:**
- a. Long-acting reversible contraception (LARC), IUDs, and Nexplanon or Implanon.
- b. Oral contraceptive pills.
, ESTUDY
- c. Condoms.
- d. Spermicides.
- **ANSWER:** a. Long-acting reversible contraception (LARC), IUDs, and Nexplanon or Implanon.
7. **The best option for treating osteoporosis in a 67-year-old female with a history of GERD, lap band
surgery, and other conditions is:**
- a. Prolia.
- b. Alendronate.
- c. Raloxifene.
- d. Calcium supplements alone.
- **ANSWER:** a. Prolia.
8. **Shana received her first medroxyprogesterone (Depo Provera) injection 6 weeks ago and has been
experiencing light bleeding. What should be done?**
- a. Reassure her that some spotting is normal the first few months of Depo and it should improve.
- b. Switch her to another contraceptive method.
- c. Increase the dose of Depo.
- d. Stop Depo and perform a pregnancy test.
- **ANSWER:** a. Reassure her that some spotting is normal the first few months of Depo and it
should improve.
9. **The role of calcium supplements when patients take bisphosphonates is:**
- a. They must be taken in sufficient amounts to provide foundational elements for bone growth.
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