Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for:
Student Answer: Excessive sedation
Tachycardia and
... [Show More] angina
Weight gain
Cold intolerance
Points Received: 2.5 of 2.5
Comments:
Question 2
.
Question :
The ongoing monitoring of patients over the age sixty-five years taking
alendronate (Fosamax) or any other bisphosphonate is:
Student Answer: Annual dual energy X-ray absorptiometry (DEXA) scans
Annual vitamin D level
Annual renal function evaluation
Electrolytes every three months
Points Received: 2.5 of 2.5
Comments:
Question 3
.
Question :
Angela is a black woman who has heard that women of African descent
do not need to worry about osteoporosis. What education would you
provide Angela about her risk?
Student Answer: She is correct; black women do not have much risk of developing
osteoporosis due to their dark skin.
Black women are at risk of developing osteoporosis due to their
lower calcium intake as a group.
If she doesn’t drink alcohol, her risk of developing osteoporosis is
low.
If she has not lost more than 10% of her weight lately, her risk is
low.
Points Received: 2.5 of 2.5
Comments:
Question 4
.
Question :
Prophylactic use of bisphosphonates is recommended for patients with
early osteopenia related to long-term use of which of the following
drugs?
Student Answer: Selective estrogen-receptor modulators
Aspirin
Glucocorticoids
Calcium supplements
Points Received: 2.5 of 2.5
Comments:
Question 5
.
Question :
Ashley comes to the clinic with a request for oral contraceptives. She
has successfully used oral contraceptives before and has recently
started dating a new boyfriend so would like to restart contraception.
She denies recent intercourse and has a negative urine pregnancy test
in the clinic. An appropriate plan of care would be:
Student Answer: Recommending she return to the clinic at the start of her next
menses to get a Depo Provera shot
Prescribing oral combined contraceptives and recommending that
she start them at the beginning of her next period and use a back-up
method for the first seven days
Prescribing oral contraceptives and having her start them the
same day, with a back-up method used for the first seven days
Discussing the advantages of using the topical birth control patch
and recommending she consider using the patch
Points Received: 2.5 of 2.5
Comments:
Question 6
.
Question :
Treatment of a patient with hypothyroidism and cardiovascular disease
consists of:
Student Answer: Levothyroxine
Liothyronine
Liotrix
Methimazole
Points Received: 2.5 of 2.5
Comments:
Question 7
.
Question :
Which of the following is the mechanism of action of oral combined
contraceptives that prevent pregnancy?
Student Answer: Estrogen prevents the LH surge necessary for ovulation.
Progestins thicken cervical mucous and slow tubal motility.
Estrogen thins the endometrium, making implantation difficult.
Progestin suppresses FSH release.
Points Received: 2.5 of 2.5
Comments:
Question 8
.
Question :
Medroxyprogesterone (Depo Provera) injection has an US Food and
Drug Administration (FDA) black box warning due to:
Student Answer: Development of significant hypertension
Increased risk of strokes when on Depo
Decreased bone density while on Depo
Risk of life-threatening rash such as Stevens-Johnson
Points Received: 2.5 of 2.5
Comments:
Question 9
.
Question :
A contraindication to the use of combined contraceptives is:
Student Answer: Adolescence (not approved for this age)
A history of clotting disorder
Recent pregnancy
Overweight
Points Received: 2.5 of 2.5
Comments:
Question 10. Question :
Shana is receiving her first medroxyprogesterone (Depo Provera)
injection. Shana will need to be monitored for:
Student Answer: Depression
Hypertension
Weight loss
Cataracts
Points Received: 2.5 of 2.5
Comments:
Question 11. Question :
Intranasal calcitonin is used in the treatment of osteoporosis. For which
patient is Calcitonin therapy appropriate?
Student Answer: Thin, Caucasian perimenopausal women
Men over the age of sixty-five years with osteoporosis
Women over the age of sixty-five years with osteopenia
Women over the age of sixty-five years with severe osteoporosis
Points Received: 2.5 of 2.5
Comments:
Question 12. Question :
A twenty-two-year-old woman receives a prescription for oral
contraceptives. Education for this patient includes:
Student Answer: Counseling regarding decreasing or not smoking while taking oral
contraceptives
Advising a monthly pregnancy test for the first three months she is
taking the contraceptive
Advising that she may miss two pills in a row and not be
concerned about pregnancy
Informing her that her next follow-up visit is in one year for a refill
and “annual exam”
Points Received: 2.5 of 2.5
Comments:
Question 13. Question :
In addition to methimazole, a symptomatic patient with hyperthyroidism
may need a prescription for:
Student Answer: A calcium channel blocker
A beta blocker
Liothyronine
An alpha blocker
Points Received: 2.5 of 2.5
Comments:
Question 14. Question :
A woman who is pregnant and has hyperthyroidism is best managed by
a specialty team that will most likely treat her with:
Student Answer: Methimazole.
Propylthiouracil.
Radioactive iodine.
Nothing; treatment is best delayed until after her pregnancy ends.
Points Received: 2.5 of 2.5
Comments:
Question 15. Question :
The drug recommended as primary prevention of osteoporosis in men
over seventy years is:
Student Answer: Alendronate (Fosamax)
Ibandronate (Boniva)
Calcium carbonate
Raloxifene (Evista)
Points Received: 2.5 of 2.5
Comments:
Question 16. Question :
Selective estrogen receptor modifiers (SERMs) treat osteoporosis by
selectively:
Student Answer: Inhibiting magnesium resorption in the kidneys
Increasing calcium absorption from the gastrointestinal (GI) tract
Acting on the bone to inhibit osteoblast activity
Selectively acting on the estrogen receptors in the bone
Points Received: 2.5 of 2.5
Comments:
Question 17. Question :
Dosage changes of conjugated equine estrogen (Premarin) are made
at ____ intervals.
Student Answer: one to two week
two to four week
six to eight week
twelve week
Points Received: 2.5 of 2.5
Comments:
Question 18. Question :
Inadequate vitamin D intake can contribute to the development of
osteoporosis by:
Student Answer: Increasing calcitonin production
Increasing calcium absorption from the intestine
Altering calcium metabolism
Stimulating bone formation
Points Received: 0 of 2.5
Comments:
Question 19. Question :
Bisphosphonates treat or prevent osteoporosis by:
Student Answer: Inhibiting osteoclastic activity
Fostering bone resorption
Enhancing calcium uptake in bones
Strengthening the osteoclastic proton pump
Points Received: 2.5 of 2.5
Comments:
Question 20. Question :
Men who are prescribed sildenafil (Viagra) need ongoing monitoring for:
Student Answer: The development of chest pain or dizziness
Weight gain
Priapism
Renal function [Show Less]