REGIS NU641 2020 October Week 13 Quiz Latest (100% Graded)

Week 13 Quiz

Question 1Postmenopausal women with an intact uterus should not be prescribed:

 a.an estrogen/progesterone combination.

 b.intramuscular (IM) medroxyprogesterone (Depo-Provera).

 c.estrogen alone.

 d.androgens.

Question 2Reexamination of the women’s health study has modified guidelines for the use of estrogen in menopause. Which of the following is true?

 a.Supplementation for the first five years is considered to have a reasonable risk/benefit profile for selected groups of women.

 b.Estrogen can once again be given solely for its bone health benefits.

 c.The risk of deep vein thrombosis (DVT) is not as high as previously thought.

 d.Supplementation has a great CV benefit if started after the first five years of menopause.

Question 3Long-term use of androgens requires specific laboratory monitoring of:

 a.Glucose, calcium, testosterone, and thyroid function

 b.Calcium, testosterone, prostate-specific antigen (PSA), and liver function

 c.Calcium, testosterone, PSA, liver function, glucose, and lipids

 d.Complete blood count (CBC), testosterone, PSA, and thyroid level

The  answer is: Calcium, testosterone, PSA, liver function, glucose, and lipids

Question 4A 17-year-old competitive runner presents with hip pain that began after falling while running. Their only medical problem is severe acne for which they take isotretinoin (Accutane). What should the provider be concerned about?

 a.The patient may have pulled a muscle and needs to rest to recover.

 b.They are at risk for bone injuries and need to be evaluated for fracture.

 c.Isotretinoin interacts with ibuprofen, which is the pain medication of choice.

 d.Teen athletes are at risk for repetitive stress injuries.

Question 5An adolescent female calls the clinic with concerns that her acne is worse two weeks after starting topical tretinoin. What would be the appropriate care for her?

 a.Change her to a different topical acne medication as she is having an adverse reaction to the tretinoin.

 b.Switch her to an oral antibiotic to treat her acne.

 c.Advise her to apply an oil-based lotion to her face to soothe the redness.

 d.Reassure her that the worsening of acne is normal and it should improve with continued use.

Question 6Patients who are treated with more than 100 grams per week of topical calcipotriene for psoriasis need to be monitored for:

 a.high vitamin D levels.

 b.hyperkalemia.

 c.hypercalcemia.

 d.hyperuricemia.

Question 7Ashley 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. What is an appropriate plan of care?

 a.Recommend she return to the clinic at the start of her next menses to get a Depo- Provera shot.

 b.Prescribe oral combined contraceptives and recommend she start them at the beginning of her next period and use a back-up method for the first seven days.

 c.Prescribe oral contraceptives and have her start them the same day as the visit with a back-up method used for the first seven days.

 d.Discuss the advantages of using the topical birth control patch and recommend she consider using it.

Question 8Women who are prescribed progestin-only contraception need education regarding which common adverse drug effects?

 a.Increased migraine headaches

 b.Increased risk of developing blood clots

 c.Irregular vaginal bleeding for the first few months

 d.Increased risk for hypercalcemia

Question 9Which of the following is not an indication for starting Hormone replacement therapy (HRT)?

 a.Symptomatic hot flashes

 b.Treatment or prevention of vaginal atrophy

 c.Prevention of osteoporosis

 d.Early surgical menopause

Question 10An adult patient presents to the clinic with symptoms of allergic conjunctivitis and is prescribed cromolyn sodium (Opticrom) eye drops. What does the education regarding cromolyn eye drops include?

 a.They should not wear soft contacts while using the cromolyn eye drops.

 b.Cromolyn drops are instilled once a day to prevent allergy symptoms.

 c.Long-term use may cause glaucoma.

 d.They may experience bradycardia as an adverse effect.

Question 11A young adult patient comes to the clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture results, what is an appropriate plan of care?

 a.None, wait for the culture results to determine the course of treatment

 b.Ciprofloxacin (Ciloxan) ophthalmic drops

 c.Intramuscular (IM) ceftriaxone

 d.High-dose oral amoxicillin

Question 12A 15-month-old patient has been on amoxicillin for two days for acute otitis media. She is still febrile and there is no change in her tympanic membrane examination. What would be the plan of care for the child?

 a.Continue the amoxicillin for the full 10 days.

 b.Change the antibiotic to azithromycin.

 c.Change the antibiotic to amoxicillin/clavulanate.

 d.Change the antibiotic to trimethoprim/sulfamethoxazole.

Question 13Whether prescribing an antibiotic for a child with acute otitis media or not, the parents should be educated about:

 a.using decongestants to provide faster symptom relief.

 b.providing adequate pain relief for at least the first 24 hours.

 c.using complementary treatments for acute otitis media, such as garlic oil.

 d.administering an antihistamine/decongestant combination (Dimetapp) so the child can sleep better.

Question 14What is the  treatment for sinusitis in an adult who has a child in daycare?

 a.Azithromycin 500 mg a day for five days

 b.Amoxicillin-clavulanate 500 mg bid for seven days

 c.Ciprofloxacin 500 mg bid for five days

 d.Cephalexin 500 mg qid for five days

Question 15Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is asking about drinking cranberry juice to prevent a recurrence of the UTI. What is the  answer to give her?

 a.Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.

 b.Cranberry juice will decrease UTIs.

 c.There is no clear evidence that cranberry juice helps prevent UTIs.

 d.Cranberry juice only works to prevent UTIs in children.

Question 16Along with an antibiotic prescription, lifestyle education for a nonpregnant adult female who has had a UTI includes:

 a.increasing her intake of vitamin C-containing orange juice.

 b.voiding 10 to 15 minutes after intercourse.

 c.avoiding ingesting urinary irritants, such as asparagus.

 d.All of the above

Question 17Dysmenorrhea is one of the most common gynecological complaints in young women. What is the first line of drug treatment for this disorder?

 a.Oral contraceptive pills

 b.Caffeine

 c.Nonsteroidal anti-inflammatory drug (NSAIDs)

 d.Aspirin

Question 18Which of the following is not a side effect of anticholinergic therapy for urinary incontinence?

 a.Diarrhea

 b.Dry mouth

 c.Constipation

 d.Tachycardia

Question 19Which of the following is true regarding ophthalmic anti-infectives?

 a.Systemic drug interactions are common with ophthalmic agent use

 b.Ophthalmic and otic anti-infectives can be used interchangeably

 c.Generally, there is little systemic absorption

 d.No options are

Question 20Which of the following is a common adverse drug reaction of ocular antihistamines (H1 blockers)?

 a.Dry eyes

 b.Red eyes

 c.Increase ocular pressure in the left eye

 d.Blurred vision