sou nsg6005 Week 7 Assignment 2 Quiz latest 2017

Week 7 Assignment 2
Quiz

1.Question :

A twenty-two-year-old woman receives a prescription for oral
contraceptives. Education for this patient includes:

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”

Question 2. Sallie
has been diagnosed with osteoporosis and is asking about the once-a-month pill
to treat her condition. How do bisphosphonates treat osteoporosis?

By selectively activating estrogen pathways in
the bone

By reducing bone resorption by inhibiting PTH

By reducing bone resorption and inhibiting
osteoclastic activity

By increasing PTH production

Question 3. Elderly
patients who are started on levothyroxine for thyroid replacement should be
monitored for:

Excessive sedation

Tachycardia and angina

Weight gain

Cold intolerance

Question 4. Intranasal
calcitonin is used in the treatment of osteoporosis. For which patient is
Calcitonin therapy appropriate?

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

Question 5. The
ongoing monitoring of patients over the age sixty-five years taking alendronate
(Fosamax) or any other bisphosphonate is:

Annual dual energy X-ray absorptiometry (DEXA)
scans

Annual vitamin D level

Annual renal function evaluation

Electrolytes every three months

Question 6. When
starting a patient with hypothyroidism on thyroid replacement hormones, patient
education would include the following:

He or she should feel symptomatic improvement
in one to two weeks.

Drug-related adverse effects such as lethargy
and dry skin may occur.

It may take four to eight weeks to get to
euthyroid symptomatically and by lab testing.

Due to the short half-life of levothyroxine,
its doses should not be missed.

Question 7. Medroxyprogesterone
(Depo Provera) injection has an US Food and Drug Administration (FDA) black box
warning due to:

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

Question 8. A
woman who has migraine with aura:

Should not be prescribed estrogen due to the
interaction between triptans and estrogen, limiting migraine therapy choices

Should not be prescribed estrogen due to an
increased incidence of migraines with the use of estrogen

Should not be prescribed estrogen due to an
increased risk of stroke occurring with estrogen use

May be prescribed estrogen without any
concerns

Question 9. The
drug recommended as primary prevention of osteoporosis in women over seventy
years old is:

Alendronate (Fosamax)

Ibandronate (Boniva)

Calcium carbonate

Raloxifene (Evista)

Question 10. The
drug recommended as primary prevention of osteoporosis in men over seventy
years is:

Alendronate (Fosamax)

Ibandronate (Boniva)

Calcium carbonate

Raloxifene (Evista)

Question 11. Drugs
that increase the risk of development of osteoporosis include:

Oral combined contraceptives

Carbamazepine

Calcium channel blockers

High doses of vitamin D

Question 12. In
addition to methimazole, a symptomatic patient with hyperthyroidism may need a
prescription for:

A calcium channel blocker

A beta blocker

Liothyronine

An alpha blocker

Question 13. 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:

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

Question 14. A
woman who is pregnant and has hyperthyroidism is best managed by a specialty
team that will most likely treat her with:

Methimazole.

Propylthiouracil.

Radioactive iodine.

Nothing; treatment is best delayed until after
her pregnancy ends.

Question 15. Both
men and women experience bone loss with aging. The bones most likely to
demonstrate significant loss are:

The cortical bone

The femoral neck

Cervical vertebrae

Pelvic bones

Question 16. Kristine
would like to start HRT to treat the significant vasomotor symptoms she is
experiencing during menopause. Education for a woman considering hormone
replacement would include:

Explaining that HRT is totally safe if used
for a short term

Telling her to ignore media hype regarding HRT

Discussing the advantages and risks of HRT

Encouraging the patient to use phytoestrogens
with the HRT

Question 17. A
contraindication to the use of combined contraceptives is:

Adolescence (not approved for this age)

A history of clotting disorder

Recent pregnancy

Overweight

Question 18. Absolute
contraindications to estrogen therapy include:

A history of any type of cancer

Clotting disorders

A history of tension headache

Orthostatic hypotension

Question 19. 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?

She is ; 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.

Question 20. Men
who are prescribed sildenafil (Viagra) need ongoing monitoring for:

The development of chest pain or dizziness

Weight gain

Priapism

Renal function

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