NR566 Final Exam – Advanced Pharmacology for Care of the
Family 2026 | Most Tested Questions & Verified Answers |
Latest Update | Graded A+
1. Which of the following not considered an anti-androgen?
Finasteride (Propecia)
Leuprolide acetate (Lupron)
Sprinolactone (Aldactone)
Sildenafil citrate (Viagra)
2. Describe how testosterone therapy might lead to prostatic complications in
men.
Testosterone therapy has no effect on prostate health.
Testosterone therapy can stimulate the growth of prostate tissue,
leading to hypertrophy, hyperplasia, or even carcinoma.
Testosterone therapy only affects muscle mass, not prostate health.
Testosterone therapy reduces prostate size and prevents cancer.
3. Finasteride acts by:
Blocking testosterone receptors in the prostate gland
Reducing LH secretion from pituitary
Reducing testosterone secretion from testes
Lowering prostatic dihydrotestosterone concentration
4. Describe the circumstances under which vaginal instillation of estrogen is
typically recommended.
It is prescribed for patients with high blood pressure.
, It is recommended for patients who cannot tolerate oral forms of
estrogen.
It is only used in emergency situations.
It is used for all patients regardless of their tolerance to oral
medication.
5. A 13-year-old girl with abnormal menses presents to her primary care
physician for treatment. She has a history of inguinal hernia repairs in the past.
Her physician begins therapy with oral micronized estradiol in order to
regulate menses. Which of the following is true regarding this therapy?
Neuromuscular blockade likely
Limited first-pass metabolism
Minimally available
Limited bioavailability
Nephrotoxicity at low doses
6. If a patient has been using estrogen therapy for 30 years, what is the
estimated increase in breast cancer risk based on the provided information?
14%
42%
56%
28%
7. Describe the impact of rifampin on the effectiveness of progestins in
contraceptive therapy.
Rifampin has no effect on progestins, making it safe to use together.
Rifampin only affects progestins when taken with food.
, Rifampin can decrease the effectiveness of progestins, increasing
the risk of unplanned pregnancies.
Rifampin enhances progestin effectiveness, ensuring better
contraceptive control.
8. Testosterone use men is contraindicated if the patient has
Prostate cancer
High blood pressure
Osteoporosis
Diabetes
9. Describe the significance of monitoring liver function in patients receiving
high-dose androgen therapy.
Monitoring liver function is unnecessary as androgens do not affect
the liver.
Monitoring liver function is crucial due to the risk of life-threatening
hepatitis and hepatic neoplasms associated with high-dose
androgen therapy.
Monitoring liver function helps in assessing kidney health.
Monitoring liver function is only important for patients with pre-
existing liver conditions.
10. A patient using long-acting progestins for contraception reports
experiencing irregular menstrual bleeding. What should be the healthcare
provider's next step in management?
Advise the patient to stop using the contraceptive without further
evaluation.
, Immediately switch the patient to an estrogen-based contraceptive.
Evaluate the patient's symptoms and discuss potential alternatives
or adjustments to the contraceptive method.
Reassure the patient that irregular bleeding is normal and requires no
action.
11. What are estrogens used for?
Endometriosis
Breast cancer
Infertility
Hormone replacement therapy
12. A 60 year old female presents to the clinic for symptoms of menopause. She
is interested in starting hormone replacement therapy to help relieve some
of the symptoms. Which of the following would be considered a
contraindication for hormone replacement therapy?
Elevated Blood Pressure
High Cholesterol
Thromboembolic Disorder
Weight Loss
13. During part of the normal uterine cycle, when the levels of progesterone
and estrogen decrease, what will occur?
Regrowth of the endometrium
Shedding of the stratum basalis
Shedding of the stratum functionalis
Family 2026 | Most Tested Questions & Verified Answers |
Latest Update | Graded A+
1. Which of the following not considered an anti-androgen?
Finasteride (Propecia)
Leuprolide acetate (Lupron)
Sprinolactone (Aldactone)
Sildenafil citrate (Viagra)
2. Describe how testosterone therapy might lead to prostatic complications in
men.
Testosterone therapy has no effect on prostate health.
Testosterone therapy can stimulate the growth of prostate tissue,
leading to hypertrophy, hyperplasia, or even carcinoma.
Testosterone therapy only affects muscle mass, not prostate health.
Testosterone therapy reduces prostate size and prevents cancer.
3. Finasteride acts by:
Blocking testosterone receptors in the prostate gland
Reducing LH secretion from pituitary
Reducing testosterone secretion from testes
Lowering prostatic dihydrotestosterone concentration
4. Describe the circumstances under which vaginal instillation of estrogen is
typically recommended.
It is prescribed for patients with high blood pressure.
, It is recommended for patients who cannot tolerate oral forms of
estrogen.
It is only used in emergency situations.
It is used for all patients regardless of their tolerance to oral
medication.
5. A 13-year-old girl with abnormal menses presents to her primary care
physician for treatment. She has a history of inguinal hernia repairs in the past.
Her physician begins therapy with oral micronized estradiol in order to
regulate menses. Which of the following is true regarding this therapy?
Neuromuscular blockade likely
Limited first-pass metabolism
Minimally available
Limited bioavailability
Nephrotoxicity at low doses
6. If a patient has been using estrogen therapy for 30 years, what is the
estimated increase in breast cancer risk based on the provided information?
14%
42%
56%
28%
7. Describe the impact of rifampin on the effectiveness of progestins in
contraceptive therapy.
Rifampin has no effect on progestins, making it safe to use together.
Rifampin only affects progestins when taken with food.
, Rifampin can decrease the effectiveness of progestins, increasing
the risk of unplanned pregnancies.
Rifampin enhances progestin effectiveness, ensuring better
contraceptive control.
8. Testosterone use men is contraindicated if the patient has
Prostate cancer
High blood pressure
Osteoporosis
Diabetes
9. Describe the significance of monitoring liver function in patients receiving
high-dose androgen therapy.
Monitoring liver function is unnecessary as androgens do not affect
the liver.
Monitoring liver function is crucial due to the risk of life-threatening
hepatitis and hepatic neoplasms associated with high-dose
androgen therapy.
Monitoring liver function helps in assessing kidney health.
Monitoring liver function is only important for patients with pre-
existing liver conditions.
10. A patient using long-acting progestins for contraception reports
experiencing irregular menstrual bleeding. What should be the healthcare
provider's next step in management?
Advise the patient to stop using the contraceptive without further
evaluation.
, Immediately switch the patient to an estrogen-based contraceptive.
Evaluate the patient's symptoms and discuss potential alternatives
or adjustments to the contraceptive method.
Reassure the patient that irregular bleeding is normal and requires no
action.
11. What are estrogens used for?
Endometriosis
Breast cancer
Infertility
Hormone replacement therapy
12. A 60 year old female presents to the clinic for symptoms of menopause. She
is interested in starting hormone replacement therapy to help relieve some
of the symptoms. Which of the following would be considered a
contraindication for hormone replacement therapy?
Elevated Blood Pressure
High Cholesterol
Thromboembolic Disorder
Weight Loss
13. During part of the normal uterine cycle, when the levels of progesterone
and estrogen decrease, what will occur?
Regrowth of the endometrium
Shedding of the stratum basalis
Shedding of the stratum functionalis
