Inquire through: | Professional | Confidential Support
Pharm Quiz 2 - Women's Health +
Osteoporosis Verified and Updated
Questions and Answers (100% Correct
Answers)
Hormonal LARCs
Answer: Mirena, Skyla, Liletta, Nexplanon
Hormonal LARCs MOA
Answer: -Thickens cervical mucus
-Suppresses ovarian function
-Inhibits sperm movements
-Thins the uterine lining
Nexplanon Side Effects
Answer: menstrual irregularities, weight gain, headaches, and vaginitis
Nexplanon Active Ingredient
Answer: -Contains etonorgesterel (same progestin as in nuva ring)
-Blocks the LH surge to prevent ovulation
-Thickens the cervical mucuos
-Thins the endometrial lining
Nexplanon Contraindications
Answer: -Contraindications: active liver disease or active venous thromboembolism
or women treated with CYP3A-inducing or inhibiting meds
-Considered safe to use in smokers, women with HTN, DM, migraines
Non-hormonal LARC:
Answer: Paraguard
• AKA Copper IUD
, Inquire through: | Professional | Confidential Support
• Great option for women who can't use hormonal methods
• Can be used for up to 10 years
• heavier menstrual bleeding and cramping
Which patients could be prescribed Oral estrogen/progesterone combination
Answer: • Combinations used in women WITH a uterus
• Meant to be used < 5 years because of an increased risk of breast cancer associated
with combination treatments
• The only progestin approved by the FDA is medroxyprogesterone
• Progestin given to decrease risk of hyperplasia
Which patients could be prescribed Topical estrogen
Answer: • Contain 17-beta estradiol
• Patch applied once or twice a week depending on brand
• Side Effect: skin irritation at site
• Do not apply to breast or waistline (avoid breast tissue, ovaries, uterus)
• Low dose patch option for women w/o menopausal symptoms for osteoporosis
prevention who are just looking to protect their bones
• Topical creams and/or rings only have local effects, not systemic effects
Which patients could be prescribed Oral estrogen alone, unopposed estrogen
replacement therapy
Answer: • Sub-conjugated equine estrogens (Premarin) or plant-based (Estrace)
• General rule of thumb is to start with low dose and increase PRN if symptoms not
well-controlled
Which patients could be prescribed Progesterone only
Answer: • Women who can't take combined methods because of co-morbidities or
chronic disease
Pharm Quiz 2 - Women's Health +
Osteoporosis Verified and Updated
Questions and Answers (100% Correct
Answers)
Hormonal LARCs
Answer: Mirena, Skyla, Liletta, Nexplanon
Hormonal LARCs MOA
Answer: -Thickens cervical mucus
-Suppresses ovarian function
-Inhibits sperm movements
-Thins the uterine lining
Nexplanon Side Effects
Answer: menstrual irregularities, weight gain, headaches, and vaginitis
Nexplanon Active Ingredient
Answer: -Contains etonorgesterel (same progestin as in nuva ring)
-Blocks the LH surge to prevent ovulation
-Thickens the cervical mucuos
-Thins the endometrial lining
Nexplanon Contraindications
Answer: -Contraindications: active liver disease or active venous thromboembolism
or women treated with CYP3A-inducing or inhibiting meds
-Considered safe to use in smokers, women with HTN, DM, migraines
Non-hormonal LARC:
Answer: Paraguard
• AKA Copper IUD
, Inquire through: | Professional | Confidential Support
• Great option for women who can't use hormonal methods
• Can be used for up to 10 years
• heavier menstrual bleeding and cramping
Which patients could be prescribed Oral estrogen/progesterone combination
Answer: • Combinations used in women WITH a uterus
• Meant to be used < 5 years because of an increased risk of breast cancer associated
with combination treatments
• The only progestin approved by the FDA is medroxyprogesterone
• Progestin given to decrease risk of hyperplasia
Which patients could be prescribed Topical estrogen
Answer: • Contain 17-beta estradiol
• Patch applied once or twice a week depending on brand
• Side Effect: skin irritation at site
• Do not apply to breast or waistline (avoid breast tissue, ovaries, uterus)
• Low dose patch option for women w/o menopausal symptoms for osteoporosis
prevention who are just looking to protect their bones
• Topical creams and/or rings only have local effects, not systemic effects
Which patients could be prescribed Oral estrogen alone, unopposed estrogen
replacement therapy
Answer: • Sub-conjugated equine estrogens (Premarin) or plant-based (Estrace)
• General rule of thumb is to start with low dose and increase PRN if symptoms not
well-controlled
Which patients could be prescribed Progesterone only
Answer: • Women who can't take combined methods because of co-morbidities or
chronic disease
